Dan Ames Email and Phone Number
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Driven professional with almost 10 years experience in healthcare insurance oversight and monitoring. Expertise in multiple areas; including government audit protocol, government guideline adherence, and analyzing and compiling complex data. Skilled at communicating and developing relationship with others and dedicated to continuously learning.
Unitedhealth Group
View- Website:
- unitedhealthgroup.com
- Employees:
- 108749
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Business Process ConsultantUnitedhealth Group Sep 2021 - Present
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Senior Business Process AnalystUnitedhealth Group Sep 2015 - Sep 2021Columbia, MarylandWork within the United Healthcare Medicare and Retirement department to: • Perform oversight and monitoring of Pharmacy Benefit Manager to ensure compliance within CMS guidelines.• Lead the redesign of pharmacy audit approaches and processes• Compile and report complex data for trend analysis and to inform business health
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Business Process AnalystUnitedhealth Group Sep 2012 - Sep 2021Responsibilities included:• Performed oversight and monitoring of Pharmacy Benefit Manager to ensure compliance within CMS guidelines.• Monitored Star Rating D02 and D03 metrics for United Healthcare M&R through daily audits to ensure coverage determination and organizational determination timeliness.• Created and performed Ad-Hoc reviews of the Pharmacy Benefit Manager’s processes to ensure compliance with Chapter 18 of the CMS Prescription Drug Benefit Manual guidelines.
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Pharmacy Utilization Management SpecialistXl Health Apr 2011 - Sep 2012Baltimore, Maryland AreaResponsibilities included:- Worked Medicare Part D redetermination process by entering, tracking, and monitoring data. - Performed frequent audits of case files to ensure completion and accuracy of contents.- Assisted the Pharmacy Operations Department with inquiries from members, providers, and various departments.
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Traffic CoordinatorSinclair Broadcast Group Nov 2009 - Apr 2011Hunt Valley, MarylandResponsibilities included:- Adhered to contractual agreements and Federal Communications Commission (FCC) regulations. - Collaborated with departments and media groups ensure delivery of effective advertising schedule.- Worked within requested parameters to produce an accurate broadcast log.
Dan Ames Skills
Dan Ames Education Details
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Peace Studies And Conflict Resolution
Frequently Asked Questions about Dan Ames
What company does Dan Ames work for?
Dan Ames works for Unitedhealth Group
What is Dan Ames's role at the current company?
Dan Ames's current role is Business Process Consultant at UnitedHealth Group.
What is Dan Ames's email address?
Dan Ames's email address is da****@****uhg.com
What schools did Dan Ames attend?
Dan Ames attended Salisbury University.
What skills is Dan Ames known for?
Dan Ames has skills like Trend Analysis, Compliance Oversight, Data Analysis, Process Management, Operational Oversight.
Who are Dan Ames's colleagues?
Dan Ames's colleagues are Jody Lawrence, Felicia Popee, Korinne Thomas-Thurman, Amy Saavedra, Sara Yount, Sushmitha Patlolla, Sheila Brooker.
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