Debby G. Email & Phone Number

Technical Product Manager for Medicare Plan Benefit Package (PBP) Module

Implement content solutions for required Medicare Advantage/Medicaid member materials and CMS marketing materials in the Messagepoint software platform. Capture client requirements and provide ongoing product support, training, and communication to clients during annual and custom updates.Analyze PBP Part C/Part D data and review documents for compliance.

Manage and oversee customer correspondence process in support of enrollment, premium billing, customer service, and grievance functions. Review Medicare guidance and process changes that impact correspondence to implement updates. Oversight and review of process to ensure correspondence is triggered and mailed timely to align with CMS compliance.

Salem, Oregon, United States

• Compliance team SME for member communications, sales and marketing materials, and HPMS submissions, Oversight of all approved member and marketing material repository
• Maintain ATRIO master tracker of all materials, submission and approval dates
• Collaborate and coordinate with the Sales, Marketing and Member Communications teams tounderstand outreach and campaign timelines to ensure compliance can adequately supportinitiatives
• Establish, maintain and implement applicable policies and procedures
• Assist in the monitoring or regulatory adherence across departments with respect to newproduct development, marketing material review, vendor management, process improvementand general operations
• Support Compliance internal audit activities, corrective and preventative actions, continuousimprovement and other oversight and monitoring initiatives

Project manager, new hire training lead, CodySoft template lead, PBP Module team lead, document developer and reviewer.

Project manager and client liaison for the creation, editing and maintenance of professional CMS regulated health plan documents; Research, understand, and communicate Medicare compliance guidelines and requirements; Ensure accuracy of Medicare Advantage ANOC and EOC documents in deadline-driven environment

Greater Seattle Area

Draft and edit Medicare Advantage member materials.Coordinate reviews with internal subject matter experts and content contributors. Understand regulatory requirements of each Medicare document Edit and review content for accuracy. Serve as internal resource to departments on member materials projects and work collaboratively across departments on.

Updated consumer health content based on the most current evidence-based research and clinical practice; wrote, reviewed, and edited actionable, decision-focused electronic (Web) and printed health content for medical accuracy; worked closely with clinicians and editors to make appropriate changes to health content about pediatric growth and development.

Educated providers and health plan members about Rx insurance benefits; reviewed drug prior authorization requests for approval criteria; provided customer service; researched and resolved third party billing issues; helped the pharmacist fill prescriptions; managed drug and supply inventory.Volunteering and Other EndeavorsCurrent: Write newsletter for.

Developed written, interactive educational materials and activities for the Eating For A Healthy Life study; coordinated over 20 educational events and taught 14 nutrition classes; performed cooking demonstrations; prioritized and managed multiple tasks to meet research goals.Recruited and coordinated volunteers; developed and led volunteer training.

Educated Medicaid enrollees in five counties about managed care and their health plan benefits through home visits, phone calls, and letters; encouraged behavior change.Helped members access medical and dental services; worked with medical providers; conducted case management with non-compliant members; developed and implemented marketing plan.

Planned, coordinated and evaluated community health programs and events focused on senior health, asthma, teen drunk driving, child development, parenting, bike safety, healthy eating, and more.Developed patient education materials; organized health-related classes; collaborated with clinicians and community agency workers to provide health education to.

Master Of Public Health Degree, Health Behavior & Health Education

Activities and Societies: American Public Health Association Pre-med focus. then health education/public health focus. Also worked as.

Bachelor Of Science Degree, Biology

Activities and Societies: Project Serve, Alumni Association Led campus tours