Eric Johnson Email & Phone Number

Phoenix, Arizona Area

Accomplished Client Account Manager with comprehensive Healthcare payment integrity experience and diverse background in client services and fraud, waste, abuse and error programs and operations. Facilitates process improvement and mitigates performance issues to drive increased payment integrity savings. Effective communicator and presenter with demonstrated success in building productive relationships with clients and business partners. Manages client relationship with multiple Managed Care Health Plans nationwide, works in conjunction with Operations, Compliance Officers, State Regulators, Health Plan Executives and stakeholders to drive financial savings within the fraud, waste, abuse and error program. Implements new operational processes to meet client’s needs and contractual obligations, facilitates new processes or enhancements. Performs assessments of client’s quarterly and annual savings to ensure targets are achieved, strategizes news methods to drive savings through data analysis and trending. Seasoned in predicative data analytics, prepayment medical edits, cost avoidance strategies and methodologies. Participates in all payment integrity Audits facilitated by State contract holders or the Center for Medicare and Medicaid Services (CMS). Consistently works to build and maintain positive relationships with all business partners to produce quality results and maximize the client’s overall experience.

Phoenix, Arizona Area

• Analyzed call arrival patterns to determine staffing needs for various lines of business.• Involved in various projects designed to facilitate the merging of OptumRx and CatamaranRx (ORCA) which included consolidating telecom and agent resources as well as identifying best practices. • Provided trend based data analysis to identify areas of improvement in regards to service level objectives in order to achieve performance guarantees for numerous clients.• Provides data and reports to account management for use when reporting performance guarantees to clients.• Provided forecasts of call volumes in order to create staffing adjustments and recommendations such as advance VTO, overtime needs, and adjustments to PTO.• Oversaw the importation and implementation of the Prior Authorization department into the Aspect scheduling system.• Created and maintained a policy routing table-tracking document to utilize when creating new outsourcing infrastructure to third party vendors.• Worked with the Telecom department to correct and update various routing issues. • Consistently involved in trouble shooting issues that occur with computer based systems for members of my team. Although I have no formal IT training I am extremely skilled with computers and other technological systems.

Biology/Biological Sciences, General

Emergency Medical Technician Basic Certification