Erin Soscia Email & Phone Number

Albany, Ny, Us

HMS | Gainwell Technologies ​2017 – PresentProgram DirectorResponsible for $30M/annual revenue Program Integrity Recovery Audit contract with large state Medicaid client. Leverage many years of subject matter expertise in Medicaid, Medicare, Managed Care, ​State/Federal Legislation, MMIS, third party liability, and claim payment methodology to identify areas of opportunity and potential risks. Ensure continued client satisfaction by addressing concerns, collaborative solutioning, and frequent communication and meetings. Increase operational productivity by providing strong team leadership and establishing clear performance expectations. Collaborate with colleagues from across the organization to establish and communicate goals and objectives, document contract methodologies and protocols, and drive efficient solutions. Actively participates in government relations activities including monitoring the competitive landscape for risks and opportunities.• Extraordinary contract growth of well over 300% between CY 19 and CY 23 via new scenario generation and large data analysis• Measurable increases in client satisfaction as shown by year-over-year increased VOC scores• Identify new revenue streams though effective sales strategies, contract expansion, and process improvements• Spearhead new contract implementation including requirements gathering, system development, and IT collaborationProgram Manager | Supervisor​2011 – 2017Supervised team of provider relations representatives including managing quality, productivity tracking, goal setting, and scheduling. Trained staff on company and client protocols. Fostered strong provider relationships via proactive outreach and education. Collaborated with other supervisors to expand audit and review capabilities. Worked closed with operational colleagues to ensure timely and defect-free client deliverables. Responsible for managing and tracking receivables including check deposits, data transfers, and fund releases.