Erin Rivas, Mj's Location
Houston, Texas, United States, United States
Erin Rivas, Mj's Contact Details
Erin Rivas, Mj work email
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Erin Rivas, Mj personal email
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Erin Rivas, Mj phone numbers
About Erin Rivas, Mj
I help pharmaceutical manufacturers navigate the complex and constantly changing regulatory landscape of the life sciences industry by supporting commercial contracting efforts, and the evaluation and implementation of new requirements for the Government Programs.Responsibilities from previous roles include drafting and negotiating agreements for PBM clients, drafting and managing corporate policies and procedures, monitoring corporate compliance, leading process improvement and risk mitigation initiatives, and developing remote learning content.
Erin Rivas, Mj's Current Company Details
Erin Rivas, Mj Work Experience Details
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ManagerRiparian LlcHouston, Tx, Us
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Associate ManagerRiparian Llc Apr 2023 - PresentHouston, Texas, United StatesCreate insights and value for clients by:-Supporting commercial contracting efforts-Assisting with implementation of the requirements of U.S Government Programs, including effectuating and managing new requirements, compliance, and other critical operational and strategic initiatives-Identifying and addressing risks/opportunities by providing proactive solutions and recommendationsOther responsibilities include:-Project management activities for client… Show more Create insights and value for clients by:-Supporting commercial contracting efforts-Assisting with implementation of the requirements of U.S Government Programs, including effectuating and managing new requirements, compliance, and other critical operational and strategic initiatives-Identifying and addressing risks/opportunities by providing proactive solutions and recommendationsOther responsibilities include:-Project management activities for client engagements-Completing and managing client deliverables, leading client meetings, and developing/reviewing client interaction models-Anticipating and communicating project risks Show less
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Contract ManagerExpress Scripts Mar 2023 - Apr 2023Houston, Texas, United States -
Contract AdvisorExpress Scripts Aug 2022 - Mar 2023Houston, Texas, United States-Delivered high-quality and efficient contract support for complex, revenue-generating agreements with Pharmacy Benefit Management (PBM) clients, including health plans and large coalitions-Supported contract negotiations by facilitating legal and business review of client redlines and other contract items-Maintained agreement and amendment templates utilized by PBM Client Contracting-Assisted team members with escalated contract requests by providing guidance or supporting the… Show more -Delivered high-quality and efficient contract support for complex, revenue-generating agreements with Pharmacy Benefit Management (PBM) clients, including health plans and large coalitions-Supported contract negotiations by facilitating legal and business review of client redlines and other contract items-Maintained agreement and amendment templates utilized by PBM Client Contracting-Assisted team members with escalated contract requests by providing guidance or supporting the request to completion-Trained and mentored new team members through job shadowing, creating quick reference guides and other training resources, assigning practice items, and providing targeted, constructive feedback Show less
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Contract Lead Analyst (Specialist)Express Scripts Apr 2021 - Aug 2022Houston, Texas, United States-Drafted and prepared revenue-generating agreements and related documents for PBM clients, including facilitation and support of negotiations, legal and business review, and signature processes-Reviewed and triaged inquiries regarding non-disclosure and data transfer agreements to ensure necessary and legally required data protections are in places with prospective and current clients and other third-parties-Communicated contracting processes to internal matrix partners to promote… Show more -Drafted and prepared revenue-generating agreements and related documents for PBM clients, including facilitation and support of negotiations, legal and business review, and signature processes-Reviewed and triaged inquiries regarding non-disclosure and data transfer agreements to ensure necessary and legally required data protections are in places with prospective and current clients and other third-parties-Communicated contracting processes to internal matrix partners to promote cross-functional relationships and adherence to policies and procedures Show less
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Compliance Operational Risk Lead AnalystCigna Aug 2019 - Apr 2021Houston, Texas Area-Created, updated, and maintained corporate policies, procedures, job aids, and training materials-Created and delivered training related to these corporate policies and procedures-Coordinated with various departments to implement or update processes to meet CMS, NCQA, and state requirements-Assisted with compliance documentation for CMS required submissions-Collaborated and coordinated with Internal Monitoring to ensure business-level monitoring activity meets CMS, NCQA, and… Show more -Created, updated, and maintained corporate policies, procedures, job aids, and training materials-Created and delivered training related to these corporate policies and procedures-Coordinated with various departments to implement or update processes to meet CMS, NCQA, and state requirements-Assisted with compliance documentation for CMS required submissions-Collaborated and coordinated with Internal Monitoring to ensure business-level monitoring activity meets CMS, NCQA, and state guidelines-Created, filed, and maintained customer notification letters for network changes-Streamlined process improvement to increase efficiency and compliance, as well as reduce communication and data gaps of Provider Engagement teams-Identified areas where risk can be reduced for corrective action from compliance and CMS due to gaps in process Show less -
Network Operations Senior AnalystCigna Feb 2017 - Aug 2019Houston, Texas Area-Functioned as a communication link on behalf of Texas Network Operations-Ensured projects adhered to Centers for Medicare and Medicaid Services (CMS) and corporate guidelines-Prepared and analyzed surveys to ensure healthcare provider compliance to Access and Availability standards-Oversaw Customer Grievances Against Healthcare Providers process for Texas Network Operations-Provided assistance to Texas Network Operations for Provider Terminations as a Subject Matter… Show more -Functioned as a communication link on behalf of Texas Network Operations-Ensured projects adhered to Centers for Medicare and Medicaid Services (CMS) and corporate guidelines-Prepared and analyzed surveys to ensure healthcare provider compliance to Access and Availability standards-Oversaw Customer Grievances Against Healthcare Providers process for Texas Network Operations-Provided assistance to Texas Network Operations for Provider Terminations as a Subject Matter Expert-Coordinated all applicable processes with our management company, CareAllies-Reviewed Delegated Services Agreements to ensure healthcare provider contractual compliance-Assisted with interviewing, onboarding, and supervising Administrative Assistants Show less
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Plan Implementation Senior AssociateCigna Aug 2015 - Feb 2017Houston, Tx-Provided administrative support to the Network Operations Contracting Department-Maintained and audited departmental databases to ensure accuracy for internal and external users-Oversaw provider correspondence -Supported network adequacy reporting to ensure compliance regulations are satisfied-Maintained provider contract files-Supported provider education-Provided support for provider payment re-considerations, member inquiries, and grievances
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Shift LeadHillstone Restaurant Group Nov 2018 - Oct 2019Houston, Texas, United StatesAssisted managers by serving, expediting orders, and overseeing the restaurant floor. -
Receptionist/Front Desk CoordinatorFunky Cheveux Hair Salon Jun 2012 - Aug 2015College Station, Tx
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Business ConsultantEntrepreneurship Empowerment In South Africa Jun 2014 - Jul 2014Cape Town Area, South AfricaDuring this unique study abroad program I consulted 2 local emerging entrepreneurs in the townships surrounding Cape Town, South Africa. I worked with a team to deliver new accounting systems, distribution plans, and marketing programs for our clients.
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Sales AssociateAcademy Sports + Outdoors Apr 2012 - Jun 2012College Station, Tx -
Server/Manager On DutyLemon Wedge May 2010 - May 2012Bryan, TxManager On Duty-Managed up to 7 servers per shift and ensured quality serviceServer-Served guests by placing and delivering their orders in a timely manner
Erin Rivas, Mj Skills
Leadership
Event Planning
Communication
Volunteer Management
Non Profit Volunteering
Public Speaking
Microsoft Office
Leadership Development
Customer Service
Erin Rivas, Mj Education Details
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Management -
Bryan High School4.8
Frequently Asked Questions about Erin Rivas, Mj
What company does Erin Rivas, Mj work for?
Erin Rivas, Mj works for Riparian Llc
What is Erin Rivas, Mj's role at the current company?
Erin Rivas, Mj's current role is Manager.
What is Erin Rivas, Mj's email address?
Erin Rivas, Mj's email address is er****@****pts.com
What is Erin Rivas, Mj's direct phone number?
Erin Rivas, Mj's direct phone number is +197922*****
What schools did Erin Rivas, Mj attend?
Erin Rivas, Mj attended Loyola University Chicago School Of Law, Texas A&m University, Bryan High School.
What skills is Erin Rivas, Mj known for?
Erin Rivas, Mj has skills like Leadership, Event Planning, Communication, Volunteer Management, Non Profit Volunteering, Public Speaking, Microsoft Office, Leadership Development, Customer Service.
Who are Erin Rivas, Mj's colleagues?
Erin Rivas, Mj's colleagues are Adam Avilla, Susan Sisskind Dunne, Joshua Shaffer, Iona Tsui, Jacqueline Mortensen, Alex Roberts, Erick Lee.
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