With over two decades of experience in the Medicare field, I currently serve as the Director of National Accounts and Director of Compliance. My expertise lies in managing partnership agreements, focusing on identifying plan sponsors with recoverable Retiree Drug Subsidy payments exceeding one million dollars. Throughout my career, I have demonstrated my multi-disciplinary skills by operating successfully across multiple verticals including state and municipal governments, Taft Hartley, and Enterprise plan sponsors. I bring a deep understanding of self-funded health plans, ERISA, ACA and HIPAA compliance within the 100 to 5000 lives marketplace. My knowledge extends to practical applications pertaining to the ACA reporting process and compliance procedures. This expertise has allowed me to build loyal relationships with high-level executives in large consulting firms, brokerages, and agencies.My work has far-reaching impacts; I currently manage a network of over 1,000 producers that submit RFP’s for underwriting and proposals of Self-Funded health plans. Moreover, I've recovered over $30 million in Retiree Drug Subsidy Payments - a testament to my dedication and effectiveness in this sector.An author of a book on worldwide national health systems and creator of a web-based portal providing detailed information on Medicare programs, I am considered an authoritative figure concerning Medicare Supplements and Medicare Advantage plans.As we navigate the complexities of our healthcare system together, remember - your success is my priority. Let's partner today to ensure your organization is fully maximizing its potential within the Medicare environment.
Retiree Drug Subsidy
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Retiree Drug SubsidyNew York, Ny, Us
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Director Of National AccountsRetiree Drug Subsidy Nov 2016 - PresentThe Retiree Drug Subsidy program is a complex and very focused area of the Medicare environment. To manage the partnership agreements that RDS Services, LLC has with our service distribution partners, I employ my extensive knowledge and background of experience in the Medicare field. A key focus on my daily work is supporting partners in identifying plan sponsors who have recoverable Retiree Drug Subsidy payments that exceed one million dollars and above. As the National Sales Director of RDS Services, LLC, I manage the distribution of Retiree Drug Subsidy administration and reopening services through a network of employee benefit consulting, actuary, accounting, third party administrators and law firms. This massive network of shared services partners that spans 10 regional sectors comprised of all fifty states provides analysis of the Federal Retiree Drug Subsidy program for plan sponsors across the country. Oversee a staff of 25 auditors, analysts and support personal that drive operations and project management.
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Sales ProfessionalParadigm Health Plans Jun 2015 - Dec 2016Areas of expertise include Self-Funded Health Plans, Third Party Administrative Services, ERISA, ACA and HIPAA compliance in the 100 to 5000 lives marketplace. I have intimate knowledge and practical application background concerning ACA reporting process and compliance procedures. My aggressive marketing style of supporting producers with a hands-on approach has enabled me to develop loyal, long-standing relationships with C suite executive level managers in large consulting firms, brokerages and agencies. Currently, I developed and manage a 1,000 + producer book of national consultants, brokers and producers that submit RFP’s for underwriting and proposals of Self-Funded health plans. I regularly lecture to employer and association groups on the subject of Self-Funded and Medicare solutions in the group and Individual environment. In 2015, I obtained and submitted over 100 Requests for Proposals for Self-Funded plans with a total population of over 12,000 new members in the last quarter. I am also relied upon by many consultants and brokerage operations for guidance concerning the transition of employees from being active members of a health plan to Medicare benefits and the use of retiree health plans.
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Medicare Entitlements ExposedMedicare Entitlements Exposed Publised By Outskirts Press Jan 2013 - Dec 2014I completed a year of research that culminated in the publication of my book. The book was a compilation of reviews of all worldwide national health systems from 1889 under the German Kaiser to the 2009 and the passing of the Affordable Care Act in the United States. I focused on the 1997 Balanced Budget Act that created the Medicare plus Choice plans that where later re-named Medicare Advantage Plans. As a result of the publication, I am considered an authoritative source concerning Medicare Supplements and Medicare Advantage plans and authored the book, Medicare Entitlements Exposed: How the Medicare Savings Account Will Change Healthcare Delivery in America, published in 2013. In addition, I took the theoretical concepts in the statues that were discussed in the book, specifically the 1997 Balance Budget Act and pioneered the development of the only consumer directed Medicare Advantage plan in the state of New York called a Medicare Advantage Medical Savings Account. I created MedicareHelpCenter.Org as a web based portal that provides detailed information on Medicare programs and senior care products. It is also the entry point for connecting with field underwriters who can help beneficiaries with questions on plan benefits and enrollment into various plans.
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Inside Sales ManagerLiberty Health Advantage Aug 2011 - Dec 2012As the in-house sales manager for the Medicare Advantage plan that operated in the Duel Eligible marketplace across 5 of the 7 counties in the Downstate New York market, I developed and managed the internal telemarketing department and created procedures and protocols that resulted in a 20% increase in lead conversions. I supported the field force of 30 agents by providing market intelligence and direction to increase external sales by 15% of all home visits. In addition, I maintained the Customer Resource Management system and provided reporting and compliance data that brought the department into CMS compliance. I built and maintained a brokerage distribution network in the tri-state region and have national contacts as well. -
ProducerHomesite Insurance Jul 2010 - Dec 2011Boston, Ma, UsWorked in the inbound sales and telemarketing department for Progressive and Geico insurance. Marketed the homeowners and commercial products offered as well as the brokerage products that were out sourced to commercial accounts. -
Sales ManagerPlanning Financial Futures, Inc Jan 1992 - Jul 2010Full financial planning agency that focused on a comprehensive approach to client relationships. The emphasis centered on providing a suite of products that included investments, insurance, fee based planning, legal and accounting services. The practice was servicing individuals that were acquired by seminar and referral marketing. The agency also had a niche market in the fashion industry, specifically models, who would use business management services to negotiate with booking agencies, collection of receivables, real estate management and bill payment services. As a producer within the company, I was also responsible for maintenance of the marketing contract with CUNA Mutual to distribute Long Term Care contracts through the credit union distribution model.
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Field AgentMutual Of Omaha Aug 1989 - Dec 1992Omaha, Ne, UsCaptive sales agent in the individual, group and Medicare market place in addition to cross selling life and disability programs to individuals and business.
George Fox Education Details
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New York Institute Of TechnologyHuman Resource Managmen -
The City University Of New YorkHuman Relations
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The City University Of New YorkHuman Relations
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The City University Of New YorkGeneral
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The City University Of New YorkHuman Resources Management And Services
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New York State Public AdjusterBusiness
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College For Financial PlanningFinance And Insurance
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Suny FarmingdaleBusiness
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Walt Whitman High SchoolMathematics
Frequently Asked Questions about George Fox
What company does George Fox work for?
George Fox works for Retiree Drug Subsidy
What is George Fox's role at the current company?
George Fox's current role is Director of National Accounts and Director of Compliance | Medicare Expertise, Multi-Disciplinary Skills | Recovered Over $30 Million in Retiree Drug Subsidy Payments.
What schools did George Fox attend?
George Fox attended New York Institute Of Technology, The City University Of New York, The City University Of New York, The City University Of New York, The City University Of New York, New York State Public Adjuster, College For Financial Planning, Suny Farmingdale, Walt Whitman High School.
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