Heather Musto Email & Phone Number

Tribes Hill, NY, US

Rensselaer, New York

• Serves as primary person for ensuring optimal enrollment performance and compliance for Exchange membership between the State Exchange and vendor relationships.
• Oversees and monitors the accuracy and integrity of the Exchange electronic enrollment data.
• Assess policies and procedures to ensure department processes are within state regulations.
• Implement Exchange rules and regulations as they relate to the eligibility department.
• Represents enrollment in Exchange related projects, external vendor meetings, and/or state Exchange conferences.
• Performs monthly audits/reconciliations of enrollment processes in accordance to Exchange auditing/reconciliation guidelines, documents and provides results to management.

Team lead for all Corporate and Departmental projects.Health Exchanges. Implemented Medicare into FACETS system.Assist implementing Facets upgrades.Implemented a new system outside of Facets to handle Medicare eligibility andin turn electronically feed the enrollment into Facets.Tested and carried out system conversions.Knowledgeable in all Medicare.

Manage implementation of ASO EDI data to insure processing in a timely mannerMaintain all ASO eligibility audit files to ensure that all Performance Gaurantee'sare met.Coordinates with internal/external clients on any changes with an ASO EDI group.Primary contact for all perspective ASO EDI clients.Support supervisor in absence of administration.Tests.