Joseph Erickson Email & Phone Number

• Manage a team of 9 direct reports and 4 indirect reports responsible for supporting IT DevOps operations for Cirrus, healthcare administration platform.
• Service level owner and point of contact for Cirrus and Cirrus Service Integration Layer applications.
• Collaborate with multiple engineering and operation teams to review, troubleshoot and resolve application issues.
• Responsible for the management and resolution of ServiceNow Cirrus incident tickets.
• Use data analysis tools such as Power BI, Splunk and database SQL queries to identify trends and opportunities.

Eden Prairie, MN

• System expert in the following domains: provider, claims, member, member group, and benefits.
• Lead collaboration sessions with operations, product, network, care management and technology teams to define deliverables and develop healthcare solutions that are scalable and reusable across the organization.
• Provided support and participated in the development of business requirements to ensure business needs are captured and delivered based on system functionality.
• Led and worked interactively with clients and client team members to configure, test, validate and document solutions.
• Provided problem solving and issue resolution on reported incidents for the Cirrus platform.
• Assisted with the development of monitoring tools to ensure Cirrus was working appropriately due to constant development.Key accomplishments:

Minnetonka, MN

• Responsible for all tasks related to configuration and maintenance of business rules within Medica’s core ecosystem, including HealthRules, CES, 3MDRG and HPExstream.
• Worked with multiple interdepartmental teams to create and implement business requirements.
• Configured, tested and documented configuration solutions for provider reimbursement, benefits and claims.
• Identified, researched and resolved inaccuracies and inconsistencies in the system as they impacted claims payments and other upstream and downstream transactions and processes.Key accomplishments:
• Participated in the initial build out of the Healthrules ecosystem and successfully achieved our objectives for go live.
• Responsible for maintaining multiple provider networks and over 700 reimbursement contracts.

Minnetonka, MN

• Managed a team of 9 direct reports.
• Participated in multiple Operations meetings to help ensure provider data integrity.
• Monitored daily aging report for overall resource planning and reported on monthly PNO dashboards.
• Identified process improvements and ensured successful implementation.
• Facilitated and conducted bi-weekly team meetings and monthly 1-on-1 meetings.Key accomplishments:
• Coached and lead the PNO Coordinators from red status to green status for Key Performance Indicators (KPIs).

Minnetonka, MN

• Analyzed and implemented customized physician and ancillary provider contracts into COPIS, COSMOS and UNET.
• Created contract summaries and completed claims modeling to validate provider payment structure.
• Represented department on cross-functional workgroups to implement new initiatives, products, projects and contracts.
• Investigated and resolved claim issues submitted to the Provider Network Operation Questions email box.Key accomplishments:
• Established the provider networks for Fairview Health Network and Fairview Harmony ACOs.
• Developed in Access a missing specialty report used by an auditor and weekly CSP practitioner files.

Minneapolis, MN

• Effectively communicated and worked with team members in various departments at all levels of the organization to achieve project objectives.
• Worked toward the successful roll-out of new clinics within the time schedule.
• Maintained and updated the database for all open, in-progress, and proposed clinics.
• Gathered and tracked necessary legal documents to open and maintain an existing clinic.

• Coordinated and managed third party contract activity for retail and mail pharmacy operations.
• Communicated with internal and external customers regarding new and current contract inquiries.
• Resolved and troubleshot insurance billing errors with appropriate parties.
• Assisted in adding newly opened pharmacies to all existing contracts and ensure provider status is secured for all government and private insurance providers.