Joyce Martin Email & Phone Number

Dallas, Texas

Over the past two years I have held various positions depending on the current contracts:Manage approximately 100 consultants assigned to review Medicare Advantage and Medicare Prescription Drug Plans in 25 of the western states. Assign shops, interact with shoppers, review data from their encounter, maintain records and report findings through various.

Richardson, Texas

Managed complex high priority producer certification project for Medicare for four states for Blue Cross and Blue Shield Medicare products – Illinois, New Mexico, Oklahoma and Texas. Project involved approval and coordination with State Insurance Departments and federal requirements for sales, marketing, and claims processing for medical and drug claims.

Dallas Texas

Evaluated and selected PSC from competitive bid process.Project Officer for benefit integrity work in 11 states with over 33% of total Medicare beneficiaries. Included setting up of the PSC from traditional contractors, interacting with Dept of Justice, FBI, and State Medicaid fraud units. Contracts included 2 PSCs and Coding Contractor for Durable Medical.

Dallas Regional Office

Directed Regional Education for Medicare beneficiaries advising of choices in health care options for 5-state region which represented approximately 10% of the national beneficiaries. Managed the work teams that coordinated with state agencies, insurance companies, Depts. of Insurance all states, and other partners. Developed partners and coalitions that.

Dallas/Fort Worth Area

Directed user group for the Arkansas Part A Standard System maintained by Arkansas BCBS. (At time of oversight processed 40% of all Medicare Part A claims on the system.) Interfaced with Central Office (CO) and 10 regions keeping them informed and up to date on systems issues. Duties included analyzing issues and problems to resolve claims or customer.

Dallas/Fort Worth Area

Responsible for management oversight of insurance companies contracting with HCFA. All phases – budget, operations, regulatory compliance and resource.

Dallas/Fort Worth Area

Staff was responsible for all administrative functions of the region from mail to funding of operations. Region included 225 employees (primarily located in one location). Responsible for regional management of staffing, space, personnel including adverse actions and promotions, travel expense, labor relations, the administrative operational budget.

Masters Of Science, Counseling And Guidance

Bachelor'S Degree, Public Administration, Magna Cum Laude