Ken R. Email and Phone Number

Reading, summarizing and distributing regulations and bulletins from state and federal agenciesTraining departments on compliance programsImplementing a compliance risk assessment program Monitoring and reporting on ongoing compliance issuesManaging ACO Compliance Committees for four ACO relationshipsIdentifying areas of Compliance risk or violations and creating Corrective Action PlansManaging MCO response to audits and outside entity reviews

Responsible for troubleshooting and implementing improvement strategies for business configurationManaged and triaged work queues and workflows for technical contributorsImplemented new products Assessed and documented business processServed as interdepartmental liaison to ensure holistic business process Served as enterprise representation for Public Plans Division Operations groupEnsured and planned business continuity and disaster recovery plans

Responsible for updating, maintaining and validating internal and external Benefits GridsCommunicated benefit changes to various groups within the company to ensure consistency of messages and coverageFacilitated and organized Senior Leadership for the Member Benefits Committee meetingResearched and reported on new technologies and industry standards for benefits coverageMapped organizational changes and issues related to changes in member benefitsInterpreted and instituted contract and regulatory changes from two government entitiesDeveloped processes for updating and implementing policy changes

Reviewed and analyzed member enrollment and activity dataManaged and created member communications including Provider Directory and Member HandbooksCreated and managed member campaignsServed as point of contact with Government Relations regarding all member contactManaged weekly fulfillment lists and relationships with outside vendorsManaged, edited and wrote quarterly MemberCare newsletterMonitored and reported on call center activities

Created and implemented dynamic marketing campaigns for sixteen branch location storesManaged and created corporate communications messagesCreated sales campaigns for outside sales representativesManaged several concurrent promotions both for employees and customersControlled and managed vendor relations including marketing fundsCreated large scale email and postal campaignsManaged website reface and update

Managed the communication pipeline to dealers and resellers  Facilitated communication between in house sales department and dealer channel to avoid and resolve conflicts  Trained dealers on new products via web seminars and in person  Managed all aspects of the Professional Development program  Wrote the monthly dealer newsletter and Email News Update  Created and implemented new marketing campaigns  Provided marketing materials and software to dealers  Created price quotes and answered all questions for dealersAttended and organized over twelve trade shows and on site trainingsManaged and updated the dedicated dealer websiteCreated HTML email campaigns Attended and organized dealer events for up to twelve trade shows a year

Assisted the Account Executives in their daily tasks  Entered and revised sales orders  Prepared presentations  Managed and ran the day-to-day tasks of the office