Marcus Asberg, Mba, Pmp Email & Phone Number

Raleigh-Durham, North Carolina Area

As a Senior Advisor, my responsibilities include the implementation and operational management of the Medicaid Eligibility Quality Control (MEQC) product line. ✢ Designed review tool application for nation's first MEQC review pilot contract✢ Developed reports to meet state specific and CMS guidelines✢ Managed and ensured timely implemenation of brand new project

Raleigh-Durham, North Carolina Area

Raleigh-Durham, North Carolina Area

As the Senior Regional Director, I lead the region by coordinating over $20M in benefits contracts, ensuring the integrity of multiple ongoing programs. My primary focus is developing new business and optimizing the operations of existing key accounts.✢ Leveraged partnerships with lobbying/legislative stakeholders to drive success of the company’s strategic agenda.✢ Collaborated with local field office leadership and internal teams to streamline operations through centralization.✢ Provided diligent oversight of new project implementations using in-house operations and strategic partnerships.✢ Negotiated contract terms and rates for new and existing contracts with multiple clients

Raleigh-Durham, North Carolina Area

I was responsible for managing several major contracts, including Medicaid programs and health plans, for the State of North Carolina. ✢ Achieved over 330% growth in annual revenue ($3M to $10M) over a two-year period for a Medicaid client. - Entailed the sale and implementation of new services while simultaneously improving current offerings.✢ Spearheaded the successful launch of the Health Insurance Premium Payment and Estates recovery program.✢ Led procurement efforts in securing multiple contracts for repeat as well as new business.✢ Directed full outsource of the North Carolina Medicaid program’s subrogation services.

Austin, Texas Area

I efficiently allocated workflow for a 40-person team to support a wide range of contracted company products and services.✢ Significantly increased volume of claims not paid by millions of dollars each year while also reducing costs; involved the expansion of service offerings to the Medicaid agency and using the benefits of a full insurance data network.✢ Led the improvement/expansion of direct billing initiatives by incorporating direct provider disallowances methods.✢ Increased number of services provided by up-selling existing contracts for several state contracts✢ Managed local office ensuring all efforts and operations were compliant with internal/external requirements

Austin, Tx

I coordinated multiple Medicaid benefits projects, including third-party identification, commercial and Medicare billing, credit balance audits, and casualty recoveries, as well as implementing a comprehensive Estates recovery project.✢ Partnered with the state Attorney General to resolve a qui tam lawsuit against a Pharmacy Benefit Manager (PBM) who withheld eligibility information, resulting in the improper processing of countless Medicaid reclamation claims.✢ Managed cost containment operations throughout the transition of Medicaid Management Information System vendor

Charlotte, North Carolina Area

I was in charge of administering a large-scale, third-party liability contract, required coordinating all affiliated benefits and recovery efforts. In addition, by performing extensive, on-site financial audits of hospital accounts, I was able to proactively identify overpayments, which led to the swift recovery of those funds.✢ Played a key role in creating and implementing electronic billing standards to improve processing of pharmacy claims. ✢ Worked with CMS and NCPDPD to establish criteria for data matching and billing PBMs on behalf of Medicaid clients.✢ Contributed to the drafting of new legislation requiring PBMs to match data with states and pre-negotiated contracts.

Charlotte, North Carolina Area

I managed all aspects of the project life cycle, including development, implementation, and operations, to process Medicare crossover claims for a Medicaid client. I also recruited, interviewed, trained, and hired staff, and procured office space for hired personnel.✢ Instrumental in managing electronic claims, transitioning paper claims to state mainframe, and reporting results.✢ Researched the cost effectiveness of a reimbursement methodology for Medicare Part B drug claims, specifically investigating and evaluating the submission process through a physician’s office versus a network pharmacy.

Master Of Business Administration (M.B.A.), Health/Health Care Administration/Management

Bachelor Of Science (B.S.), Business Administartion

International Trade Specialist, International Business/Trade/Commerce

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