Mark Aust Email & Phone Number

• Direct the systems staff for the Medicare Administrative Contractor responsible for processing the workloads for the states of Nebraska, Iowa, Kansas, Missouri, Michigan, and Indiana.
• Direct all jurisdictional system development and changes to assure the Centers for Medicare and Medicaid Services (CMS) and WPS goals are met.
• Evaluate budget performance requirements; lead staff and plan costs accordingly.
• Lead divisional tasks and initiative to assure Medicare standard systems are integrated with CMS procedures and requirements
• Direct external and internal Medicare communications relating to the various Medicare systems, changes, system security requirements, and the development of proposals for the Medicare division.
• Review progress in relation to goals, and institute appropriate adjustments.

Omaha, Nebraska, United States

• Ensured all work was performed in accordance with the terms and conditions of Medicare Retroactive Processing Contract and Statement of Work (SOW).
• Managed the overall contract workload, requirements, departments, and personnel matters.
• Developed and maintained a program and processes to adhere to and change with CMS policies, regulations and requirements.
• Developed innovative and creative approaches for processing and reporting data and compliance matters to the Program Director and to CMS.

Providing management and business development services; including proposal development, management consulting, process reengineering, project creation and evaluation.

Glenwood, IA

• Led the development of the winning technical proposal for Medicare Administrative Contracts worth over $250 million for Pinnacle Business Solutions, Inc. (PBSI), a wholly owned subsidiary of Arkansas BCBS.
• Managed the staffing and development of PHSS employees. PHSS provides over 40 contract programmers and business analysts for Pinnacle Business Solutions, Inc. PBSI is the system maintainer for the nation’s Medicare.
• Coordinated with PBSI to identify needs and performance evaluations.
• Recruited, interviewed and hired programmers and business analysts.
• Communicated with geographically dispersed staff.
• Coordinated project management of four other businesses; Glenwood Home Services, CyanetSports.com, Dry-B-Lo of the Midwest, and Sell Roofing.

Omaha, Nebraska, United States

• Served as Manager for the systems department of the nation’s largest Fiscal Intermediary, processing over 14 million claims annually for the national Medicare Part A Program.
• Directed staff of thirteen full time employees with the following responsibilities: PC support for nearly 600 Medicare personnel; Monitored and maintained remote connectivity for over 3,300 Medicare providers and.
• Coordinated systems activity including training, problem identification, reporting, and resolution for the Medicare Part A Standard System.
• Developed reporting and process enhancements.
• Member of HCFA’s (now CMS) National Medicare Advisory Board for the coordination of efforts and issues faced by fiscal intermediaries during APASS to FISS transitions.
• Led Medicare Operation in Year 2000 readiness effort, coordinating staff from all departments within Medicare in the assessment, testing, documentation, and contingency planning in accordance with the HCFA’s.