Meril Pothen Email & Phone Number

Washington, Dc, Us

Washington Dc-Baltimore Area

Medicare Drug Rebate and Negotiations Group (MDRNG)

Washington Dc-Baltimore Area

Medicare Drug Rebate and Negotiations Group (MDRNG)

Washington, District Of Columbia, United States

- Serve as a Medicare program examiner within the Office of Management and Budget, focusing on prescription drugs, nursing homes, enrollment, and program integrity- Assist the Domestic Policy Council's Health and Veterans team on health policy topics, including maternal health, tobacco, and the White House Conference on Hunger, Nutrition, and Health

- Coordinated implementation of the No Surprises Act as part of the Center for Consumer Information and Insurance Oversight (CCIIO) Front Office

Durham, North Carolina, United States

- Design and implement alternative payment models in maternal health and kidney care that support a high-quality and low-cost care experience for the payer’s 4 million members- Secure buy-in for new payment models from stakeholders across the payer organization through adaptability, problem solving, and excellent interpersonal skills- Serve as a thought leader on value-based specialty care, quality metrics, and payment reform

- Led a team to develop a research protocol, secure IRB approval, and initiate a social network analysis to improve a social needs screening and referral model- Contributed to the operations and leadership of a partnership between Duke and Lincoln Community Health Center to screen people for social needs, refer them to resources, and follow up to ensure needs were met

Raleigh-Durham, North Carolina Area

- Support research on state-based policy solutions to achieve value-based payment, specialize in innovative prescription drug payment models and leveraging data (APCDs, HIEs) in payment reform

Washington D.C. Metro Area

- Conducted research and facilitate expert interviews for a state-level policy scan on improving health- Supported technical assistance to policy advisors on Medicaid cost strategy, food and drug regulation, and reducing racial disparities in infant mortality

- Develop comprehensive literature on a pervasive healthcare topic, to be used for discussion at the Fall 2018 Zetema Meeting- Coordinate with Zetema staff and Panelists to gain deep, balanced knowledge on healthcare cost reform and stakeholder perspectives- Contribute to the growth and continued success of the Zetema network

- Design, decorate, and ship intricate custom-order confections for baby showers, weddings, and corporate events- Specialize in intricate sugar art, French macarons, and unique cupcakes

Washington D.C. Metro Area

- Partner with C-Suite and hospital leadership at 15 hospitals and health systems to identify and address revenue leakage in the financial cycle, implementing and improving on solutions targeting insurance verification, authorization, and denials/underpayment appeals- Leverage modeling and data analysis to heighten hospital power in contract negotiations with prominent payers, resulting in higher reimbursement rates and revenue protection- Earned $20M+ in return on investment (2017) for clients through diligent iteration and expansion on revenue cycle software solutions- Lead a department-wide health policy series focused on educating consultants on current policy trends and implications for clients. Recent topics include MACRA, ACOs and shared savings programs, Medicare Advantage, and medical necessity.

New York, Ny

- Lead informed and effective Orchid (healthcare rounding) and Echo (recorded discharge instructions) implementations by applying CipherHealth industry expertise to client needs- Partner with project clinical operations leads to develop strategy and process from ideation to platform launch- Coordinate with healthcare facility technical leads to communicate data transfer needs and implement a technical interface- Specialize in understanding a client’s strategy at implementation, and ensure early-term decisions align with long-term goals- Serve as an ongoing consultative resource for all Orchid and Echo implementations and expansions for new and existing clients

Parsippany, Nj

- Provide actionable insights to pharmaceutical companies using proprietary forecasting models and performing custom analyses- Collaborate with 3-5 person project teams through business proposals, study research design, analysis planning, study results, demand forecasts, and report development- Champion analysis simultaneously on multiple projects at different stages to maximize quarterly business- Improve internal processes by contributing to analyst training, developing custom reference materials, and ensuring internal forecasting resources are dynamic and adaptable to the changing pharmaceutical industryPromoted from Research Analyst in September 2014

Ithaca, Ny

- Created over 360 graphical representations of health and labor economics research data using GIS software - Exposed better practices in predicting market power impacts of hospital mergers and acquisitions - Collected detailed information on 75 nurses’ strikes to advise hospitals in staff contract development - Managed finance, operations, and implementation of Cornell service event with Days for Girls International

Ithaca, New York Area

- Consulted with prospective clients to develop custom theatrical performances that best fit individual needs- Stimulated conversations by writing, performing, and discussing skits with audiences of 10 to up to 1000 people- Facilitated difficult and sensitive conversations with large groups to discuss oppression, intersectionality, and social justicePrevious Roles: Theatrical Director, External Liasion

Ithaca, New York Area

- Devised creative solutions to world issues and crisis scenarios at collegiate United Nations simulations- Managed a $80,000-budget annual United Nations simulation debate conference for 900 high school students and advisors- Led a 12-person senior staff and 110-person general staff in event execution, development, finance, technology, and operations- Innovated product marketing approach and profit maximization through consumer analysis, competitor study, and targeted outreach- Delivered excellent customer service to clients through feedback platforms, staff trainings, and continuous product improvement- Decided staff actions in crisis response, change implementation, and event risk managementPrevious Roles: Director General, Director of Operations, Under Secretary General of Delegations

Ithaca, Ny

- Developed community and camaraderie between queer and ally Cornell students, faculty, staff, and alumni through events, programming, and outreach, focusing especially on marginalized alumni and community members.

Washington D.C. Metro Area

- Coordinated intensive leadership development and training programs for 300 managers in federal government- Initiated groundwork planning for future longitudinal studies on over 3000 program graduates- Designed results-tracking database and protocol to better inform program curriculum design and improvement

Peer mentorship and community building in an all-female first year residence hall

Coordinated logistics for Cornell Reunion, mailings and metrics

Data collection and analysis of transplant methods in the Center for Liver Disease and Transplantation

Master Of Public Policy, Health Policy, 3.9

Activities and Societies: - Margolis Scholar in Health Policy and Management - 2018-2019 Fleishman Fellow - The Zetema Project Fellow.

Bs, Policy Analysis And Management

Activities and Societies: Sphinx Head Senior Honor Society, LGBT Resource Center, The Every1 Campaign: Starting the Conversation on Sexual.

Academy For Medical Science Technology

Activities and Societies: Academy Model United Nations, Class Council, Health Occupational Students of America, SPARK (Peer Leadership).