Stephen Mervine Email & Phone Number

Oakland Park, Florida, United States

Weston, Florida

• Manage financial approval for all sales proposals and customer contracts for a broad range of Medicare Advantage plan solutions. Evaluate and define impacts of annual Centers for Medicare and Medicaid Services (CMS).
• Develop annual budget revenue assumptions, forecasts, and monthly re- forecast estimates for multiple product lines totaling $67 million.
• Provide finance review and authorization of all sales proposals, customer contracts and amendments, to promote sales growth while ensuring profitable margins.
• Identify changes to Medicare Advantage plan member payments and calculation methods, and calculate financial impact to Dual Eligible member payment calculations, based on annual CMS changes.
• Partner with product development and sales to create new and innovative member engagement healthcare solutions to increase member retention and grow plan revenue.

Miami/Fort Lauderdale Area

Miami/Fort Lauderdale Area

• Manage billing team responsible for reconciling and invoicing more than $50 million in annual services. Developed and documented billing system business rules and calculation logic to support complex incremental Dual.
• Primary billing/financial contact for all health plan clients
• Educate customers on CMS plan member payment logic and models, and impact of Dual Eligible enrolled members.
• Developed payment/reconciliation and revenue forecast models related to Dual Eligible enhanced revenue for Medicare Advantage Health Plans.
• Monitored and reported on company compliance with HIPAA regulatory requirements

Hartford, Connecticut Area

Accountable for the overall management, direction and profitability for a $40M annual IT Managed Staffing Program at a major health insurance company. Identified more than $1.1M in savings to customer in the program’s first year of operation.

Hartford, Connecticut Area

Managed a team of 20 Billing and Financial Accounts Analysts responsible for invoicing, collecting, reconciling and performing receivable management for United Health Group's National Account customers. Accountable for the billing and collections of more than $300M in annual revenue.

Bloomfield, CT

Managed a team of 20 Customer Service and Financial Accounting Specialists responsible for establishing and maintaining customer relationships, new business implementation, enrollment processing, premium billing, payment reconciliation and collection.Responsible for staffing, forecasting, market trends and analysis, capacity planning, budget projections.