Meryl Chick Email and Phone Number
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Results-driven Medicare and Medicaid consultant, who has built a reputation for driving continued process improvements in the payer industry. Exceptionally strong time management, organizational and analysis skills have enabled building successful Client relationships.
Bluepeak Advisors
View- Website:
- bluepeak.com
- Employees:
- 37
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ConsultantBluepeak Advisors 2021 - PresentTampa, Florida, United States• Provided compliance support to various Medicare Advantage Plans• Leveraged relationships to sell additional consulting services for multiple clients• Created Medicare Enrollment Audit Tools, such as a Uncovered Months/ Late Enrollment Penalty Calculator• Worked on Medicare projects as project manager and subject matter expert for projects including Grievances, Call Center & Enrollment. Enrollment Lead for standing up a new Medicare Advantage Plan for go live with a delegated BPO. This included training the Plan on CMS Data Validation, Oversight Process and Medicare Program Readiness• Lead for consultants on a grievance operational support project. • Project manager for grievance platform change• Lead/ Project manager for Medicaid Mock Audit• Supported mock audits and CMS Audit Support in program areas, including Enrollment, CDAG and ODAG using CMS Audit Protocols. -
Management ConsultantAccenture Jan 2018 - Sep 2020Tampa/St. Petersburg, Florida Area• Provided compliance support to various Medicare Advantage and Medicaid Plans• Created a white paper on Medicare Appeals and Grievances • Worked with Instructional Designer to create three online courses (Enrollment, Medicare Part D and Medicare Compliance)• Led project workstreams for Clients ahead of targeted date • Change management for large Medicare and Medicaid projects• Medicare and Medicaid Projects for Clients relating to Claims, Encounters, Provider Contracting and Enrollment utilizing tools, such as SWOT Analysis, RAID Log and RACI Model. -
Independent ConsultantIndependent Consultant Sep 2013 - Dec 2017Tampa/St. Petersburg, Florida AreaAchievements:• Identify process changes that allowed a team to increase productivity by over 200%• Identify key deliverables that allowed Company to penetrate a new Client accountResponsibilities:• Standardize and document controls/ processes for consistency and efficiency• Enhance processes to include additional resources to aid in timeliness and reduce operational risk• Knowledge transfer of Medicare, Medicaid, Health Insurance Exchange and benefits outsourcing (health & welfare, pension, 401(k))
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Senior Manager, Business Process, Medicare Appeals & RetirementUnitedhealth Group Jan 2015 - Jun 2016Oldsmar, FlAchievements:• Promoted 5 employees in 10 months• Drove compliance with 5 Star ratings for Company to be leader in the industry• Identified a report that allowed Medicare claims being appealed to be processed at an increased efficiency rate of over 250%• Was nominated for Living Our ValuesResponsibilities:• Managed Part C Appeals Teams with over 200 direct and indirect reports in addition to an offshore vendor and an offshore appeals team• Lead Vital Signs Focus Groups and team initiatives, such as mentoring and developing staff• Lead modification of processes in relation to restricted contracts for employer groups, including modification of multiple teams processes, as well as SharePoint used as workflow tool• Provide trend analysis to leadership on appeals inventory• Made process changes that increased efficiency for processing appeals, such as cross training member team appeals coordinators on grievance/appeal cases• Consistently made recommendations to leadership that facilitated compliance to CMS Regulations, as well as internal turn around times, such as enhancing the Workforce reporting and monitoring for operational compliance• Worked directly with providers (participating and non participating) on resolving their appeals on outstanding claims and educated on appeals process -
Manager Of EnrollmentCvs Caremark Corporation Sep 2012 - Aug 2013Solon, OhioAchievements:• Within 2 weeks of joining the Company, was given responsibility for also managing the Reconciliation Team and its Manager.• Managed an operational budget of $4 million.• Promoted 4 employees to team leadership within first 9 months of employment.• Successfully on boarded more than 100 temporary staff in less than 6 months with less than 10% attrition.• Assisted with the process realignment and Facets system integration in September 2012.Responsibilities:• Lead a fast paced team through three department reorganizations, while maintaining creativity, team structure and strong leadership.• Directed the daily operations of over 130 direct and indirect employees for adherence to quality and productivity standards, as well as compliance with CMS Regulatory Guidelines and HIPAA Regulations.• Responsible for managing our offshore vendor.• Operational Business Owner and Subject Matter Expert (SME) responsible for compliance of over 30 different Individual and Group Sponsored Enrollment functions, including Enrollments, as well as Correspondence processes ensuring that they are compliant to CMS Guidance for service levels and quality.• Streamline processes for successful transition to offshore vendor to reduce costs, while maintaining quality.• Identify process opportunities to reduce operational risks and tracking of issues to closure• Developed internal escalation process for ensuring that all appropriate stakeholders are notified in a timely manner.• Review all internal processes, including documentation, to reduce process inefficiencies, and ensure compliance.• Designed business requirements for end to end reporting on all functional processes.• Built business relationships with Systems/IT, Billing, Compliance, Marketing and Customer Service through strategic initiatives. • Lead initiatives to keep open communication amongst business partners, as well as discussions for best business practices.. -
Support Services ManagerEmason, Inc. Sep 2010 - Apr 2012Cleawater, FlAchievements:• Reduced client/customer support requests received via E-Mail and phone calls by 50% in three months.• Created a standard training program for new hires, including for employees from other teams, including Training.• Successfully changed from a 5 day support service to a 7 day support service within three months with the same number of allotted resources.• Created a career track for team members to increase retention.Responsibilities:• Led a Support Team that provides application training and troubleshooting of client applications for our Company’s Software-as-a-Service (SaaS) product. This involved analyzing user issues to determine possible problem sources/resolutions as well as following-up with clients regarding outstanding issues from attorney firms, servicers, etc.• Performed trend analysis on issues received, and monitored for relationship or contractual issues that need communication to Executive Management.• Acted as interface between Clients and the IT/Development Staff regarding client defects and enhancement requests. -
Manager, Vendor And Service OpsWellcare May 2009 - Aug 2010Tampa/St. Petersburg, Florida AreaAchievements:• Promoted to Manager of Vendor & Service Ops as part of the Enrollment Dept. for the Medicare Line of Business (MAPD & PDP).• Reduced the number of CTM Complaints for Late Enrollment Penalty by ensuring that the processing was compliant to CMS Guidance.• Identified process improvements through process mapping and analysis. Created new more efficient processes and associated reporting metrics.Responsibilities:• Operational Business Owner and SME responsible for compliance for address changes, Low Income Subsidy (LIS), Late Enrollment Penalty (LEP), Premium Withholding Option (PWO) elections, State Pharmaceutical Assistance Programs (SPAP), Involuntary Disenrollment (Out of the Service Area (OOSA), Special Needs Plans (SNP) and Failure to Pay) and oversight of processes ensuring that they are compliant to CMS Guidance, including associated correspondence, for Service Levels and quality.• Responsible for creating project plans for the completion of multiple projects via onshore staff or external vendors within the required deadlines.• Coordination of workflow with Onshore and Offshore vendors, as well as internal direct reports up to 16.• Worked with business partners, including IT, Training, Sales, Product, Customer Service, Regulatory, Billing and Finance on ensuring that Enrollment processes were member centric and compliant to the most up-to-date guidance.• Participated in audits (for CMS consumption) of business processes by our external vendor. Identified needed controls for operational risks. Tracked to closure. -
Supervisor Revenue ReconWellcare Dec 2007 - Apr 2009Tampa/St. Petersburg, Florida AreaAchievements:• Greatly surpassed the 2008 target of 3% NOC/NOP discrepancy rate by achieving a 0.46% membership discrepancy rate for the Prescription Drug Program (PDP) and Coordinate Care Program (CCP). The discrepancies decreased by 81% year over year. Enrollment PDE rejects decreased by 72 basis points year over year with a 2008 reject rate of .5% and $12 GCDC (in millions) versus. 1.2% and $29 GCDC (in millions) in 2007. • Created the Vendor CSR scorecard in my first month with WellCare• Awarded Employee of the Quarter in the first quarter 2008 for my first calendar quarter of employment.• Created infrastructure including metrics reporting to Management, goal performance ratings and reconciliation analyst career path(s), • Received successful Internal Audit Results based upon my presentation of internal documentation and explanation of processes to Internal Audit for the Reconciliation Analyst process for reconciliation.• Created a process to aid in the Team’s identification of the root cause of more than 50 issues affecting 9,000 members and impacted $350,000 for one year, excluding Prescription Drug Events (PDE).• Selected to be the policy and procedure administrator for the overall department, Responsibilities:• Managed and directed 8 direct reports and voluntarily took on the responsibility for 5 additional direct reports from the PDP Supervisor role due to the open position.• Promoted 1 Reconciliation Analyst and started the process of recommending 2 additional Analysts’ promotions when the PDP Supervisor Position was filled. • Handled personnel issues from interviewing, new hire set up, one-on-ones, focal performance reviews, time administration, etc.• Participated in hospice workgroup that identified the root cause of sunken claims costs of $3.2 million since January 2007.• Document and submit additional SOX control policies and procedures for senior management. -
Supervisor, Travel And Expense (Account Manager/Project Manager/Vendor Manager/Product Owner)Acclaris 2004 - 2007Tampa/St. Petersburg, Florida AreaAchievements:• Managed 3 Fortune 500 Clients with top Voice of the Customer Survey Scores, representing more than $1.3 million in recurring annual revenue.• Responsible for system and procedure enhancements that increased productivity by 43% in less than two years, with more than 78% profitability.• Designed expense report line of business as product ownerResponsibilities:• Responsible for the process design and implementation of various employer policy driven plans, such as travel and expense reports, in addition to the maintenance of other reimbursement plans, such as flexible spending accounts (FSA), health savings account (HSA), government grants, etc.• Assisted in the RFP process and contract write up to ensure that an appropriate price point was provided.• Responsible for knowledge transfer from Clients and mentoring/coaching staff and clients on travel and expense subject matter, including the company’s proprietary Travel and Expense application.• Managed training of 40 offshore employees located in India, a third party vendor call center team of 20 employees located in Pennsylvania, as well as an E-Mail-based contact center located in the U.S. • Established a training program for our India operations which included culture training, system training, as well as a standard operating procedure manual and all team members were required to meet or exceed a minimum grade on an assessment to be certified to perform his/her role.• Created a reporting procedure in which key performance (KPI) metrics were tracked to ensure that contractual targets were being met. • Created a customer survey program for monitoring satisfaction with services rendered.• Created an auditing process in order to track the accuracy of services provided by Representative, for one-on-one coaching, as well as team refresher training.• Recommended process improvements to improve service and decrease costs, such as enhancements to the IVR and website. -
Technical AnalystPricewaterhousecoopers 1998 - 2003Little Falls, New JerseyAchievements:• Selected to join an experimental team, created by Senior Management, to sit outside of the standard infrastructure to analyze processes for improvements across the call center and other business units.• Performed research and analysis to identify process and system enhancements that resulted in operational changes across all departments throughout the entire Company, including the QDRO Department with increased productivity by 58% and with the IT Department, which resulted in the acceleration of enhancements requested by various departments. • Reduced escalated Client issues for 5 Fortune 500 Clients by more than 46% in an 8 month period by identifying root causes for the delay in timely resolution via the Call Center.• Managed a team of 40 Case Specialists. Provided quality, cross training and technical coaching, including on-call monitoring, via a formalized process, which increased weekly call scores and productivity by over 42% in a 4 month period. • Increased team staff retention by more than 16% by ensuring that monthly reviews and incentives were provided to representatives.• Wrote SQL reports which became standard reporting for various business units, including the Call Center, and were regularly provided to Senior Management. • My work with SQL came to the attention of a Technical (IT) Partner in the Fort Lee location. As a result, I received additional one-on-one training by the Technical Partner on query and reporting techniques.• Analyzed Workforce Management reporting, provided via CentreVu, to generate a productivity rating for each representative based upon average speed of answer, average call time, average hold time, shrinkage, etc. and tracked the key performance indicators (KPI) established by the Client(s) and internal developmental goals.
Meryl Chick Skills
Frequently Asked Questions about Meryl Chick
What company does Meryl Chick work for?
Meryl Chick works for Bluepeak Advisors
What is Meryl Chick's role at the current company?
Meryl Chick's current role is Healthcare Consulting | Operations Leader | Enrollment | Appeals & Grievances | Call Center | Claims | Encounters | Leadership | Medicare | Medicaid.
What is Meryl Chick's email address?
Meryl Chick's email address is mc****@****eak.com
What is Meryl Chick's direct phone number?
Meryl Chick's direct phone number is (770)-532*****
What skills is Meryl Chick known for?
Meryl Chick has skills like Writing, Quality Management, Metrics Reporting, Consulting, Noc, Audio Conferencing, Infrastructure, Vendors, Medicare, Location, Sales, Trend Analysis.
Who are Meryl Chick's colleagues?
Meryl Chick's colleagues are Jaymie Billbrough, Laura Bonelli, Namratha Gowda, Evelyn Culver, Crescent Moore Pharmd, Phd, Lisa Cook, Sharath Gowda.
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