Nissin Behar Email & Phone Number

Chicago, IL, US

Healthcare Business Project Manager supporting Medicaid health plan senior leadership team. Coordinate implementation activities ensuring regulatory requirements are achieved. Managed more than 200 requests from the state healthcare authority, completing them within a stringent four-month timeline. Led cross-functional calls with various subject matter.

Healthcare Business Project Manager supporting Medicaid actuarial senior leadership team overseeing the expansion of various prospective risk adjustment and clinical programs. Key accomplishments include:Dedicated stewardship for Medicaid health plans Kentucky, Missouri, and North Carolina related to implementation of a vendor product focusing on member.

Greater Chicago Area

Onboarded 10 clients to Optum Rx Pharmacy Benefit Manager for group purchasing organization HealthTrust for deployment within 90-day timeline. Conduct client benefit discussions with all parties and ensure approval of business and clinical requirements. Coordinate efforts with internal departments for the creation of formulary, specialty products and.

Northbrook IL

Managed 2 pharmacy benefit implementations for insurance broker National Financial Partners for 1/1/2019 delivery within 60-day timeline. Planned and coordinated both client and cross-functional operational teams to support all aspects of setup and design. Project plan on-time closure rate was 97%. Mitigated client risks and internal risks through.

Greater Chicago Area

Transformation Office liaise between United Kingdom, South Africa, and North America operations for 2018 delivery of Business Process Outsourcing of contact center services for motor vehicle and property insurance claims. Determined project goals and prepared project completion schedules. Identified and managed risk and issue resolution. Led weekly Senior.

Northbrook, IL

Managed 5 pharmacy benefit installations for Third Party Administrator RxBenefits for 1/1/2018 delivery within aggressive 30-day timeline. Managed project objectives on track, ensuring completion in a timely and cost-effective manner. Negotiated with internal and external groups to set priorities and obtain required resources to ensure successful project.

Northfield IL

• Achieved key domestic and international milestones for customer enrollment in laboratory proficiency testing, educational products/program and collection of member dues generating 70% of annual revenue for.
• Implemented program to ensure membership dues arrived on time with minimal follow-up needed. Engaged key stakeholders in process and managed to standard operating procedures resulting in greater efficiencies and.
• Facilitated Post-Implementation support planning and Initial Response Team meetings to mitigate risk for escalated issues after project implementation. Resulted in immediate corrective action.
• Managed project financial tracking for 12 portfolio projects against assigned budgets. Resulted in project completion on time and on budget.

Developed complex project plans and timelines, managed cross-functional resources, served as primary point of contact for project stakeholders, managed status communications/updates, and proactively navigated roadblocks to meet established timelines for Business and IT initiatives. Notable projects include:* Regulatory – Average Wholesale Price (AWP).

• New System Development
• Managed and successfully delivered 5 pre-launch upgrades. Project positioned for complete system launch which will increase usage by 30%.
• Facilitated cross-functional collaborations to identify business and functional requirements, resulting in minimal revisions for release.
• Influenced planning of department capital budgets.
• Conducted extensive User Acceptance Testing.* Expand an Underutilized System
• Established the expansion work plan integrating Clinical and IT view points and partnering with external vendors.

Managed transition of retiree benefits from company plans to Caremark’s SilverScript Medicare Part D plan. Created project plans, client marketing strategy and communication plans, enrollment requirements, and reporting. Liaison between employer groups, SilverScript operations and service centers.

Led cross-functional teams to complete contract process by focusing on client business objectives: financial terms, service expectations, performance guarantees, special program offerings, and legal considerations. Analyzed Request For Proposal (RFP) documents and collaborated with business areas to research, formulate and document responses. Assessed.

Collaborated with employer HR departments to develop benefit design, packaging, financial commitments, enrollment and timelines for new programs and addition of new employee groups as a result of mergers and acquisitions.

Managed and serviced $88 million book-of-business in 6 states. Conducted on-site client reviews to provide plan analysis and benefit design recommendations for non-national book-of-business accounts. Empowered to act on client’s behalf to implement changes and exceptions.Former Positions Include:Plan Enrollment Analyst (1997 – 1998)Team Leader (1994 –.