Patrick Merkel Email and Phone Number
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A diverse background in Healthcare, Finance and Education. Proficient in analyzing data and incorporating those results into the organization’s business model. Developed a process that projects the annual Medicare Part D Reconciliation of $264 million in covered drug costs for Low-Income Cost Sharing, Reinsurance, Risk Sharing and Coverage Gap within a .0% variance.Extensive experience managing Prescription Drug Event (PDE) and Medicaid Rx Encounter submission and resolution, CMS audits and Part D reporting.
Geisinger Health Plan
View- Website:
- geisinger.org
- Employees:
- 11112
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Manager Of Government Programs OperationsGeisinger Health Plan Apr 2019 - PresentDanville, PennsylvaniaDirect the Government Programs Operations performance and compliance for three legal entities of Geisinger Insurance Operations (GIO).Supervise the Part D Reconciliation process and the risk adjusted payments from Government partners, SPAP contracts and confidentiality agreements.Manage the Medicare Reconciliation Team, member documents, and Government partner reporting.Oversee core claims system configuration testing.
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Pde/Part D Analyst SrGeisinger Health Plan Mar 2011 - Apr 2019Danville, PaResponsible for analytics and reporting of all Prescription Drug Event (PDE) related transactions required by Centers for Medicare and Medicaid Services (CMS). Calculate monthly general ledger accruals for the CMS Part D settlement.Developed a process that projects the annual Medicare Part D Reconciliation of $264 million in drug costs for Low-Income Cost Sharing, Reinsurance, Risk Sharing and Coverage Gap within a .0% variance.Manage all Plan to Plan and Coverage Gap Discount activity including Rx manufacturer payments and dispute resolution, plan to plan payables and receivables.Oversee all CMS PDE audits and Acumen PDE analysis, reporting and responses.Identify, research and resolve rejected PDEs, Medicaid Rx Encounter records and Financial Information Reporting (FIR) transactions.Maintained a 99.9% acceptance rate for PDEs and Medicaid Rx Encounters since 2012.
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Adjunct FacultyLuzerne County Community College Jan 1994 - May 2011Nanticoke, PaTaught undergraduate Management, Marketing, Business, Human Resource Management, and Business Mathematics courses. -
Senior Reporting AnalystAlltel/Verizon Wireless Nov 2000 - Dec 2009Wilkes-Barre, PaManaged the weekly and monthly production, distribution, and ongoing maintenance of availability and performance metrics.Tracked SLA’s (Service Level Agreements) with regard to system availability and bill processing statistics, detailed transaction analytics and incident management trending.Created daily, weekly, monthly, yearly, thirteen (13) month trending, and ad hoc reports.Maintained an internal website with product performance data.Facilitated a Daily Ticket Review meeting with the Problem and Vendor Management groups. -
Technical Training AnalystAlltel Wireless Jul 1998 - Nov 2000Wilkes-Barre, PaCreated and conducted technical training classes on the wireless industry and ALLTEL’s wireless billing process.Facilitated Subject Matter Expert (SME) led training classes.Created technical training manuals and end user training materials.Evaluated and updated existing training documentation.Performed training needs analysis.Maintained multiple project tasks within an integrated project plan.
Patrick Merkel Skills
Patrick Merkel Education Details
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Management / Marketing -
Marketing
Frequently Asked Questions about Patrick Merkel
What company does Patrick Merkel work for?
Patrick Merkel works for Geisinger Health Plan
What is Patrick Merkel's role at the current company?
Patrick Merkel's current role is Manager of Government Programs Operations.
What is Patrick Merkel's email address?
Patrick Merkel's email address is pm****@****rne.edu
What is Patrick Merkel's direct phone number?
Patrick Merkel's direct phone number is +157074*****
What schools did Patrick Merkel attend?
Patrick Merkel attended Wilkes University, West Chester University Of Pennsylvania.
What are some of Patrick Merkel's interests?
Patrick Merkel has interest in I Enjoy Spending Time With My Family.
What skills is Patrick Merkel known for?
Patrick Merkel has skills like Access, Microsoft Excel, Medicare, Healthcare, Medicaid, Visio, Process Improvement, Html, Financial Analysis, Managed Care, Analysis, Microsoft Word.
Who are Patrick Merkel's colleagues?
Patrick Merkel's colleagues are Kori Ebling, Sean Dolphin, Erica Milakovic, Kourtney Hunter, Rachel Harding, Amanda Hartman, Sasha Brietzke, Phd.
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