Patty F. Email and Phone Number

Led the identification, analysis, business assessment, implementation, and post implementation monitoring of all health reform requirements ensuring regulatory and legislative compliance. Managed team of senior project managers; oversaw cross-functional project teams. Also managed the Regulatory Licensing and Reporting team.*Built, managed, and refined business program structures and hired team in support of ongoing new healthcare reform (ACO) requirements meeting State (MA, RI, NH, and ME) and federal regulatory and legislative requirements for Medicaid, Medicare, and commercial lines of business. *Designed and implemented corporate PMO program within Government Affairs, now the corporate standard for executing on all regulatory and legislative changes. Trained team members, established project manager mentoring program, and built team cohesion. *Worked with head of Regulatory Licensing and Reporting to build out a corporate-wide regulatory reporting structure and processes.*Selected to work with leadership on the corporate merger of Tufts Health Plan with Harvard Pilgrim to define processes and engage other managers. Member of corporate merger PMO. Led merger of Government Affairs for both companies. Worked with Procurement to facilitate the merger vendor consolidation. *Assumed additional responsibility working directly for the CEO for 2.5 years driving execution of senior leadership team agenda, senior level research, and board reporting.*Led team-building activity for Government Affairs. Designed events, hired trainers in team dynamics and conflict management, and conducted informal methods of connecting team members.*Led key fundraising efforts for Alzheimer’s resulting in hundreds of thousands of dollars. Participated as a corporate team lead for several years.*Internal board member for disability employee resource group. Led program activities and worked with vendors on events. Acted as a team leader for Alzheimer walks.

Assessed, managed and implemented corporate initiatives relative to client and market reception:*Program/Relationship manager for The Massachusetts Connector Marketplace - managed the annual contract process and integrated all health care reform changes required to promote membership*Program management for other Health Care Reform initiatives at the State and Federal level to maintain compliance and competitive product offerings*Oversight project manager for large/complex organizationally strategic product initiatives - including the corporate reentry into the state of Rhode Island *Adhoc corporate projects facilitator - conducted regular capacity planning events for resource validation ensuring projects would be appropriately staffed

Led a broad spectrum of program setups, departmental assessments and redesigns, and large project management efforts.*Built a corporate transparency initiative with several large projects that improved claims adjudication and established clearer processing guidelines for provider organizations.*Led project to reengineer the Provider Reimbursement department, designing several options that augmented existing processes to increase productivity and accuracy.*Tapped to lead confidential project, revalidating a corporate study recommending organizational redesign of three organizations. This resulted in the redesign being tabled.

Managed six teams from analysis through implementation of regulatory requirements for all medical code sets in response to federal HIPAA requirements*Led 30K hours of IT work to recode and convert all medical codes to HIPPA compliant

Manager for EDI Operations group (12 FTEs) for all EDI transactions