Peter Sison Email & Phone Number

Los Angeles, Ca, Us

Oakland, California, Us

- Thorough knowledge of health care and related regulatory issues- Project management skills- Thorough knowledge of health care regulatory policies, practices, and systems- Complete understanding of regulatory concepts- Full knowledge of health care industry practices and standards- Ability to draft and revise documents, including policies, standards, analyses and reports- Produce accurate quotes in compliance with Underwriting & authority guidelines and state & federal laws for existing and prospective business- Utilized both manual and system processes in the production, selection, pricing, control and servicing of assigned business• Develop and execute account and/or book of business plans to ensure attainment of goals• Lead peer review to ensure accuracy & appropriateness of quote- Manage business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc.• Meets established department turn around goals by balancing deadline- Extensive knowledge and use of company databases - Foundations and Common Membership (CM)

Napa, Ca, Us

Key Achievements:Earned Company Employee of the Year Award- Project management skills- Thorough knowledge of health care regulatory policies, practices and systems- Utilized both manual and system processes in the production, selection, pricing, control and servicing of assigned business- Ability to draft and revise documents including policies, standards, analyses and reports- Mentored less experienced staff- Conducted policy reviews and monitored policy compliance- Contacted members, policyholders, credentialing administrators, employees at all levels of the company, premium accounting, patient safety, agents, claims and legal professionals, and members of the general public- Manage brokers and client requests, queries and complaints to maintain and improve client relations- Review and processing of complex policy and billing transactions, perform policy or system documentation and records maintenance related to those tasks- Performed physician legal searches and verified information with various state medical boards

Handled legal liens and business claims for Litton Microwave ProductsHandled numerous projects from inception to completion. These projects included cost analysis,pre- and post-production, and follow-up.

B.A., Political Science International Relations And Comparative Governments

Education record

Education record