Phil Moser Email & Phone Number

Greater St. Louis

• The Senior Director CMS Applications and PBP Submissions is responsible for and will direct the team to perform, any needed CMS governmental filing associated with any existing and/or new clients. The Sr Director will.
• Work with each MAPD client and be fully responsible for its success, to become an MAPD, expand its service area, expand its product portfolio, and build and submit benefits annually: Analyze, produce, and submit.

Greater St. Louis

Responsible for MA implementations for external clients and new market operations, Centers for Medicare and Medicaid Services (CMS) expansion market applications, benefits/bid filings with CMS, Network Adequacy analysis for all markets, and market research and analysis for expansion markets. Program Manager over the simultaneous implementation of Lumeris’.

Greater St. Louis Area

Responsible for market research and analysis for expansion markets, state Certificate of Authority application filings, Centers for Medicare and Medicaid Services (CMS) expansion market applications, and implementation of new market operations. Development, implementation, follow-up and oversight of market business plans and associated physician group.

Greater St. Louis Area

Greater St. Louis Area

Greater St. Louis

Director of Finance 2002-2007Responsible for analysis of medical plan costs, comparisons and devising and implementing competitive cost solutions. Coordinate and implement contracts for financial reconciliation with State of Illinois State Pharmacy Assistance Program for affected Medicare members. Supervised as many as 7 professional and technical.

Greater St. Louis Area

Responsible for implementation and maintenance of system security access for all new system development in process as well as establishing control over existing systems. Handled requests for service process and coordinating ongoing issues related to process, including the prioritization of enhancements and utilization of EDS programming resources..

Greater St. Louis Area

Responsible for analysis of actual versus plan results for medical and administrative costs, surfacing issues related to these comparisons and devising and implementing solutions to issues and problems. Acted as the local underwriting and pricing liaison with Corporate Office. Supported hospital contract negotiations.  Performed profitability and.

Greater St. Louis Area

MetLife Healthcare Management CompanyServed as financial liaison for IT to local health plan accounting functions. Responsible for all user support, training, enhancements and new financial systems utilized by accounting personnel at six Accounting Centers. Performed liaison role between management information systems and accounting departments for.

Greater St. Louis Area

Responsible for the planning and implementation for all phases of the audit engagement. Duties included the evaluation of internal accounting controls, supervision of personnel, utilization of audit software and overall coordination of substantive audit procedures.

Bs, Accountancy

Activities and Societies: Beta Alpha Psi accounting fraternity, Phi Gamma Delta social fraternity

Education record