Rob Miller Email & Phone Number

Greater Seattle Area

Project Manager for the Government Programs Medicare Star Ratings team at Regence under the Cambia umbrella. In this role I:* Implemented multiple vendor partnership projects across 8 MA/MAPDP contracts spanning 4 states* Led corporate stakeholder response on annual Star Rating validation to ensure we'd be first in line for any dispute claim for all of.

Greater Seattle Area

Implemented the new Accountable Care Organization (ACO) products for Regence plans in Washington and Oregon states. Productized a new Telehealth benefit buy-up for ASO and select fully insured business segments in the 51+ membership segment.

Seattle, WA

Partnered with cross corporate teams and other stakeholders to ensure Cambia/Regence compliance with federal regulations and brand related standards, policies, and service levels for all systems and applications. This includes claims, claims related messaging, HIPAA EDI transactions, and other Blue branded software and applications. Actively participated.

Supervised a team of 30+ individuals who handled claims and customer service for nationalaccount and out of state members. Hired, coached, and trained new team members.Identified inefficiencies and made recommendations for business and technical process improvements that resulted in becoming the top Plan in the nation on the Performance Index and earning.