Robert Armbruster Email & Phone Number

Pittsboro, In, Us

Pittsboro, In, Us

Indianapolis, In, Us

Indianapolis, Indiana, Us

Supporting client efforts relating to:Master Data ManagementMetadata ManagementBusiness Intelligence and Analytical Efforts

Indianapolis, In, Us

Lead efforts in support of:• Health plan benefit configuration• Provider claims call center• Medical claims processing• Hospital systems relationship management• Business intelligence in support of claim processing efforts• Vendor oversight for cost recoveries relating to third party liability and subrogation• Support relationships with providers

Indianapolis, Indiana, Us

Lead efforts in support of:• Data management efforts related to both operational and clinical data sets• Data quality management• Master data management• Metadata management• Data integration• Support of the business intelligence and analytics team

Indianapolis, Indiana, Us

Directed efforts to support IU Health Physicians to accomplish efforts towards:• Management of data sets received from several billing and clinical data sources• Design and maintenance of the business intelligence framework• Analytical reports and dashboards related to: operations, physician productivity and compensation as well as clinical outcomes

Us

Directed all aspects of the Third Party Administrative (TPA) services including:• Primary contact to Third Party Administrative services customers• Leadership support to the: Medical Management; Claims & Configuration; Customer Services and Provider Relations operations• Product design and pricing for TPA services• Oversight of the receipt of all Capitation Dollars for TPA Customers• Development of management information such as downstream medical expenses• Leads annual contract renewal process for Third Party Administrative customers• Identified new business opportunities for the TPA services area and was the lead in contract development and execution• Representative to MDwise products for Eskenazi Health (Wishard Health Services)Directed the Medical Economics team and efforts in support of:• Reporting and maintenance of the physician compensation program• Physician Office and Physician productivity reporting• Quality team’s efforts for reporting and care improvement• Web page and application setup for internal operations and TPA customers• Training efforts towards the Microsoft suite including SQL• Departmental Budgets

Indianapolis , In , Us

Responsible for directing plan functions relating to: • Claims payment, member benefit configuration, provider setup, informational systems and program reporting from within the Amisys Healthcare System.• Primary accounts manager for a fully delegated, full risk provider network accountable for the health care needs of over 35,000 members. • Primary representative, on behalf of the plan, for the State of Indiana’s Medicaid Office and contracted agents, Indiana Department of Insurance and the Indiana Association of Health Plans.

Indianapolis , In , Us

Responsibilities to support the health care needs of over 100,000 member lives included:• Directed physician, hospital and ancillary provider contracting approaches including: capitation, fee for service, percent of billed charges, per diem, DRG and global contracting• Worked closely with various Managed Care and Physician Hospital Organizations and local provider communities statewide• Developed strong knowledge of outside markets and analyzed trends within the Indiana health care market• Responsible for the maintenance of provider contract and correspondences files in relation to NCQA credentialing standards • A member of the MHS quality improvement, utilization management and provider credentialing committees • Successfully implemented and managed the plan’s Pharmacy Benefits contract and performance monitoring. Assisted staff in maintaining targeted monthly utilization and per member costs for this benefit.