Robert Ritter Email & Phone Number

Rochester, New York, United States

Reliably leading Ad Hoc projects in support of Sales, Marketing, Membership/Billing, Legal or Actuarial departments.• Reviews moderate group and individual Retroactive Requests while applying underwriting guidelines as well as Federal and State Regulations with minimal assistance.• Assist in enforcement of Underwriting guidelines and State and Federal guidelines, may include Complex group desk audits• Audits groups/members for compliance with state and federal guidelines as well as corporate underwriting guidelines, policies, and procedures. Audits include group desk and field audits.• Consistently demonstrating high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values while adhering high regard for member privacy in accordance with the corporate privacy policies and procedures.• Underwrites complex group enrollment to ensure participation within compliance guidelines, while verifying eligibility through State and Federal Underwriting guidelines.

Rochester, New York Area

• Appointed project lead for all request for proposals while collaborating with contract directors in creating RFP template in collecting essential data to price claims more accurately• Execute annual models for a variety of WNY facilities and hospitals while meeting all deadlines• Participates in work teams with other staff in the Health Informatics Department; while analyzing, preparing and develop quality medical expense data. • Strong contributor in identifying cost containment and quality improvement opportunities and make recommendations to associates for further analysis opportunities • Completes analysis of provider billing patterns and identify opportunities for cost or quality management • Effectively working with Directors of Contract Negotiations to ensure deals are executed, while meeting 100% of all deadlines• Analysis of contracting strategies and testing of provider rates• Participates in problem solving and investigation, analyses, special projects and research projects as requested• Promoted consistency between the reimbursement language and contracts • Completed post production validation of implementations to ensure accuracy among colleagues • Support all internal and external audits related to physician, ancillary and facility reimbursements• Investigates and manages resolution of provider payment inquiries and complex issues• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values while adhering high regard for member privacy in accordance with the corporate privacy policies and procedures.

Rochester, Ny

• Execute the agency’s daily operations requirements delivering quality homecare services including; scheduling over 100 workers daily for 50 clients, talent searches, referral intakes, conducting CDPAP presentations to surrounding counties and marketing communications• Developed new business line resulting in creating contracts for Maxim in expanded services; this resulted in over $6,000 in sales for past four months• Supported operationally, analytically and strategically the top producing office in Northeast for four years. Due to this success, now accountable to lead weekly conference calls for all offices in the Northeast on how on to improve their profits• Analyze data for weekly schedules to eliminate overtime costs by distributing hours evenly among field staff, saving weekly costs of an average of $42,000 annually• Created marketing campaign for job fairs in order to hire the most qualified nurses resulting in establishing new business lines and expanding in current homecare services• Assisted in generating a new national contract with insurance provider by conducting strategic research and providing quality statistics to finalize negotiation, resulting in an average of 20 new clients• Collaborated with HR department in creating new hiring process to make more applicants ready to work at quicker rate resulting in expanding business to provide more homecare services in Rochester• Over the four years, the office grew annually by 87% based on recruiting an average of 12 applicants each week while assisting growth for CDPAP services with over 300 patients since 2011• Create new innovative methods in hiring qualified applicants to staff additional cases resulting in servicing our stellar customer services and increase market awareness• Annually TBI certified

- Prospected and closed new and existing accounts while, meeting and exceeding revenue quotas - Developed future businesses through client contacts - Collaborated with design team to create logos and graphic designs for both print and internet ads- Identify new potential markets for qualifying accounts- Improved market strategy while monitoring competitors prices and strategies- Effectively managed time while balancing multiple projects - 110% return on revenue accounts -Trained Sales Professional

Assistant coach to Penfield Youth Football

- Re-formatted Alfred University college of business website- Conducted extensive research on ERP documents- Accurately scheduled meetings for executives- Provided quality input for future plans within the College of Business.

Germany

-Team leader in conducting business simulation in SAP collaborating with German students-Performed multiple tasks while managing team for efficient results-Collaborated with German executives on innovative tactics with major international companies-Gained both business and cultural knowledge to further my innovative business skill

Masters Of Business Administration, Business

Activities and Societies: Mu Kappa Tau honor societySAP certified

Bachelor Of Science, Marketing

Activities and Societies: Alfred University Football TeamNCAA Football First Team Empire 8 conference