Ross Dodge Email & Phone Number

Greater Minneapolis-St. Paul Area

United States

Responsible for the maintenance and implementation of all contracts, payers, and policies relatingto insurance companies headquartered on the eastern seaboard (approx. 330) including multiplehigh profile national contracts.▪ Oversee end to end processing of new contracts and amendments from receipt▪ Analyze new contractual documents, through the approvals and signature process, with executiveteam and insurance executives, culminating with system implementation following federallymandated Sarbanes-Oxley (SOX) Protocol▪ Research, codify, and enter multiple layers of contract terms and insurance company policies intothe contract load and related payer loads systems▪ Research, enter, and update reimbursement rationale, pricing information, and reimbursementcriteria for 100+ products covering three classifications of products across three business lines▪ Monitor industry and insurance company notifications for policy or pricing changes that relate toproduct lines and effect changes in systems as necessary▪ Maintain credentialed status with all contracts on the eastern seaboard▪ Monitor performance of top contracts to ensure contract health as well as compliance by both thecompany and the insurance company▪ Serve as web portal administrator for companies where online account processing relationshipsoccur▪ Point of contact and liaison between three lines of business and contracting managers at insurancecompanies to research and resolve issues that relate to the execution of or compliance withcontracts▪ Manage a range of projects including mass contract maintenance, and compilation and comparisonof specific contract terms across multiple contracts▪ Perform complex analyses of contract blocks with aim to provide actionable information, suggestionsfor improving the contractual relationship, and improving efficiency and accuracy of the contract load

United States

▪ Served as point of contact and liaison for business to business and business to consumerinteractions▪ Oversaw the reimbursement process and facilitating sales across multiple product lines on a case bycase basis▪ Processed approximately 90 charts at various stages simultaneously▪ Dynamically applied industry standards and additional criteria to efficiently evaluate and processcases maintaining a high level of customer satisfaction▪ Initiated and actively participate in Own It projects to improve the quality and accuracy of processingcases▪ Served as a resource for colleagues, assisting with second level review of medical documentationand application of complex criteria▪ Identified, researched, and resolved processing issues and distributed compiled information to theteam