Ryan Bormann Email & Phone Number

•Managed departmental data requests from internal and external partners to consulting groups, financial analysts, and Humana senior leadership•Led data analysis efforts for Medicare Advantage growth strategy initiatives including dental, behavioral health, $0 premium LPPO expansion, and 100-day Rx supply•Directed competitor analyses for CMS benefit expansions including Hospital Services in the Home, Insulin Savings Program, Value Based Insurance Design, Supplemental Benefits for the Chronically Ill, and Uniformity Flexibility•Analyzed competitive landscape for Medicare policy changes such as COVID mid-year enhancements, LPPO contract expansions, and HR3 dental, hearing, and vision •Performed annual time studies to determine resource capacity needs for expected plan count changes•Managed HPMS plan and formulary crosswalk processes for 1,028 plans including Medicare Advantage and PDP•Completed Six Sigma Black Belt project and certification to reduce rework and increase accuracy for Medicare Advantage Provider Directories

Louisville, Kentucky

•Streamlined the plan filing, post-filing, and approval processes for 637 Medicare Advantage plans•Coordinated the creation, collection, analysis, and dissemination of departmental data, metrics, and tools•Led Product Design efforts to engineer and maintain the Humana Product Administration System (HPAS)•Designed and implemented a series of department wide constraints in HPAS to ensure consistency, accuracy and compliance of Medicare Advantage plan benefits•Managed departmental relationships with Health Plan Management System (HPMS) and the Centers for Medicare and Medicare Services (CMS)

Louisville, Ky

•Streamlined the plan filing, post-filing, and approval processes for 637 Medicare Advantage plans •Coordinated the creation, collection, analysis, and dissemination of departmental data, metrics, and tools•Led Product Design efforts to engineer and maintain the Humana Product Administration System (HPAS)•Designed and implemented a series of department wide constraints in HPAS to ensure consistency, accuracy and compliance of Medicare Advantage plan benefits•Managed departmental relationships with Health Plan Management System (HPMS) and the Centers for Medicare and Medicare Services (CMS)

Louisville, Ky

•Coordinated the maintenance of more than 400 supplemental benefits for Humana Medicare Advantage plans•Ensured the compliance of supplemental benefit filings according to CMS regulations•Created supplemental benefit language for all member materials including the Summary of Benefits, Annual Notice of Change (ANOC), and Evidence of Coverage (EOC)•Reviewed and approved all marketing materials involving Medicare Advantage plan benefits•Trained Product Design on annual changes to the CMS Plan Benefit Package software

Louisville, Ky

•Managed product development process for 38 Medicare Advantage plans in the Eastern Region•Filed assigned products to support Senior Products and divisional/regional strategies•Facilitated completion of member material reviews to support market strategies and meet regulatory deadlines•Conducted strategic competitor analyses and provided recommendations on plan benefit designs•Served as point of contact to answer questions and resolve issues for all products within assigned region

Louisville, Ky

•Coordinated age-in initiatives and provided relevant analyses and reports for senior leadership•Provided research and developed concept papers for Medicaid and Medicare.gov projects•Assisted with product life cycle functions including plan filings, ANOCs, EOCs, and competitor analyses•Developed and presented annual product training presentations

Louisville, Ky

Master Of Business Administration (Mba), Business Administration, Management And Operations

Bachelor Of Business Administration (Bba), Marketing

Activities and Societies: Patterson Scholar