Ryan Olson Email & Phone Number

Neenah, Wi, Us

Appleton, Wi

•Manage a team of direct reports, including Client Services Coordinators and Senior Client Services Coordinators•Create and present data for Strategic Business Plans, VALUE Summaries, and Performance Standard reports.•Investigate/follow-up if Performance Guarantees are not met and present those results to assigned clients•Assists with escalated member/client issues and requests•Provides product support for client implementations and re-implementations.•Provides oversight for issue resolution•Manage client relationships and contracts•Client retention •Participate on committees, meeting and other venues as necessary to continue enhancing knowledge and to share client perspective with internal teams•Lead or support internal department and corporate projects•Travel to client sites•Participate in Finalist Presentations

Appleton, Wi

•Create and present data for Strategic Business Plans, VALUE Summaries, and Performance Standard reports.•Investigate/follow-up if Performance Guarantees are not met and present those results to assigned clients.•Assists with escalated member/client issues and requests.•Provides product support for client implementations and re-implementations.•Provides oversight for issue resolution.•Client contract maintenance and performance.•Client retention.•Participate on committees, meeting and other venues as necessary to continue enhancing PBM knowledge and to share client perspective with internal teams.•Lead or support internal department and corporate projects.•Travel to client sites.•Participate in Finalist Presentations.

Appleton, Wi

•Create and present data for Strategic Business Plans, VALUE Summaries, and Performance Standard reports.•Investigate/follow-up if Performance Guarantees are not met and present those results to assigned clients.•Assists with escalated member/client issues and requests.•Provides product support for client implementations and re-implementations.•Provides oversight for issue resolution.•Client contract maintenance and performance.•Client retention.•Participate on committees, meeting and other venues as necessary to continue enhancing PBM knowledge and to share client perspective with internal teams.•Lead or support internal department and corporate projects.•Travel to client sites.•Participate in Finalist Presentations.

Appleton, Wi

•Create and present data for Strategic Business Plans, VALUE Summaries, and Performance Standard reports as it related to the Medicare Part D program(s).•Investigate/follow-up if Medicare Part D Performance Guarantees are not met and present those results to assigned clients.•Review annual Call Letter and communicate to clients about interpretations, progress of enhancement efforts, answer client questions and facilitate and complete client requests.•Assists with escalated member/client issues and requests.•Provides product support for client implementations and re-implementations.•Provides oversight for issue resolution.•Engages Program Manager with all non-compliance related issues and/or when obstacles arise.•Manage clients as it relates to the Medicare Part D program(s).•Medicare Part D contract maintenance and performance including Scope Definition Document requirements.•Develops and maintains deep subject matter expertise related to Medicare Part D requirements.•Client retention as it relates to Medicare Part D program(s).•Participate on Medicare Part D committees, meeting and other venues as necessary to continue enhancing Medicare Part D program knowledge and to share client perspective with internal teams.•Lead or support internal department and corporate projects.•Travel to client sites.•Provide Medicare Part D mentoring, guidance and support to the Client Services Coordinators and Client Services Executives.•Participate in Finalist Presentations.

Appleton, Wi

•Supported/backed up the Client Services Coordinator responsibilities •Populated data for Business Plans, Consultative Review/VALUE Summaries, and Performance Standard reports•Performed contract maintenance and performance. Investigate/follow-up if Performance Guarantees are not met•Prepared new and revise existing training documents. •Conducted Client training (Client Portal Site, Navi-Claim, etc.) •Developed new and revise existing policies and procedures •Managed Clients. Resolve escalated member/Client issues requests •Identified Client opportunities to improve costs, service, and health. Up-sell programs•Client retention •Committee involvement •Traveled to Client sites •Assisted with proposal writing

Menasha, Wi

•Initiated, developed, and supported cross-departmental projects that align with health plan’s strategic plan and regulatory requirements•Oversaw and disseminates CMS guidance related to Star Ratings•Proactively communicated areas of opportunities across the health plan to impacted stakeholders•Worked with CMS to validate and health plan’s Star Rating assignments

Appleton, Wi

• Negotiate Preferred Provider Organization network agreements and amendments• Primary lead to execute process to analyze and evaluate Preferred Provider Organization network performance• Actively pursue new Preferred Provider Organization relationships and process Request for Proposals and Request for Information• Execute expansion of existing Preferred Provider Organization network service areas• Responsible for ensuring all operational areas (Customer Response Unit, Claims Department, Group Client Administration, Group Cash Accounting, etc) can abide by all terms of Preferred Provider Organization network agreements• Develop and implement process to perform competitive intelligence gathering on our Preferred Provider Organization networks to compare access and pricing• Primary contact for Regional Group Offices (Sales Offices) to propose new network relationships• Provide indirect leadership by providing insight and education to other Strategic Business Unit members about operations in other departments, such as Customer Response Unit, Claims Department, and Maintenance and Billing• Act as liaison between Guardian and assigned Preferred Provider Organization networks to handle day to day operational issues and concerns• Perform regulatory oversight, including traveling to Preferred Provider Organization networks for perform onsite audits of claims pricing • Managed multiple projects, while working with various departments, to ensure all timelines and regulatory requirements were met• Final decision maker to decide whether or not to pursue development and implementation of a new Preferred Provider Organization Network relationship

Appleton, Wi

• Audited processing of Guardian and Destiny Health medical claims• Exceeded number of claims audited on a regular basis. Averaged 5.27 claims audited per hour, while department overall average was 3.47 claims audited per hour• Performed 97.10% of all Midwest Regional Office Group Quality check adjustments and check returns for 2007• Released high dollar claims; any claim with payment greater than $50,000• Assisted in responding to Insurance Commissioner complaints, Executive complaints, appeals, and grievances• Reviewed state legislative changes to determine how they may impact how we administer our group medical product• Perform Target Audits to assist in improving existing processes and workflows • Initiated Team discussions to educate other GQ Coordinators on specific Claim workflows and various Preferred Provider Organization network variances

Appleton, Wi

• Handled in-bound calls from members and providers regarding eligibility, benefits, and claims on our group medical product line• Handled inquiries on coverage for the prescription drug benefit• Assisted planholders, brokers, and Regional Group Offices with administration questions, including eligibility, billing statements, premiums, GuardianAnytime, etc.• Assisted eCRU, as needed, to work through backlogs of in-bound eMails from providers, members, brokers, planholders, and Regional Group Offices• Exceeded calls per hour and quality score requirements on a regular basis, resulting in quarterly incentive rewards• Implemented a workflow to review all non-PHCS claim issues to ensure provider was truly out of network before return phone calls were made • Monitored call volumes in various queues in order to assist the area that was experiencing lower then acceptable ASA and blockage rates

Appleton, Wi

• Supervised the teller line, when needed• Responsible for opening and closing deposit accounts• Performed daily balancing of branch’s vault and ATM• Exceeded cross-sell metrics on a monthly basis, resulting in various awards• Implemented business community outreach program to gain additional business checking accounts• Assisted in transition when North Shore Bank acquired TCF branches in Appleton area

Associates, Banking & Financial Services

I began attending Fox Valley Techinical College when I was a junior in high school. I had sufficient high school credits that allowed me.

High School Diploma, High School Diploma