Ryan Wilkie work email
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Ryan Wilkie personal email
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• Oversight of operations for region comprised of 30+ clients (health plan and state direct accounts) and over 10M Medicaid, Commercial, and Medicare lives. As well as oversight of top tiered provider operations and trade organizations throughout the region. • Lead of driving organizational business decisions to accomplish prioritization of IT projects company-wide. • Focused on short term and long-term initiatives that would improve operational efficiency, increase client satisfaction and facilitate growth in the region.• Lead Value Based Purchasing for Northeast Region. Built a pipeline of providers for VBP expansion and improved clinical key performance indicator (KPIs) within Northeast region.• Responsible for maintaining accuracy for plan performance guarantees as well as all informational, and financial reporting• Oversees the operations team that is responsible for the implementation from end-to-end for all new products and upsells • Develops talent plans for direct reports and reviews all talent plans for entire region(s) staffing and prepares direct reports for continued growth within the team and organization. • Responsible for the development of regional operational blue chip goal development and implementation across all market/region(s) of oversight. Accountable for all operational strategy, including but not limited to network recruitment/access, client operational design, system design, claims workflows, data exchange workflows, and covered services. Develops the regional operational goals across multiple markets and trains staff on annual goals.• Meets with Market Presidents and Senior leaders on the Account Management team to review annual strategic growth and operational goals. • Meets weekly with Directors and SVP’s of all shared service lanes (claims, EDI, Network, IT) to review regional initiatives/projects/problems and drives teams to overall solutions across multiple functional lanes.• Responsible and accountable for the teams that oversee all client reporting and analytics activities and ad hoc request. Decision maker on escalated priorities and ensuring that all reporting is appropriately prioritized across shared services and clients. • Audit management, which required the review of UM, HR, credentialing, and appeal policies, and NCQA accreditation standards. • Expertise in legacy UI configuration between Network, Claims, and Clinical• Knowledge of all operations including, Credentialing, Provider Relations, Clinical, Member Services, Claims, and Account management
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Vice President OperationsCarelon Mar 2023 - PresentBoston, Massachusetts, United States -
Vice PresidentBeacon Health Options Dec 2018 - Mar 2023Greater Boston Area -
Assistant Vice President Of Operations - Northeast RegionBeacon Health Options Jul 2017 - Dec 2018Boston, Ma -
Program Director - Client PartnershipsBeacon Health Options Aug 2015 - Jul 2017 -
Operations Manager - Client PartnershipsBeacon Health Options Aug 2013 - Jul 2015Woburn, Massachusetts -
Senior Manager Of Member ServicesBeacon Health Strategies May 2013 - Aug 2013
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Manager Of Member ServicesBeacon Health Strategies Aug 2011 - May 2013Woburn, Ma
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Technical CoordinatorPutnam Investments Oct 2006 - Aug 2011 -
Client Service SpecialistPutnam Investments Dec 2003 - Oct 2006
Ryan Wilkie Skills
Ryan Wilkie Education Details
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Finance And Management
Frequently Asked Questions about Ryan Wilkie
What company does Ryan Wilkie work for?
Ryan Wilkie works for Carelon
What is Ryan Wilkie's role at the current company?
Ryan Wilkie's current role is Vice President of Operations at Carelon.
What is Ryan Wilkie's email address?
Ryan Wilkie's email address is ry****@****ons.com
What schools did Ryan Wilkie attend?
Ryan Wilkie attended University Of Massachusetts Lowell.
What skills is Ryan Wilkie known for?
Ryan Wilkie has skills like Mutual Funds, Call Center, Process Improvement, Team Management, Call Centers, Training, Leadership, Management, Recruiting, Employee Benefits, Business Process Improvement, Insurance.
Not the Ryan Wilkie you were looking for?
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Ryan Wilkie
Worcester, Ma2umassmemorial.org, mountsinai.org3 +197830XXXXX
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Ryan Wilkie
Alpharetta, Ga2winmo.com, gmail.com -
Ryan Wilkie
Denver Metropolitan Area -
Ryan Wilkie
Director Of Business Development And Strategic Purchasing At Palmetto State ArmoryColumbia, South Carolina Metropolitan Area4imd-soluciones.com.ar, yahoo.com, ellettbrothers.com, palmettostatearmory.com
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