Scott Maceachern Email & Phone Number

New York, United States

Canton, MA, US

Responsible for leading WFM functions including forecasting, scheduling, and building capacity models to effectively support Operational Production teams at Point32Health. Partner closely with key operational leaders to achieve operational goals, understand business needs, leverage data to provide analytics and insights, define KPIs and create mechanisms.

Canton, MA, US

• Manage enterprise-wide NCQA accreditation and certification processes.
• Pursing NCQA's Health Equity Accreditation for Commercial and Medicaid plans.
• Assess compliance with current and new NCQA standards on an ongoing basis.
• Identify gaps and risks; providing regular status reports to management.
• Develop strategies to mitigate risks, considering business needs and compliance requirements.
• Primary contact and resource for NCQA accreditation/certification and NCQA Standards interpretation throughout the enterprise.

Canton, Massachusetts, US

Manage the reporting and analysis for three major areas in Medicare Preferred: Sales, Marketing and Customer Relations. Through a team of analysts, build and maintain a comprehensive suite of reports; monitor data quality and troubleshoot reporting and data quality issues that arise. Proactively identify success factors and key performance indicators.

Canton, Massachusetts, US

• Lead and/or participate in various systems related projects within the Premium Billing and Enrollment departments for Medicare Preferred IS.
• Perform solution testing and root cause analysis for production problems and project initiatives using SDLC methodologies and CRM principles.
• Lead and/or participate with the development of project plans, scope statements and communication plans.
• Provide production support for day-to-day business operations in Premium Billing and Enrollment. This includes identifying and resolving system and user problems.

CA

• Developed a flexible database tool for tracking Cost Reduction to mirror the changing business needs.
• Manipulated and migrated data from large and complex tracking systems.
• Rolled up database outputs and published Cost Reduction updates and showed status by Price Variance (PPV), Design Cost Reduction and Material Substitutions.
• Provide senior management with data regarding case volume for Technical Support Center.

Canton, Massachusetts, US

• Developed drill down analysis and operational support for staffing projections of the call center based on call volume, service levels and call times.
• Developed project plans to measure and report data pertaining to member disenrollment rates, member satisfaction and employee turnover rates.

US

Contracted PCPs and Specialists for Prudential Healthcare. Provided support to IPAs, individual doctors and hospitals for the southeast portion on MA, from Cape Cod to Weymouth. Also supported the northeast territory, including New Hampshire