Scott P.
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Scott P. Email & Phone Number

Medical Affairs: Quality, Audit and Training Specialist at Elderplan Inc
Location: New York, New York, United States 10 work roles 3 schools
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Role
Medical Affairs: Quality, Audit and Training Specialist
Location
New York, New York, United States
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Who is Scott P.? Overview

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Quick answer

Scott P. is listed as Medical Affairs: Quality, Audit and Training Specialist at Elderplan Inc, a company with 238 employees, based in New York, New York, United States. AeroLeads shows a matched LinkedIn profile for Scott P..

Scott P. previously worked as Medical Affairs: Quality, Audit & Training Specialist at Elderplan Inc and Provider Training & Education Specialist (VA) at Triwest Healthcare Alliance. Scott P. holds High School, General Studies from John F. Kennedy Senior High School.

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Email format at Elderplan Inc

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Elderplan Inc

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Profile bio

About Scott P.

Accomplished healthcare professional focusing on managed care. Specialties include managing clinical initiatives, auditing, quality assessment, content development, corporate communications, medical management, utilization management, webinar facilitation, project management, account management, and data analytics/reporting. Additional experience includes marketing, provider relations, network development, negotiations, and brand management. High-level communicator that builds strong rapport with individuals at all business and educational levels, while consistently delivering best-in-class learning experiences with an engaging, empathetic, and collaborative presentational style.

Listed skills include Account Management, Process Improvement, Customer Satisfaction Research, Microsoft Office 2016, and 17 others.

Current workplace

Scott P.'s current company

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Elderplan Inc
Elderplan Inc
Medical Affairs: Quality, Audit and Training Specialist
Stamford, CT, US
Website
Employees
238
AeroLeads page
10 roles

Scott P. work experience

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Medical Affairs: Quality, Audit And Training Specialist

Stamford, CT, US

Medical Affairs: Quality, Audit & Training Specialist

Current

Manhattan, New York, United States

  • Conduct quality assurance audits for clinical, and non-clinical staff performance, with 1:1 coaching for performance improvement
  • Develop performance metrics for clinical/non-clinical staff
  • Create training and education content for Hospice, and Palliative Care programs
  • Manage complex care patients for the contracted Independent Physician Association (IPA) vendors
  • Create, and manage presentation content for the departmental clinical initiatives, and lead the monthly Medical Affairs Initiatives Committee (MAIC) meetings
  • DEI Council committee member, and member of We Honor Veterans (WHV) work group
Jul 2022 - Present

Provider Training & Education Specialist (Va)

United States

  • Developed training and education content for presentations, corporate communications, and e-newsletter messaging
  • Created Standard Operating Procedures (SOP’s), training videos, post-training polls, and surveys
  • Facilitated trainings utilizing e-learning webinar platforms, LMS, classrooms, and off-site training facilities
  • Collaboratively developed training initiatives aligned with medical management goals, and new metrics for improving performance amongst high-performing providers
  • Conducted new hire onboarding through skills and technology training, and streamlined the onboarding process for driving new hire readiness from 3 months to 1
  • Created new training for Guam providers, outlining processes and procedures for VA programs, which drastically reduced denied claim volume, while increasing provider revenue
Oct 2017 - Jul 2022

Other Experience - Assistant Director Of Behavioral Health Community Outreach

Metroplushealth

New York City Metropolitan Area

  • Transitioned outsourced vendor administered behavioral health programs to in-house management
  • Developed a network of behavioral health providers, and conducted provider evaluations utilizing key performance indicators, and innovative metrics
  • Compiled reports highlighting medical provider network growth, while focusing on high-performing providers
  • Negotiated provider service reimbursement contracts, provider credentialing database management, and created Standard Operating Procedures (SOP) for tracking departmental workflows
Jan 2020 - Jun 2020

Case Manager (Contract Position)

Phoenix, Arizona, United States

  • Patient care advocate who triaged ALS cases for medication appropriateness and level of urgency for ensuring the removal of barriers for receipt of time-critical medication that slows the ALS degenerative effects and.
  • Established weekly team meetings to expeditiously evaluate and improve care services, and facilitate better communication between multidisciplinary care teams, specialty pharmacies, and financial entities
  • Enhanced patient and caretaker experience through improved medication access and care delivery, while increasing patient referrals by 35%
Jan 2016 - Jan 2017

Donor Relations | Marketing Specialist (Contract Position)

United States

  • Coordinated/managed statewide blood collection events with businesses, hospitals, universities, and high schools
  • Supervised phlebotomy staff at blood collection events
  • Analyzed post-collection efforts, and prepared narrative reports highlighting collection activity
  • Provided staffing recommendations for future collection initiatives
Dec 2015 - Dec 2016

X-Ray Imaging (Contract Position)

Gt Advanced Technologies

United States

  • Captured x-ray fractures, and categorized imaged results using hi-definition imagery for radiologic review
Dec 2013 - Dec 2015

Provider Contracting Specialist

Coventry Healthcare (Aetna Healthcare)

United States

  • Reviewed high-dollar, non-network claims >$100k for cost appropriateness, and negotiated fee for service reimbursements, utilizing U&C methodology for surgeries, IP hospital stays, rehab services, dialysis, skilled.
  • Created provider reimbursement payment proposals for professional services rendered, saving client payers >$1,300,000 (Average discounts >14.7%; paid in <3 days)
  • Identified >$350,000 in misapplied funds, and >$275,000 in lost funds (Fiscal year 2012)
May 2001 - Nov 2013

Corporate Trainer

United States

  • Created innovative training programs for clients and new hires, including “Train the Trainer” for newly hired trainers
  • Developed training content, user guides, handouts, and product specification/fact sheets
  • Developed new training initiatives, and strategic marketing strategies
  • “Brand Ambassador” attendance at trade shows, conventions, and business mixers to promote company products and services, increase brand awareness, and ensure above-average customer satisfaction ratings, while enhancing.
Aug 1997 - Aug 2001

Marketing Manager

United States

  • Developed marketing strategies, and managed campaign fulfillment
  • Designed marketing collateral, company newsletter, sales brochures, banners, posters, subscription cards, and specialized marketing materials
  • “Brand Ambassador” at trade shows, conventions, and business mixers to promote company products and services, increase brand awareness, and ensure above-average customer satisfaction ratings, while enhancing company.
Dec 1995 - Dec 1997
Team & coworkers

Colleagues at Elderplan Inc

Other employees you can reach at elderplan.org. View company contacts for 238 employees →

3 education records

Scott P. education

High School, General Studies

John F. Kennedy Senior High School

Business Administration, Marketing

Normandale College
FAQ

Frequently asked questions about Scott P.

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What company does Scott P. work for?

Scott P. works for Elderplan Inc.

What is Scott P.'s role at Elderplan Inc?

Scott P. is listed as Medical Affairs: Quality, Audit and Training Specialist at Elderplan Inc.

Where is Scott P. based?

Scott P. is based in New York, New York, United States while working with Elderplan Inc.

What companies has Scott P. worked for?

Scott P. has worked for Elderplan Inc, Triwest Healthcare Alliance, Metroplushealth, Mckesson Specialty Pharmaceuticals Llc (A Delaware Llc) Is, and United Blood Services.

Who are Scott P.'s colleagues at Elderplan Inc?

Scott P.'s colleagues at Elderplan Inc include Roxana Zhang, Sara Pitterman, Jennifer Deluca, Yvonne Mouzakes, Lcsw, and Kimberly Moran.

How can I contact Scott P.?

You can use AeroLeads to view verified contact signals for Scott P. at Elderplan Inc, including work email, phone, and LinkedIn data when available.

What schools did Scott P. attend?

Scott P. holds High School, General Studies from John F. Kennedy Senior High School.

What skills is Scott P. known for?

Scott P. is listed with skills including Account Management, Process Improvement, Customer Satisfaction Research, Microsoft Office 2016, Case Management, Health Insurance, Customer Relationship Management, and Group Presentations.

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