Thomas Schenck Email and Phone Number
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Management consultant and Medicaid professional, with focus in behavioral health, value-based health care, and Medicaid finance. Expertise in policy analysis, health care reimbursement methodologies, and quality improvement principles.Specialized knowledge and experience in the construction and measurement of alternative payment methodologies and integrated service delivery methods as the health care landscape shifts its reimbursement priorities from volume to value.Experience leading and working on successful government business development efforts from capture through proposal phases. I am experienced with publicly-financed health insurance, with particular expertise in Medicaid. I have worked with dozens of State Medicaid Agencies in my roles with the government and the private sector to help them implement coverage, payment, and eligibility provisions of numerous delivery system reforms. My multi-faceted health care experience offers values to numerous organizations.Skills: • Proposal development and response • Legislative and regulatory analysis and compliance • Public health insurance financing and care delivery • Alternative payment methodologies • Health insurance claim experience and encounter data analysis • Quality improvement
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Principal And Group Lead, Health Program Analysis And TransformationMitre Jan 2022 - PresentBedford, Massachusetts, United StatesProject Lead for Strategic Support for the CMCS Office of the Center DirectorProvide strategic, operational, and implementation support to CMCS with a focus on Medicaid and CHIP initiatives related to health coverage, payment, and equity. -
Director, Ibm Watson Health, Government Health And Human ServicesIbm Oct 2017 - Jan 2022Cambridge, MassachusettsLed effort with the Centers for Medicare and Medicaid Services (CMS) to implement statutory payment provisions, including development of reporting specifications and technical assistance to states subject to payment requirements;Worked with State Medicaid Agencies to design, construct and implement value-based payment arrangements at provider sites; Provided specialized technical assistance to State Medicaid Agencies in pursuit of their data analytic goals specific to maternal health, managed care, and other content areas;Developed and completed various reports to evaluate the progress of the Centers for Medicare and Medicaid Services' (CMS) Transforming Clinical Practice Initiative (TCPi) aimed at widespread process transformation at provider sites throughout the country.
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Health Insurance Specialist, Vermont State LeadCenters For Medicare & Medicaid Services May 2015 - Oct 2017Greater Boston AreaWorked on development of an innovative waiver demonstration in Vermont that affords flexibility to their State Medicaid Agency to be regulated according to Medicaid managed care rules. Reviewed and approved multiple Massachusetts Medicaid managed care contracts to ensure compliance with Federal Medicaid regulations. -
Health Insurance Specialist, California Medicaid LeadCenters For Medicare & Medicaid Services Feb 2013 - May 2015San Francisco Bay AreaFederal lead for the country's largest Medicaid program that enrolls almost 20% of the nation's Medicaid beneficiaries. Served as the lead as California implemented the Affordable Care Act and transitioned over 10 million beneficiaries into Medicaid managed care.
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Health Insurance Specialist, Hawaii And Pacific Territories LeadCenters For Medicare & Medicaid Services Sep 2010 - Feb 2013San Francisco Bay AreaRegulated and provided technical assistance to the Hawaii, Guam, the Commonwealth of the Northern Marianas Islands (CNMI) and American Samoa Medicaid and CHIP programs as they implemented the relevant provisions of the Affordable Care Act. Worked with the CNMI and American Samoa to design protocols through which public hospital expenditures could be certified as the required State Medicaid matching funds. These protocols allowed Federal Medicaid funds to continue flowing to the hospitals while saving the Territorial governments over $25 million in annual general fund appropriations.
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Welfare Benefits AnalystKemper Insurance Jul 2007 - Jul 2010Greater Chicago AreaDeveloped and proposed a self-funded nationwide health insurance option to C-suite leadership as a lower-cost alternative to the fully-insured local HMOs. Once implemented, this plan maintained choice for employees in their various locations across the country while saving millions of dollars in administrative costs. Negotiated annual renewal rates for over 40 fully insured HMOs, as well as employee dental, vision and life insurance plans. My successful results allowed my employer to discontinue its contract with its outside employee benefits consulting firm.Responsible for vendor compliance with contracts, and for compliance of the self-funded health insurance plan with ERISA, HIPAA and the ACA. -
Medical UnderwriterSun Life Financial Apr 2006 - Jul 2007Greater Boston AreaEvaluated demographic information and historical claims data in order to accurately price the risk posed by potential group Stop-Loss insurance policy-holders Interacted with sales personnel, brokers and medical staff in order to fully gauge the long-term risk of prospective clients and price that risk within Sun Life's current business needs -
ParalegalCrowe Paradis Oct 2005 - Apr 2006Managed a case load of over 100 applications for Social Security Disability BenefitsInterfaced between clients, group insurance carriers and the Social Security Administration -
Assistant English TeacherDearborn Academy Aug 2004 - Jun 2005Greater Boston AreaInstructed 11th and 12th grade students in English and Social StudiesDeveloped curriculum for an individualized basic writing tutorialWorked with school psychologists to develop Individual Education Plans for studentsMaintained dialogue with parents regarding student performance and ongoing needs -
Middle School English TeacherMajuro Cooperative School Aug 2003 - Jun 2004Instructed Marshallese middle school students in Language Arts and Social StudiesAuthored the middle school self-review for the school’s 4-year reaccreditation Corresponded with parents and held quarterly parent-teacher conferences
Thomas Schenck Skills
Thomas Schenck Education Details
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High Honors -
English Literature
Frequently Asked Questions about Thomas Schenck
What company does Thomas Schenck work for?
Thomas Schenck works for Mitre
What is Thomas Schenck's role at the current company?
Thomas Schenck's current role is Principal, MITRE Corporation, CMS Coverage, Payment, and Equity.
What is Thomas Schenck's email address?
Thomas Schenck's email address is th****@****ail.com
What is Thomas Schenck's direct phone number?
Thomas Schenck's direct phone number is +157085*****
What schools did Thomas Schenck attend?
Thomas Schenck attended Boston University Questrom School Of Business, Dartmouth College.
What skills is Thomas Schenck known for?
Thomas Schenck has skills like Health Policy, Health Insurance, Data Analysis, Federal Government, Medicaid, Employee Benefits, Policy Analysis, Research, Government, Healthcare, Health Care Reform, Medicaid Managed Care.
Who are Thomas Schenck's colleagues?
Thomas Schenck's colleagues are Brent Blackwell, Jill Adelson, Tony Lee, Heidi Giles, Al Herndon, Joe Veoni Veoni, Rick Koch.
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Thomas Schenck
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Thomas Schenck
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