Timothy H. Rearick Email & Phone Number

Jacksonville, Florida, United States

Serves as liaison between health plans and UF Health providers. Manages contracts to facilitate compliance and encourage positive relationships between UF Health and its payors. Facilitate issue management and process improvement.

Jacksonville, Florida, United States

I teach in JU's Master of Science in Health Informatics program. My classes include MSHI 501 Advanced Coding and Classification and MSHI503 Advanced Cyber Security.

Jacksonville, Florida, United States

I taught in JU's Master of Science in Health Informatics program. My classes include MSHI500 Advanced Health Informatics and MSHI503 Advanced Cyber Security.

Jacksonville, Fl

I taught in the UNF - Brooks College of Health's undergraduate program in health administration. My classes included An Introduction to Health Administration, The U.S. Health Care System and Introduction to Health Care Policy.

Department Of Public Health

Performed instruction, research and service activities in the Brooks College of Health's undergraduate program in health administration. Classes include Health Care Marketing, an Introduction to Health Administration, the U.S. Health Care System and Introduction to Health Care Policy.

Jacksonville, Florida, United States

Developed and enhanced working relationships with FLB’s care partner manager and other key contacts at the health plan. Responded to business needs by managing performance goals, the needs of the customer and internal business drivers. Raised awareness among NDBH staff about the needs and challenges facing the health plan. Served as a positive example of the New Directions leadership team.Developed and implemented project and program plans in collaboration with functional business areas to improve and reduce the cost of care. Developed, implemented, and supported internal and external business processes, and policies and procedures to promote and add value to collaboration with FLB and NDBH internal business areas that contribute to performance success. Optimized NDBH’s resources to deliver projects and programs that deliver value to FLB and NDBH.Supported the NDBH General Manager in securing contract renewal. Facilitated the reporting requirements outlined in the management agreement and supported NDBH’s general manager at quarterly business reviews and as needed to support the account. Worked with the GM and appropriate operational areas to proactively develop action plans for performance guarantees and key performance indicators that were at risk for missing goals identified in the contract.

Jacksonville, Fl

Developed, implemented, managed and maintained Availity’s Compliance and Privacy Program. Investigated non-permitted disclosures or privacy complaints, solicited legal advice when necessary, worked with internal and external counsel to help respond to government investigations or inquiries, developed and implemented remediation plans to correct privacy issues and ensured that disciplinary actions were taken when appropriate. Worked closely with internal audit to monitor and audit the compliance program. Rewrote the Code of Conduct and Ethics. Developed, distributed and maintained policies, procedures, and workforce training programs. Provided professional presentations, training sessions, reports and updates to Availity committees, executive leaders, as others as necessary. Worked with Chief Compliance Officer to ensure compliance program complied with CMS Chapters 9 and 21, Compliance Program Effectiveness. Provided expertise to management related to HIPAA privacy and general compliance topics and matters. Helped ensure that the compliance team promptly, accurately and professionally responded to management, department, and individual requests for support, resources and guidance regarding HIPAA privacy and compliance topics and matters. Supported data analytics activities and other strategic activities as requested. Monitored CMS Medicare regulations and provided direction to operational areas to ensure compliance. Maintained current knowledge of legal and regulatory requirements related to items covered by internal policy and, particularly, to laws and regulatory requirements relating to HIPAA privacy. Provided legislative feedback and opinion within the industry on changes, participation within industry working groups. Worked with health plans to document compliance activities and support their role as First Tier, Downstream and Related Entities.

Jacksonville, Fl

Led the privacy program. Established, reviewed and revised BCBSF’s privacy policies, procedures, processes and forms. Educated BCBSF’s employees on the company’s privacy policies and procedures. Managed and mitigated the risk of non-permitted disclosures and HITECH breaches. Maintained a process for tracking, investigating and reporting inquiries and cases. Provided privacy-consulting services to support BCBSF’s business activities. Developed and deployed a robust education program regarding federal and state privacy regulation. Maintained privacy and HIPAA/HITECH helplines for BCBSF members and employees. Addressed and resolved issues pertaining to privacy and Medicare Compliance, regulatory interpretation and the maintenance of an effective Medicare Compliance program.Reviewed and analyzed the privacy team’s activities. Identified the team’s major responsibilities and developed recommendations for dealing with a significant increase in workload. Implemented several ideas to redistribute the workload (e.g. reassigning responsibility for the policy committee.) Developed and implemented a monthly reporting process that tied the privacy team’s activities back to BEIC’s goals and objectives, reviewed and revised his team’s MBO templates so they would support the monthly reporting process. Led the prep for the HIPAA privacy section of the IT compliance program workshops. Presented the HIPAA privacy/HITECH sections at the IT workshop and presented on HIPAA privacy/HITECH (both sessions) at the annual SDLC conference. Supported projects external to BEIC like the internal audit privacy and security risk assessment of Availity and the preparation of a process for the ICD-10 project team to document the due diligence activities of non-impacted areas.

Masters Of Business Administration, Health Services Administration

Bachelors Of Science, Management

Panama City Campus