Tom North Email and Phone Number
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As a proven operations leader in the healthcare industry, I know I can bring my excellence in guiding cross-functional teams and providing improvements to benefit your company. Throughout my career, I have proven my ability to provide insight and collaborative direction to senior leadership.I am detail-oriented and goal-focused with the ability to train and mentor employees. I am always assisting with new projects and leading or aiding in change. I enjoy networking with other professionals who share similar passions. Let’s connect.
Welbehealth
View- Website:
- welbehealth.com
- Employees:
- 892
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WelbehealthOrangevale, Ca, Us
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Pm / Consultant - Contract Assignment CompletedKaiser Permanente Oct 2023 - Mar 2024Oakland, California, Us -
Director, Client Operations And Services - Resigned After Involuntary Transfer From Molina.Infosys Bpm Jun 2021 - Oct 2021Bengaluru, Karnataka, InOversight of inventory management for multiple Medicaid states in support of primary client, Molina Healthcare. Ensuring all KPIs and compliance and regulatory metrics are met or exceeded. Collaborating with Molina Healthcare in supporting Health Plans. • Analysis of inventory trends to provide optimal client support and develop process improvements.• Automation of manual processes to increase quality and maximize efficiency. -
Director Of Enrollment - Involuntarily Transferred To Infosys Amid Business Remodel.Molina Healthcare Aug 2020 - Jun 2021Long Beach, California, UsDirected Medicaid Enrollment team and responsible for oversight of multiple states. Direct liaison to Health Plan leadership and provided support, feedback, and information as needed. Provided medium to long term strategic planning. Responsible for maintenance and enforcement of policies, standard operating procedures, and regulatory practices. Ensured that all KPIs and compliance and regulatory metrics were met or exceeded.• Led ID Card task force focused on improving quality and performance.• Organized cross-functional teams to ensure issue visibility and awareness.• Served as primary contact for internal/external audits. -
Enrollment/ Eligibility Director - Resigned; Moved To Paradise, Ca To Help Family. Wildfire In 2018.Iehp Jan 2017 - Jun 2017Rancho Cucamonga, Ca, UsFor this company, I directed lean operations and supervised a team of 30. I ensured accuracy and timeliness for dissemination of eligibility data into the IEHP network, internal IEHP systems, and ancillary providers. I regularly monitored enrollment transactions to CMS and ID card printing and mailing, and vendor relationships in cooperation with external vendors. Additionally, I supported eligibility operations.My key contributions follow:● Earned lean bronze certification.● Maintained constant compliance and efficiency during execution of Medi-cal, Medicare, and additional programs.● Developed and implemented strategic process improvements in collaboration with the Chief Operations Officer. -
Enrollment / Eligibility Director - Laid Off (Severance) Due To Corporate Acquisition.Optumrx Mar 2012 - Mar 2016In my last position for this company, I managed two teams with a combined total of 30 employees. I recruited, hired, trained, and mentored three direct reports including two Managers and a Senior Project Coordinator. Additionally, I oversaw a budget of $2.2M and ensured compliance with company guidelines. I collaborated with stakeholders to drive revenue and resolve issues. I also tracked KPI's, service levels, and operational performance and presented to executive management.My key contributions follow:● Awarded United Health Group Collaboration Cup in July 2013.● Led the largest membership project in company history successfully migrating 14M lives from prior PBM.● Achieved 99%+ accuracy rate and 99%+ clean data files processed within 24 hours after received.● Facilitated 20% one day implementation increase without additional employees.● Accomplished 1.2B eligibility records and 45M Near Real Time (NRT) transactions annually.
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Eligibility ManagerOptumrx Mar 2004 - Feb 2012As Eligibility Manager, I oversaw eligibility operations leading a team of 25 employees. Assisted in audits and SOX/SAS70 compliance activities. I collaborated with Senior Management and Directors to develop processes to for company improvements and increased efficiency. I also hired, trained, and mentored employees. I ensured compliance with HIPPA, ARRA, and additional privacy regulations. I processed 12K enrollment files annually.My key contributions follow:● Earned United/Ovations Public and Social Markets Group Team Innovations Award in July 2007.● Increased the team 400% from five to 25 in eight years.● Developed an automated processing model to support expected 300% client growth within 18 months.● Introduced processes for data encryption.● Spearheaded custom programs for Medicare Part D, DDP, and additional key initiatives.● Maintained over 99% accuracy with more than 98% completed within 24 hours of receipt.
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Eligibility Supervisor / Eligibility LeadOptumrx Dec 1997 - Mar 2004In this position, I led daily operations ensuring accuracy and timeliness for eligibility files. I cooperated with Account Managers to maintain control of client eligibility issues. I also presented operational and implementation status reports to senior management. My key contributions follow:● Performed as primary eligibility expert and key member of new client set-up teams.● Mitigated AS/400 and network issues in collaboration with the IT, system operations, and network teams.
Tom North Skills
Tom North Education Details
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University Of PhoenixBusiness Management
Frequently Asked Questions about Tom North
What company does Tom North work for?
Tom North works for Welbehealth
What is Tom North's role at the current company?
Tom North's current role is Experienced Operations Leader With Extensive Experience In The Health Care Sector.
What is Tom North's email address?
Tom North's email address is no****@****ehp.org
What is Tom North's direct phone number?
Tom North's direct phone number is +171487*****
What schools did Tom North attend?
Tom North attended University Of Phoenix.
What skills is Tom North known for?
Tom North has skills like Management, Team Building, Coaching, Program Management, Pharmacy Benefit Management, Cross Functional Team Leadership, Hipaa, Insurance, Leadership, Medicare, Analysis, Budgets.
Who are Tom North's colleagues?
Tom North's colleagues are Rachel Sawit, Sonya Jones, Michele Liskiewicz, Emily Rounds, Christine Pham, Kathy Andersen Garcia, Mia Lewis.
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