Accomplished Executive in operations, P&L oversight, sports marketing & purchasing, corporate benefits, and healthcare law. A lean thinker with proven expertise in business/operations planning and data-centric decision making. Unique personalized approach to managing and engaging people, streamlining processes, and triaging operations.
Responsible for establishing corporate responsibility within benefits to show extensive ROI. Assists in collaboration with key stakeholders in complex organizational environments to develop and maintain strategic ERISA plans and contracts. Provides strategic vision, compliance, and operational excellence in oversight of all client's health and welfare benefits. Provides plan document oversight and summary plan description formation to protect the interest of the employer and employee. Manages contract negotiations between the employer and Carrier, ASO, Accountable Care Organizations, Direct Primary Care Physicians, PBM's, TPA's and other third parties. Prevention and investigation of healthcare fraud in both private and government sectors. Provides expert opinions on Labor & Employment and ERISA cases regarding benefits.
Managed health and welfare plans and developed employee wellness programs while managing various vendors. Drafted program financials and policies. Ensured compliance with all benefit programs in accordance with location specific regulatory and legislative requirements; specifically PPACA, ERISA, HIPAA, COBRA, ACA, EEOC. Created the most recognized wellness program in the United States, which was awarded the Healthiest Employer in the US by Fitbit and Springbuk in 2017. The program showed a true ROI reflected in claims, and a cultural shift that aided in the sale of Nutranext to Clorox.
Responsible for building and maintaining relationships with national outdoor retailers to acquire the best products for our client brands, as well as manage and lead a national team of 250 reps.
HIPAA Compliance for Covered Entities
Florida Pre-License Certification (License 2-40)
Certified Outcomes Report Analysis (CORA)
Certified Health Value Professional (Validation Institute)
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