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Work Background
Kaiser PermanenteConsultant, National Benefit Policy
Nov. 2014Oakland, CADrives the development, design, and implementation of Kaiser Permanente’s national benefit policy portfolio to meet the intent of federal coverage mandates, regulator directives, and business initiatives. Possesses deep subject matter expertise on the preventive services mandate of the Affordable Care Act, providing consult to executive management and business stakeholders on the operational impacts of statutory requirements. Effectively collaborates with key stakeholders across the enterprise to assess clinical, regulatory, financial and operational impacts on benefit policy initiatives for timely decision-making and implementation. Translates plan design strategy and policies into detailed requirements for benefit configuration, with working knowledge and experience with medical coding (HCPCS, CPT, ICD-10). Partners with Health Plan Legal and Regulatory to strategically respond to benefit inquiries and grievances.
Blue Shield of CaliforniaSenior Regulatory Specialist
Aug. 2013 - Oct. 2014San Francisco, CAManaged and prepared regulatory submissions required by the California Department of Managed Health Care and the California Department of Insurance for premier commercial accounts, mergers and acquisitions, and accountable care organization agreements. Prepared documentation and reports after interpretation and evaluation of proposed regulations, advising of the impact such regulations could have on the organization. Maintained regulatory intelligence through continuous monitoring of the health insurance regulatory landscape, identifying risks, mitigation and resolution strategies. Managed the regulatory and legal review of Blue Shield of CA’s marketing materials and publications. Provided leadership and mentorship to other junior regulatory analysts.
California Department of Managed Health CareLaw Clerk
May. 2010 - Dec. 2012Sacramento, CAReviewed legal matters and conducted legal research in connection with the administration and regulation of persons licensed pursuant to the Knox-Keene Health Care Service Plan Act of 1975. Analyzed and advised how the implementation of recently enacted state legislation would impact the Department’s administration and regulation of health care service plans. Drafted legislative analyses for proposed health-care related bills. Drafted legislative proposals on behalf of the Department of Managed Health Care.
California Health Care Foundation State Health Policy OfficeSummer Intern
May. 2009 - Aug. 2009Sacramento, CAAttended Assembly and Senate Committee Hearings at the State Capitol to monitor progress of health care related bills currently before the Legislature. Conducted research on progress of health care regulations under deliberation and up for vote in Department of Managed Health Care.
U.S. Export Assistance Center, U.S. Commercial Service, and U.S. Department of CommerceInternational Trade Specialist
Jul. 2007 - Jan. 2008Sacramento, CAConducted market research of potential export markets, trade regulations and tariffs, and required shipping documentation for regional business. Trained in use of U.S. Commercial Service’s Client Tracking System, a Customer Relationship Management Web-Based Application.
America Abroad MediaResearch Intern
Jan. 2007 - Apr. 2007Washington, District of Columbia, United StatesSupported radio program broadcasts that focused on critical issues in international affairs and U.S. foreign policy by collecting research, analyzing policy issues, and interviewing senior fellows and experts at the Center for Strategic and International Studies
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