Allison H.
Associate Director, Client Implementations at Abarca Health
- Role
- Associate Director, Client Implementations at Abarca Health
- Location
- Dayton, OH, US
- LinkedIn followers
- 500 followers
About Allison H.
Experienced managed care leader with a demonstrated history of working in the health insurance, pharmaceutical, and health care industry. Skilled in managed care operations, NCQA accreditation, health plan regulatory/compliance, PBM implementation and operations, Medicare, Medicaid, Federally-facilitated Exchanges (FFEs), internal/external audit, and employee training. Strong managed care professional with a Bachelor of Science (BSc) focused in Biology.
Experience
Associate Director, Client Implementations
Jun 2023 — Present
Education
Northern Kentucky University
Bachelor of Science (BSc), Biology, General
2006 — 2011
Scott High School
High School Diploma
2002 — 2006
Skills
- Quality Assurance
- U.s. National Committee for Quality Assurance
- Cahps Survey
- Healthcare Effectiveness Data and Information Set (Hedis)
- Hipaa
- Regulatory Affairs
- Health Insurance
- Managed Care
- Utilization Management
- Medicare Star Ratings
- Data Analysis
- Insurance Verification
- Prescription Drugs
- Formulary
- Medicare Part D
- Affordable Care Act
- Pharmacy
- Healthcare Management
- Medicare Advantage
- Medicare
- Employee Training
- Pharmaceutical Industry
- Microsoft Office
- Medicaid
- Third Party Billing
- Prior Authorization
- Pde
- Auditing
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Cdag
- Basic Life Support (Bls)
- Medicare Prescription Drug Plans
- Pharmacy Benefit Management
- Customer Service
- Medicare Supplements
- Healthcare Information Technology (Hit)
- Healthcare
- Commercial Insurance
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