Benjamin Paolucci
Operations & Consulting Professional
- Role
- Senior Business Analyst, Central Business Unit (Cbu) at Intermountain Health
- Location
- Detroit, MI, US
- LinkedIn followers
- 500 followers
About Benjamin Paolucci
I\'m an accomplished Operations and Consulting Professional with over 20 years of…
Experience
Senior Business Analyst, Central Business Unit (Cbu)
May 2021 — Present · Las Vegas, NV, US
Directs the successful collection, analysis, and maintenance of health plan and contract data supporting healthcare. Manages HCP contract and plan design initiatives including payor health rules configuration in IDX system. Serves as a TPA for Humana, United Healthcare, and Select Health Commercial and Medicare Advantage Plans. Manages contract data for a physician group with over 1,800 employees, 55 clinics, and 350 affiliated physicians. Delivers comprehensive financial management services to hospitals and health systems as a trusted advisor. Coordinates ad hoc health plan and provider contract policy reviews and identifies opportunities for policy revisions. Responds to requests for policy reviews from other departments and summarizes changes and recommendations. Provides innovative financial solutions and efficiencies to allow clients to focus on providing exceptional patient care.
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