Karen Longo
Director, Medicare Advantage Operations at Point32Health
- Role
- Director, Medicare Advantage Operations at Point32Health
- Location
- Worcester, MA, US
- LinkedIn followers
- 500 followers
About Karen Longo
An eager entrepreneurial spirit with demonstrated ability to manage from concept to full implementation. Healthcare and insurance professional offering expertise and a proven track record in leadership, strategic planning, business development, marketing, program management, advocacy, continuous improvement and regulatory knowledge across a wide product range including Medicare Advantage, Medicare Part D, PACE (Program of All-inclusive Care for the Elderly), SCO (Senior Care Options), LTSS (Long Term Services and Supports) and commercial managed care programs. Enhanced knowledge of programs for dual eligibles. Dual eligibles are individuals with specialized needs who are eligible for both Medicare and Medicaid. Focused leader and creative problem-solver. Able to consult both internally and externally. Strong relationship manager with internal and external business partners, customers, policy makers and other external constituents.
Experience
Director, Medicare Advantage Operations
May 2017 — Present · Canton, MA, US
Education
University of Massachusetts Lowell
Bachelor of Science (BS), Health Servies Administration
1980 — 1984
Clark University
Master of Health Administration (MHA), Health/Health Care Administration/Management
1988 — 1991
Skills
- Long-Term Care
- Utilization Management
- Provider Relations
- Insurance
- Management
- Program Management
- Claim
- Employee Benefits
- Health Insurance
- Managed Care
- Medicare
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Hipaa
- Nonprofits
- Healthcare Information Technology (Hit)
- Nonprofit Organizations
- Healthcare
- Leadership
- Strategic Planning
- Medicaid
- Healthcare Management
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