Nick Watsula
Chief HealthChoices Officer and COO State Contracts
- Role
- Chief Healthchoices Officer and COO State Contracts at UPMC Health Plan
- Location
- Pittsburgh, PA, US
- LinkedIn followers
- 500 followers
About Nick Watsula
Nickalas WatsulaChief Operating Officer State Contracts/ Chief HealthChoices OfficerMedicaid, CHIP, CHC(MLTSS)EXPERIENCEMr. Watsula has a background of over 20 years of experience in both Finance and Healthcare. Mr. Watsula currently holds the title of Chief Operating Officer, State Contracts and Chief HealthChoices Officer at UPMC Health Plan. His responsibilities include, but are not limited to, data and risk adjustment analysis, development of capitation rates, impact of proposed program changes, monitor Health Plan operating performance against best practices, sales and marketing and coordinate and complete all financial requirements and filings as necessary. Previously Mr. Watsula worked as the Executive Director as well as the Manager of Government Programs Financial Reporting and Operations for UPMC Health Plan. This role required maintaining communication between various departments to keep up with policy and CMS/DHS policy change and working with all internal departments to establish benchmarks for managing all aspects of internal department operations. Also responsible for maximizing and implementing all Small Diverse business contracts.Specialties: EDUCATION AND CERTIFICATIONSSaint Vincent College - Finance / AccountingSix Sigma Green BeltUniversity of Pittsburgh / Katz Graduate School of Business AWARDS AND HONORSAward for Commitment and Excellence Service 2001 to 2002Received VIP award from \"Who\'s Who Cambridge\" 2011
Experience
Chief Healthchoices Officer and COO State Contracts
Oct 2023 — Present · Pittsburgh, PA, US
State contracts include Medicaid, CHIP and Community HealthChoices (MLTSS)
Education
Saint Vincent College
Finance/Accounting
1991 — 1995
Skills
- Medicare
- Process Improvement
- Policy
- Program Management
- Healthcare
- Employee Benefits
- Exchange / Marketplace (Obamacare)
- Medicaid
- Managed Care
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