Healthcare Executive@ Optum
Greater Houston
Elizabeth Robinson,MBA
GET FULL PROFILE 
University of Phoenix
Real-Time AI Research
FlashIntel GPT
Tell me more about Elizabeth Robinson,MBA?
FlashIntel GPTElizabeth Robinson,MBA is a highly experienced Healthcare Professional with over 21 years of work experience. She has a strong background in Medicare, managed care, Medicaid, and health insurance. Elizabeth has worked in various roles, including Director of Quality and Compliance Consultant at Optum, Manager of Appeals & Grievances at Memorial Hermann Health System, and Delegation Oversight Analyst at Universal American. She is skilled in risk assessment, policy interpretation, and CMS regulatory requirements. Elizabeth is known for her expertise in business development and has a proven track record in ensuring compliance with regulatory requirements. She is currently based in the United States.
For inquiries about Phone Number and Email, please click here Unlock Contact
Emails and Phone Numbers
About
A proven Healthcare Professional with key operational successes in various areas of Managed Care and Health Insurance. Compliance Specialties: Risk Assessment, First Tier, Downstream & Related Entities' (FDR) Oversight, Policy Interpretation, Procedures Documentation, CMS Regulatory Requirements, CMS Program Audits Preparation & Protocols, Texas Department of Insurance (TDI) Regulatory Requirements, NCQA Credentialing Audit Requirements. Operational Specialties: Business Development Specialties: HSD Tables, Network Development, Start Up Preparation for 3 Healthplans (WellCare ,Memorial Hermann Health Plan & SelectCare of Texas), Appeals & Grievances (Memorial Hermann) Provider Relations Specialties: Contract Negotiations, Provider Retention, Pharmacy Utilization Reporting, Escalated Claims Resolution Credentialing: Medicare ,Medicaid and, Commercial Provider Enrollment, NCQA Requirements, Institutional Providers 2021 Nominee Optum Superhero
...See MoreWork Experience
Healthcare Executive
Director Of Quality
Compliance Consultant
Hospitals and Health Care
Elizabeth Robinson,MBA's Professional Milestones
- Provider Operations Coordinator (2007-08-01~2008-03-01): Streamlined provider operations, reducing downtime and maximizing efficiency for seamless financial reporting.
- Manager Appeals & Griefs (2018-01-01~2018-06-01): Successfully coordinated and orchestrated seamless appeals and grievances for clients, ensuring their privacy and safety.
Education
Business Administration
2002-2004Skill
Medicare
Managed Care
Medicaid
Health Insurance
Provider Relations
Hipaa
Healthcare
Process Improvement
Data Analysis
Health Policy
Network Development
Hmo
Medical Compliance
Training
Credentialing
Contract Negotiation
Insurance
Hospitals
Healthcare Industry
Management
Policy
Healthcare Consulting
Business Process Improvement
U.s. Health Insurance Portability And Accountability Act
Claims Resolution
Claim
Software Documentation
Employee Benefits
Physicians
Analysis
Working With Physicians
Certification
Colleagues
Other Named Elizabeth Robinson,MBA
Frequently asked questions
We found 2 Elizabeth Robinson,MBA's email addresses
We found 2 Elizabeth Robinson,MBA's phone numbers
Elizabeth Robinson,MBA works for Optum
Elizabeth Robinson,MBA's role in Optum is Healthcare Executive
Elizabeth Robinson,MBA works in the industry of Hospitals and Health Care
Elizabeth Robinson,MBA's colleagues are Sumit Vasudeva,Kosala Malshan,David Badea
Elizabeth Robinson,MBA's latest job experience is Healthcare Executive at Optum
Elizabeth Robinson,MBA's latest education in University of Phoenix
