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AGENDA: PRECONFERENCE/DAY I
WEDNESDAY, APRIL 5, 2017
Improving the Member Experience for Star Ratings, Compliance and Retention: Strategies for all Aspects of the Member Lifecycle; From the Sales Encounter to Member Onboarding, Coordinating with the PBM and Providers, Service Model to Cultural Competency and Benefit Designs
Director, Sales and Marketing Services, Gorman Health Group; Former Arizona and Colorado Sales Director, UnitedHeath Group, Denver, CO
Vice President, Operational Performance, Gorman Health Group; Former Director, Product and Regulatory Analysis, Capital BlueCross; Former Director, Compliance, Coventry Health Care, Harrisburg, PA
While at GHG, Julie has helped GHG clients with Implementations, interim Medicare program management, projects on enrollment/disenrollment, recompilation, prescription drug event (PDE), appeals and grievances, and COB/ Medicare Secondary Payer (MSP) for Parts C and D. Julie has also assisted several plans in CMS audit readiness by providing mock audits as well as CMS program audit assistance.
Nilsa Lennig Rudisill
Vice President, Sales and Marketing Services, Gorman Health Group; Former Vice President, Marketing, Arcadian Health Plan, Orlando, FL
Nilsa brings GHG clients over 12 years of marketing experience, driving profitable growth and retention through strategy, marketing, sales, and product development. Nilsa’s areas of expertise include marketing, sales, and marketing compliance for Medicare, Medicaid, and most recently both Federally-Facilitated and State-Based Marketplaces. Prior to becoming Vice president of Sales and Marketing Services, Nilsa worked across GHG’s Compliance and Sales, Marketing, and Strategy practice areas bringing a combination of growth, marketing, sales strategy and compliance expertise to clients throughout the industry.
Prior to joining GHG, Nilsa held various marketing management positions, most recently performing as Vice President of Marketing for a Medicare Advantage Organization, which served both the dual-eligible and Medicare-eligible populations, operating in 15 states and more than 250 counties.
Vice President, Stars, Gorman Health Group; Former Director, Medicare Star Operations, Cigna-HealthSpring; Former Associate Director, Financial/Research Administration, Vanderbilt University Medical Center, Nashville, TN
Melissa has extensive experience developing strategic and tactical solutions to maximize performance on the full spectrum of quality measures. Melissa also has a strong background of building productive partnerships across internal teams and with external vendors to improve performance on clinical, medication, patient survey, and administrative quality measures.
Founder and Executive Chairman, Gorman Health Group; Former Assistant to the Director, Office of Managed Care, Health Care Financing Administration; Former Press Secretary and Staff Director, US Representative John Conyers, Jr. (D-MI), Washington, DC (Moderator)
Prior to founding his own company in 1996, John served as Assistant to the Director of Health Care Financing Administration’s (HCFA) Office of Managed Care, where he provided day-to-day management, and served as the external liaison for the Medicare and Medicaid managed care programs.