Aaron Culp

Working in a Health-related industry with an emphasis on serving providers, members and clients with the State of Alaska. Account Director with 15 years of comprehensive experience overseeing daily operations of Fiscal Agent and O&M services. Hardworking and versatile professional well-versed in executing business strategies, preparing and implementing business plans and overseeing financial performance. Thorough knowledge of market changes and trends paired with strong grasp of corporate finance and performance measures.

• Montana State University, Bachelor of Science in Business, 08/2000, 05/2004, Management option. Completed classes in management, marketing, accounting, finance, statistics and economics.
• Conduent, Executive Account Director, 05/2021, current, Anchorage, AK, Provides Executive Manager support for Conduent over the current contract with the Alaska Department of Health (DOH). Including statement of work, amendments, and new proposals., Executive leadership for management and delivery of the services outlined in the scope of work for DOH., Oversight and governance of the Service Level Agreements, (SLAs) established in the RFP., Provide Executive Manager support for the Hawaii Fiscal Agent and Pharmacy (PBM) services., Responsible for invoicing and accuracy of reporting for monthly payment of O&M services for DOH. Oversight of Hawaii FA and PBM invoicing and monthly payment., Works directly with State Executive leadership team including: Bi-weekly meetings, discussion on new opportunities and technology capabilities, proactive reporting on issues and risks to the Alaska Project., Thorough understanding of Alaska Medicaid policy and regulations from all State agencies including: Health Care Services, Senior Disability Services and Division of Behavioral Health, Proactively communicates potential risk, issues and resolution with our Alaska and Hawaii clients., Strong analytical skill sets and data mining experience, able to understand Medicaid data and assist with weekly, monthly, quarterly, and yearly reporting.
• Conduent, Deputy Account Manager, 10/2012, 05/2021, Anchorage, AK, Assisted with the implementation of the new Health Enterprise System (MMIS) in 2013., Participated as a member of the Certification team and discussions during our CMS walkthrough sessions. This led to CMS approval of the MMIS in 2017., Managed the business analysts’ team; analyze claims issues, business need and technical guidance on ad hoc, claims analysis and reporting., Helped coordinate Fiscal Agent testing for the Tech Stack Upgrade completed in June of 2020., Was lead on the Provider Re-Enrollment project leading up to go live in 2013. Worked closely with State counterparts on reporting and provider communication/training campaigns., Assisted with UAT testing for monthly core code deployments in MMIS., Experience with data analysis, new products in market workplace and implementing Operational projects. Driving efficiency while delivering a strong quality product., Experience with provider association meetings; Tribal Groups and Alaska State Hospital and Nursing Home Association (ASHNHA)., Run daily huddles with management team and business analysts, following up on work assignments, inventory and upcoming pipeline., Assist with communicating network or system triages with support teams., Coordinate meetings and communicate daily with DOH staff, including (Systems, Provider Enrollment, Operations, Finance, Quality Assurance, Program Integrity).
• ACS, Inc. -May 2011 to October 2012, Surveillance and Utilization Review Manager, 05/2011, 10/2012, Anchorage, AK, Manage the Care Management Program where we lock-in recipients with a primary care provider to help manage their healthcare., Use an analytical tool (JSUR) to assist us with our exception processing for both recipients and providers., Assist in recruiting primary care providers for the Care Management Program., Manage a Fraud and Abuse Hotline and take complaints from recipients, providers or anonymous callers., Make recommendations after researching the complaints using our JSUR program, MMIS and EIS systems to the State of Alaska., Initiate provider cases using the JSUR tool and make recommendations to the DOH such as billing issues, desk level audit or Fraud and Abuse referrals., Manage Medical Nurse consultants who complete phase two reviews for Care Management Program and desk level reviews for provider cases., Coordinate meetings and communicate on a daily basis with DOH staff.
• ACS, Inc.-Jan 2010 – May 2011, Provider Services Manager, 01/2010, 05/2011, Anchorage, AK, Manage Provider Inquiry and Member Helpline Call Centers., Communicate and follow up with providers and members on escalated issues with internal and the State of Alaska staff., Manage Fair Hearings Department and communicate requests and scheduling with the State of Alaska., Manage the Appeals Department and communicate First Level Appeal decisions with providers., Manage the Enhanced Provider Specialists (EPS) and coordinate outreach, provider training, special projects and quality assurance through the department., Manage the Provider Enrollment Department., Helped coordinate and implement the Provider Enrollment Web Portal., Coordinate projects through work groups, meetings, and written correspondences., Report performance metrics and analysis with the State of Alaska to meet service level agreements., Coordinated monthly meetings with operations managers at the State of Alaska to improve communication efforts, discuss new issues and develop work plans., Assisted in developing policy and procedures for Appeals, Provider Enrollment, EPS, Recipient Services and Fair Hearings., Preparing and coordinating with management team on the new Enterprise system., Lead team meetings and set performance standards and goals for all the departments., Coordinate with Human Resources on hiring and employee reviews.
• ACS, Inc. -Jan 2009 - December 2009, Project Performance Manager, 01/2009, 12/2009, Anchorage, AK, Manage Training and Publications Department., Coordinate flyers, website maintenance, RA messages, and newsletters., Develop training schedule and coordinate updates to presentation materials with the DOH., Developed outreach and training needs for the provider community., Assisted in creating and developing a Quality Assurance Department., SBU Manager oversight of hourly staff in FEPS system., Privacy Coordinator and direct reporter to the DOH Security on HIPAA violations., Report performance metrics analysis with internal managers and the DOH., Manage administrative staff and develop policy and procedures., Work with management staff on special projects and business needs.