ALISON HOLLAND
Minneapolis,MN
Summary
Seasoned Medicare Product Leader with 15 years of experience managing diverse Medicare portfolios, including Medicare Advantage and Supplement products. Led cross-functional committees and complex projects, driving strategic planning and operational improvements. Enhanced efficiency and productivity through innovative solutions and collaboration, achieving significant organizational change.
Overview
14
14
years of professional experience
Work History
Manager, Medicare Programs
HealthPartners
Bloomington, MN
01.2017 - Current
- Owned and executed the annual EGWP (Employer Group Waiver Plan) renewal cycle and consistently delivered successful, timely, and error-free systematic set up and benefit execution.
- Directed the end-to-end Plan Benefit Package (PBP) and bid submission process for a complex multi-line portfolio (Medicare Advantage, Cost, EGWP, and EGWP PDP) for over 10 years.
- Managed regulatory compliance for Medicare Supplement, overseeing the monitoring of state regulatory changes and validating the assessment of impact across product operations, benefit set up, claim payment, and member contracts.
- Oversaw Medicare Supplement renewal process, establishing timelines for regulatory submissions and executing member materials to align with Medicare product strategy and sales goals.
- Lead numerous cross-functional teams critical to supporting our product cycle through the planning development, implementation, and renewal phases.
- Bid Work Group - Planning and submission timelines, manage a detailed project plan and documentation, and decision-making to ensure timely CMS approvals for all Medicare plan offerings.
- Directed retiree group renewal, ensuring all materials, websites, forms, and benefits were set up according to each purchaser’s portfolio, facilitating a simpler annual enrollment period and enhancing member experiences.
- ABC Committee & XYZ Committee - Large cross-functional committees focused on coordination of product and regulatory changes (ABC) and implementation of changes (XYZ) across all Medicare products ensuring AEP and 1.1 go-live readiness.
- Served as the Government Programs primary technical expert on Medicare Part C & D regulations, product impact, and plan changes, providing critical guidance to Sales, Contracting, and Operations teams for a shared understanding and accurate setup.
- Direct critical guidance on the impact and implementation of major legislation, including the recent Inflation Reduction Act (IRA) and Part D Benefit Redesign, ensuring accurate understanding and smooth business area integration.
- Analyze complex regulatory guidance to formulate strategic recommendations for Medicare product benefit and plan design adjustments, with an emphasis on benefit structure and accuracy in Bid submissions and carried through to benefit set up.
- Provide strategic direction and oversight for the annual renewal and execution of the Medicare Supplement product portfolio, ensuring alignment with product strategy and renewal initiatives.
- Deliver clear and concise summaries and presentations to my leadership on program status, risks, and effectively negotiate with stakeholders to secure necessary resources for product implementation needs.
- Collaborated with commercial and Medicare sales account teams to manage group and consultant dynamics, effectively communicating regulatory impacts and product changes influencing group product choices and benefit designs.
- Resourceful problem solver recognized by peers and colleagues for delivering effective management of committees, leading people and products through change, connecting dots between projects and teams for smoother and increased efficiency and more time focused on meaningful work.
- Foster team growth through mentorship and goal-setting, empowering my team to manage product plan designs, benefit changes, and marketing materials with high accuracy.
Sr. Coordinator, Medicare Programs
HealthPartners
Bloomington, MN
01.2012 - 01.2017
- Led regulatory review, analysis, and implementation for all Medicare and Part D prescription drug products.
- Coordinated review, process and reporting updates, and submissions for the CMS annual Part C and Part D reporting requirements.
- Maintained Part D reporting policy and procedures, including a comprehensive reporting calendar and work plans that resulted in excellent reporting results year over year.
- Managed retiree group annual benefit updates, GDF readiness, and implementation with claims and business partners.
- Coordinated a leadership committee to drive competitive and strategic changes for Medicare Part D benefits and the Part D formulary.
- Supported retiree group business compliance through material review, documentation, and education.
- Track, summarize, and disseminate CMS communications and guidance to appropriate business areas and support implementation of regulatory changes affecting business areas.
- Provided support and subject matter expertise for Pharmacy Benefit Manager matters and questions.
Education
Bachelor of Science - Health Promotion
University of St. Thomas
St Paul, MNSkills
- Plan benefit design
- Bid submission management
- Cross-functional collaboration
- Medicare regulations
- Regulatory compliance
- Strategic planning
- Operations management
Community Service
St Louis Park Hockey Association, Board Member and Tournament Coordinator, 01/01/24, Present
Timeline
Manager, Medicare Programs
HealthPartners
01.2017 - Current
Sr. Coordinator, Medicare Programs
HealthPartners
01.2012 - 01.2017
Bachelor of Science - Health Promotion
University of St. Thomas