Avid Ashtiani
Snohomish,WA
Summary
Health & Benefits Principal Consultant Implementations | Employee Health Benefits | Vendor Management Accomplished leader with expertise in all facets of employee health and welfare plan procurement, implementation and management within high-profile organizations. Skilled in providing strategic leadership of short- and long-term goals through the use of innovative techniques in support of the company’s mission and core values. Adept at implementing new programs, developing professional relationships with various personnel, and proactively identifying growth opportunities. Proficient in problem solving, time management, health plans, and scalable processes.
Overview
18
18
years of professional experience
Work History
Vendor Liaison / Operations Lead
COMMUNITY HEALTH PLAN OF WASHINGTON
- Operated as a lead contact between Community Health Plan of Washington and all third-party vendors on all operational issues
- Efficiently resolved problems including: eligibility, benefit set up, input on, printing, and mailing of CHPW formulary
- Created and documented desk procedures for all claim’s administration processes
- Assisted in the creation of a Corporate Compliance program and the development of the compliance department
- Collaborated with IT department on the development of software configuration for claims coding and payment.
Principal, Health & Benefits Jumbo Accounts
MERCER
01.2006 - Current
- Consult employers with multi-million-dollar health and wellness portfolios in all aspects of their healthcare spend
- Utilize industry and market knowledge to ensure client is at the cutting edge of benefit offerings – from utilization and disease management to wellness and leave programs
- Oversee a team of senior consultants to meet project requirements and changing business needs, including development of tools to plan contingencies and mitigations in response to changing demands
- Serve as the subject matter expert for annual implementation of over 400 medical, dental, and insurance plans for jumbo client
- Manage $3M+ budget for health benefit projects, leading health and benefit procurement activities from strategy to implementation and administration.
Education
Bachelor of Arts in Literature -
University of Oregon
Skills
- Strategic Operations
- Research & Analysis
- Portfolio Management
- Team Leadership
- Program Management
- Accountable Care Organizations
- HMO/PPO/HDHP management
- Telemedicine
- Global benefits
- Vendor Management
- Relationship Development
- Medical/Dental/Welfare/DM&CM
- Vendor RFP and selection
- Advanced understanding of Federal Health Care Reform Legislation
Personal Information
Title: Certified Employee Benefits Specialist - Group Benefits Associate (GBA)
Timeline
Principal, Health & Benefits Jumbo Accounts
MERCER
01.2006 - Current
Vendor Liaison / Operations Lead
COMMUNITY HEALTH PLAN OF WASHINGTON
Bachelor of Arts in Literature -
University of Oregon
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