Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Generic

Bruce Mattison

Vancouver,WA

Summary

Dedicated Implementation Manager with six years of experience in Medicare operations, CMS regulations, and documentation oversight. Seeking to leverage expertise in process improvement, consumer-centric communication, and project management in the role of Pharmacy Consumer Experience Manager.

Overview

17
17
years of professional experience

Work History

Medicare Product Implementation Manager II

Regence BCBS Of Oregon
01.2018 - Current
  • Led Medicare Advantage service area expansions, CMS application processes, and Plan Benefit Package (PBP) setup
  • Served as Health Plan Management System (HPMS) Super User for Medicare Advantage plan updates and bid submissions
  • Coordinated multi-user PBP database setup and resolved system barriers to ensure smooth functionality
  • Oversaw various PBP components, including Part D Senior Savings Model, Hospice VBID, and Supplemental Benefits
  • Ensured accuracy of benefit data in bid submissions, member materials, and marketing collateral
  • Assisted Medicare Operations and Facets configuration with year-over-year changes and new benefit offerings
  • Led multiple Medicare product vendor implementations and documented processes for bid submission optimization.

Technical Writer II

Regence Pharmacy Services
06.2016 - 01.2018
  • Authored Corrective Action Plans (CAPs) based on operational analysis of compliance issues, system problems, gap analysis and remediation
  • Identified Standard Operating Procedures (SOPs) from multiple sources to create central repository for PBM and internal Pharmacy Operations Policy and Procedures
  • Interviewed and collaborated with Subject-Matter Expert (SMEs) to create new Oversight SOPs and revise existing SOPs
  • Ensured Commercial, Exchange, and Medicare Part D Process and Procedures are updated timely and meet with CMS guidance, NCQA, and state regulatory requirements.

Medicare Operations Documentation Editor/Author

Regence BCBS Of Oregon
07.2013 - 06.2016
  • Developed and maintained policies, procedures, and desk guides for Medicare Membership Operations team by interviewing subject-matter experts
  • Lead Quality Assurance (QA) team of subject-matter experts and Business Analysts to create and update content for Medicare Membership SharePoint library
  • Administered SharePoint sites for Medicare Membership Operation teams.

Knowledge Management Editor/Auditor

Regence BCBS Of Oregon
03.2007 - 07.2013
  • Responsible for research, task coordination, development, and maintenance of content for Member Services Knowledge Management System
  • Performed comprehensive editorial on submitted documentation
  • Collaborated with SMEs and Business Process Analysts to create and update policies and procedures for Knowledge Management system.

Education

Bachelor of Arts (BA) - English, Technical Communication

Boise State University
Boise, ID
06.2006

Skills

  • Distilling technical information into consumer-friendly language
  • Exceptional communication skills in writing, editing, presenting, and facilitating
  • Strong organizational and time management skills with high level of autonomy
  • Proven problem-solving ability and project management skills
  • Expertise in health/pharmacy literacy and consumer-focused practices
  • Leadership and interpersonal skills, including vendor relationship management
  • Knowledge of pharmacy products & services, CMS regulations, and healthcare compliance
  • Success in driving innovation and continuous process improvement
  • Proficient in Health Plan Management System (HPMS) and SharePoint administration
  • Demonstrated experience in CMS, state, and federal compliance
  • Excellent

Personal Information

Title: Medicare Product Implementation Manager

Timeline

Medicare Product Implementation Manager II

Regence BCBS Of Oregon
01.2018 - Current

Technical Writer II

Regence Pharmacy Services
06.2016 - 01.2018

Medicare Operations Documentation Editor/Author

Regence BCBS Of Oregon
07.2013 - 06.2016

Knowledge Management Editor/Auditor

Regence BCBS Of Oregon
03.2007 - 07.2013

Bachelor of Arts (BA) - English, Technical Communication

Boise State University
Bruce Mattison