BRUCE MATTISON
Hillsboro,OR
Summary
Implementation/Program Manager with extensive experience in Medicare Advantage benefit programs, vendor oversight, and cross-functional program delivery. Skilled in managing end-to-end implementations, optimizing benefit operations, and driving continuous improvement across complex healthcare environments. Strong analytical capabilities with proven success in performance monitoring, SLA management, issue escalation, and operational problem resolution. Adept at collaborating with Clinical, Product, Informatics, Compliance, and other cross-functional teams to deliver scalable, person-focused solutions.
Overview
19
19
years of professional experience
Work History
Medicare Product Implementation Manager II
Regence BlueCross BlueShield of Oregon
Remote
01.2018 - Current
- Manage Medicare product vendor programs, including daily operations, SLA monitoring, escalated member issues, and continuous improvement initiatives.
- Lead end-to-end program implementations, coordinating requirements, timelines, testing, and cross-functional alignment with Pharmacy, Clinical, Product, Informatics, and Compliance teams.
- Serve as Program Manager for the OTC Flex Card program, overseeing vendor performance, issue resolution, and operational optimization.
- Conduct data-driven analysis to validate benefit accuracy across PBP submissions, member materials, and marketing collateral.
- Act as HPMS Super User, supporting Medicare Advantage plan updates, bid submissions, and system troubleshooting.
- Manage PBP configuration including Part D Senior Savings Model, Hospice VBID, and supplemental pharmacy benefits.
- Develop and maintain operational workflows, documentation, and process controls to support program governance and audit readiness.
- Coordinate multi-user PBP database setup and resolve system barriers to ensure accurate pharmacy benefit configuration.
- Perform delegation oversight for Medicare Advantage service areas, ensuring compliance with CMS and BCBS Association standards.
Technical Writer II — Pharmacy Operations
Regence Pharmacy Services
Portland
06.2016 - 01.2018
- Authored Corrective Action Plans (CAPs) using root-cause analysis to address compliance issues, operational gaps, and system defects.
- Developed centralized Pharmacy Operations SOPs, improving governance, accessibility, and cross-team alignment.
- Collaborated with SMEs to create and revise Oversight SOPs, ensuring compliance with CMS, NCQA, and state regulatory requirements.
- Ensured timely updates to Commercial, Exchange, and Medicare Part D pharmacy processes to support audit readiness and operational accuracy.
Medicare Operations Documentation Editor/Author
Regence BlueCross BlueShield of Oregon
07.2013 - 06.2016
- Developed and maintained Medicare Membership Operations policies, procedures, and desk guides, ensuring operational accuracy and compliance.
- Led a cross-functional Quality Assurance team to maintain and enhance the Medicare Membership SharePoint library.
- Administered SharePoint sites for Medicare Operations, supporting documentation governance and operational alignment.
Knowledge Management Editor/Auditor
Regence BlueCross BlueShield of Oregon
03.2007 - 07.2013
- Managed content development for the Member Services Knowledge Management System, supporting operational accuracy and service quality.
- Performed editorial reviews to ensure clarity, consistency, and compliance with KM standards.
- Collaborated with SMEs and Business Process Analysts to create and update operational policies and procedures.
Education
Bachelor of Arts - English – Technical Communication
Boise State University
Boise, ID08.2003
Skills
- Vendor Management & Oversight
- SLA Monitoring & Score carding
- Program & Project Management
- Medicare Advantage & Part D
- CMS, NCQA & Regulatory Compliance
- Issue Escalation & Risk Mitigation
- Process Improvement & Optimization
- Cross-Functional Collaboration
- Operational Governance
- SharePoint Administration
- Vendor dashboards & performance reporting
- Program monitoring & assessment protocols
- Cross-functional facilitation
- Issue triage, prioritization & escalation
- Strong written, verbal & presentation skills
Timeline
Medicare Product Implementation Manager II
Regence BlueCross BlueShield of Oregon
01.2018 - Current
Technical Writer II — Pharmacy Operations
Regence Pharmacy Services
06.2016 - 01.2018
Medicare Operations Documentation Editor/Author
Regence BlueCross BlueShield of Oregon
07.2013 - 06.2016
Knowledge Management Editor/Auditor
Regence BlueCross BlueShield of Oregon
03.2007 - 07.2013
Bachelor of Arts - English – Technical Communication
Boise State University
Personal Information
Title: Pharmacy Operations Program Manager