Daniel Barzman
Manvel,TX
Summary
Retired Health Care Executive seeking remote position in Customer Care, Member Services, Concierge Services or Customer Service. Expertise : Medicaid, Medicare, Marketplace, Large and Small Employer Group Coverage. Skills include: Benefits and Eligibility Research, Identifying and explaining Claims and EOBs.
Overview
21
21
years of professional experience
Work History
Chief Compliance Officer
COMMUNITY HEALTH CHOICE/HARRIS HEALTH SYSTEM
Houston, TX.
02.2022
- Health plan (500,000 members) within large health system (10,000 employees)
- Medicaid (Star), CHIP, Marketplace, Medicare Advantage (D-SNP)
- Charged with developing and navigating relationships with government agencies, Executives, employees and customers
Compliance and Privacy Officer
ALTAMED HEALTH NETWORK
03.2021 - 02.2022
- Los Angeles, CA: Health Plan, IPAs, MSOs and FQHCs
- Health Plan, FQHCs, PACE, IPAs, Medical Groups, MSO, Medicaid, Medicare, Duals, Health Equity and Access, Audits, Government Programs
- Comprehensive responsibility for all aspects of Compliance, Risk and Privacy Management, Office Civil Rights, HIPAA, Board presentations, Regulatory Analysis, Ethics
Compliance Consultant
Inovaare Corporation
07.2019 - 02.2021
- End to end Client Compliance Data and Process review
- Health Care Compliance Program Analysis Information Technology and Services
- Health Care Compliance Software Solutions Real Compliance in Real Time
Vice-President Compliance
Molina HealthCare Inc
Long Beach, CA
03.2017 - 06.2019
- Partners with clinical and operational departments to solve complex compliance and business issues.
- Compliance oversight for 4 million Medicaid Members + 1million Marketplace members+100,000 Duals (Medicare/Medicaid-D-SNP, Compliance (Medicaid & Marketplace-ACA) as well as Compliance Officer Medicaid, Marketplace and Civil Rights Coordinator (ACA Section 1557)
Compliance Officer and Associate Vice President
Molina HealthCare, Inc.
LONG BEACH, United States
09.2008 - 10.2017
- 350,000 Medi-Cal members (Sacramento, Los Angeles, Riverside, Inland Empire, San Diego)
Compliance Director
Blue Cross Blue Shield
06.2007 - 08.2008
- Duals (Medicaid/Medicare)
- Medicare & Medicare Part D, of Mass and Compliance Leader for New England Part D consortium of 4 states (Mass, RI, VT, Maine)
Director
Kaiser Foundation Health
Oakland, CA
06.2001 - 06.2007
- KAISER FOUNDATION HEALTH PLAN CA - Based in Pasadena Kaiser Medicare compliance program in CA (600,000 members)
Customer Service Representative
CareAmerica Health Plan
07.1991 - 11.1991
Education
Master of Science - Public Health
UCLA
Los Angeles, CAB.A. -
UCLA
COVID-19 Contact Tracer certificate, Johns Hopkins - undefined
Blumberg School of Public Health
Skills
- Research
- Investigations
- Negotiations
- Benefits Analysis
- MS Office, Outlook, Word, PPT, Excel, Teams,
Affiliations
July 2017 to June 2019 –Member Board of Directors, Molina Healthcare of California
CONFERENCE SPEAKER/LECTURER, 2017 to 2020 - Guest Lecturer Graduate Program California State University, “Quality and Compliance”
2016 and 2017 Guest Lecturer California State University, “Health Care Reform” Medicaid Expansion, ACA, Marketplace
Daniel Barzman Resume 1
Languages
English
Native or Bilingual
Timeline
Chief Compliance Officer
COMMUNITY HEALTH CHOICE/HARRIS HEALTH SYSTEM
02.2022
Compliance and Privacy Officer
ALTAMED HEALTH NETWORK
03.2021 - 02.2022
Compliance Consultant
Inovaare Corporation
07.2019 - 02.2021
Vice-President Compliance
Molina HealthCare Inc
03.2017 - 06.2019
Compliance Officer and Associate Vice President
Molina HealthCare, Inc.
09.2008 - 10.2017
Compliance Director
Blue Cross Blue Shield
06.2007 - 08.2008
Director
Kaiser Foundation Health
06.2001 - 06.2007
Customer Service Representative
CareAmerica Health Plan
07.1991 - 11.1991
Master of Science - Public Health
UCLA
B.A. -
UCLA
COVID-19 Contact Tracer certificate, Johns Hopkins - undefined
Blumberg School of Public Health
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