Gregory Bottiani
Phoenix
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
14
14
years of professional experience
Work History
Health Insurance Specialist
Centers for Medicare and Medicaid Services (CMS)
12.2010 - Current
- Wrote legal responses to Medicare Star Ratings disputes, winning each case, resulting in savings of more than one billion dollars to the government
- Led team that reviews the organizational structure and complex contracting relationships in Medicare Part D applications submitted by insurance companies seeking to offer prescription drug coverage
- Interpreted complex legislative and regulatory language and evaluated the legal risk
- Advised the Division Director, Group Director, and other leadership on operational and legal strategies related to monitoring and oversight of Medicare Advantage (MA) plans and prescription drug plan sponsors
- Coordinated with subject matter experts annually to draft a summary of operational and regulatory requirements for MA organizations and prescription drug plan sponsors to use in preparation for the next calendar year in order to avoid disruption to the Medicare programs
- Applied expert knowledge of the Medicare drug benefit program to the oversight and daily monitoring activities of MA organizations and prescription drug plan sponsors
- Served as an expert on Medicare Part D policies and operational areas to identify, analyze, and resolve issues related to the operation and management of the program
- Oversaw multi-million-dollar projects, provided technical advice, recommendations, and clarification on Statements of Work; ensured that all required items, documentation, data, and reports were submitted as required by the contract, and administered quality assurance of services performed
- Participated in the development of proposals to improve the program and service to Medicare beneficiaries by analyzing issues, papers, interpreting program regulations and sub regulatory guidance, methods and procedures
- Advised the Division Director, Group Director, and other leadership on legal and logistical strategies
- Reviewed and prepared issues and options papers, regulation proposals, subregulatory guidance, and manuals
- Performed tasks associated with compliance activities such as investigating sponsor infractions, writing and issuing notices of non-compliance, warning letters, or corrective action plan requests, making referrals to the Oversight and Accountability Group for intermediate sanctions, civil money penalties, or termination
- Maintained critical documentation on Part D activities such as applications, contracting, and compliance actions
- Established and maintained effective working relationships with colleagues and stakeholders
Education
J.D. -
University of Baltimore School of Law
Baltimore, MD05.2010
B.A. - Jurisprudence
University of Baltimore
Baltimore, MD05.2008
Skills
- Teamwork and team leadership
- Negotiation skills
- Time management
- Interpretation of laws and regulations
- Organization
- Critical thinking
- Legal analysis and writing
- Verbal and written communication
- Microsoft Office Applications
Accomplishments
- Achieved excellent performance rating 13 consecutive years
- Multiple Employee of the Month awards
Activities And Hobbies
- Running
- Hiking
- Watching football
- Cooking
- Reading
Timeline
Health Insurance Specialist
Centers for Medicare and Medicaid Services (CMS)
12.2010 - Current
B.A. - Jurisprudence
University of Baltimore
J.D. -
University of Baltimore School of Law
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