Dynamic C.O.O. with a proven track record at Employee Security, Inc./Denta-Chek of MD, Inc., specializing in financial analysis and operations administration. Expert in developing software for medical/dental claims and ensuring regulatory compliance, demonstrating exceptional problem-solving abilities and adaptability. Achieved sustainable profit margins through meticulous financial forecasting and risk management.
Overview
44
44
years of professional experience
Work History
C.O.O.
Employee Security, Inc./Denta-Chek of MD, Inc.
06.1979 - 05.2023
Managed budgets and financial forecasting to ensure fiscal responsibility and maintain profit margins.
Developed all in-house software for company's third party administration of self-funded medical/dental/vision claims, section 125 administration, capitates and dental insurance.
Produced and presented plan performance and renewal reports to clients. Worked with reinsurance companies to provide data and obtain stop-loss insurance quotes. Handled required electronic filings, e.g., CMS Medicare secondary payer reports.
Produced reports and forms for required ACA filings, e.g. 1094/1095 forms.
Handled communications with and monthly remittances with 3rd party vendors, e.g., NCAS, Multiplan/PHCS, Zelos, Hinds Associates, etc.
Produced quarterly and annual statements for Denta-Chek of MD, which was a licensed non-profit health insurance company in Maryland. Filed electronic versions with the NAIC.
Collaborated with legal, accounting and other professional teams to review and maintain compliance with regulations.
Managed financial, operational and human resources to optimize business performance.
Education
Master of Arts - Music Composition
Johns Hopkins University
Baltimore, MD
06-1979
Skills
Production
Technology
Operations administration
Risk Management
Multitasking
Adaptability
Financial Analysis
Problem-solving abilities
General management and administration
Timeline
C.O.O.
Employee Security, Inc./Denta-Chek of MD, Inc.
06.1979 - 05.2023
Master of Arts - Music Composition
Johns Hopkins University
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