John Steininger
Grosse Pointe,MI
Summary
Multi-talented, highly motivated problem solver with excellent communication, time management and critical thinking skills. Experience functioning at a high level in a leadership role.
Overview
9
9
years of professional experience
Work History
Director, Healthcare Analytics
Molina Healthcare
06.2024 - Current
- Market lead for APM strategy and reporting
- Drove rate advocacy discussions with insightful analysis
- Partnered with clinical and quality leadership to enhance quality and affordability of healthcare delivery
- Manged transition of dozens of reports to Microsoft Azure platform
- Supervised analytics supporting month close activities
- Executed complex and sensitive analysis for RFP activities
Manager, Healthcare Analytics
Molina Healthcare
11.2020 - 06.2024
- Manage various analytic and finance functions for Illinois and Wisconsin markets
- Prepare slide decks for senior leadership detailing monthly financial performance
- Medical cost trend analysis
- Provider incentive and value based reimbursement modeling and negotiation
- Collaborate with corporate partners in establishing forecasts and budgets
Sr. Analyst, Healthcare Analytics
Molina Healthcare
10.2019 - 11.2020
- Value Based Contracting/Reimbursement Analysis
- Revenue Analysis
- Prepare documents and data for monthly financial close
- Tracking and implementing savings initiatives
- Ad-hoc financial analysis
Sr. Financial Analyst - IL Market
Meridian
07.2019 - 10.2019
- Prepare documents and data for monthly financial close
- Facilitate month-end meetings
- Ad-hoc financial analysis-Membership forecasting
- Provide analytics support for actuary team
Payment Integrity Team Lead
Meridian
11.2017 - 07.2019
- Review, implement and maintain payment methodologies for all plans and lines of business.
- Ad-hoc financial analysis including financial impact forecasting for payment methodology updates, provider AR analysis and claims payment reports.
- Create large scale claim audits to ensure payment accuracy and generate savings.
- Participate in UAT and QA testing of updates to the claim processing system.
- Work collaboratively with Optum, 3M and MedAssets for integrated software solutions.
- Provide leadership and guidance for a team of 3 financial analysts.
Claims Team Lead - IL Medicaid
Meridian Health Plan
07.2016 - 07.2017
- Managed time sheets, PTO and evaluated performance (including writing and delivering evaluations) for an hourly staff of 25.
- Facilitated and provided claims support on conference calls with high volume providers.
- Reviewed, interpreted and implemented guidance from HFS and other sources into internal claims policy.
Claims Team Lead - Claim Adjustments
Meridian
07.2017 - 11.2017
- Developed streamlined processes for tracking and executing claims reprocessing.
- Supported MI Medicaid, IL Medicaid, MI HIX and Medicare Advantage plans.
- Provided leadership and guidance for 4 Quality Assurance Auditors, 2 Appeal Coordinators, 2 Refund Specialists, 2 TPL Specialists and 8 Claim Adjustment Examiners.
Claims Examiner
Meridian Health Plan
11.2015 - 6 2016
- Processed claims in accordance with State and Federal regulations
- Provided exceptional customer service for provider claims inquiries
Education
Bachelor of Science - Finance and Risk Management
Northern Michigan University
Marquette2013
Skills
- Month close, budgeting and forecasting
- Power BI, Excel, Powerpoint, Word
- Wide breadth of MCO experience
- SQL Report Development
- Team leadership
- APM Analysis and Contracting
- Strategic planning
- Creativity and innovation
Timeline
Director, Healthcare Analytics
Molina Healthcare
06.2024 - Current
Manager, Healthcare Analytics
Molina Healthcare
11.2020 - 06.2024
Sr. Analyst, Healthcare Analytics
Molina Healthcare
10.2019 - 11.2020
Sr. Financial Analyst - IL Market
Meridian
07.2019 - 10.2019
Payment Integrity Team Lead
Meridian
11.2017 - 07.2019
Claims Team Lead - Claim Adjustments
Meridian
07.2017 - 11.2017
Claims Team Lead - IL Medicaid
Meridian Health Plan
07.2016 - 07.2017
Claims Examiner
Meridian Health Plan
11.2015 - 6 2016
Bachelor of Science - Finance and Risk Management
Northern Michigan University
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