Shawn Tang
Rockville,MD
Summary
Extensive experience in developing and implementing strategic initiatives that enhance portfolio growth. Proven ability to leverage analytical skills to integrate market insights and competitor data, resulting in informed decision-making. Strong track record of driving business growth through effective partnership with health plans.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Strategic Partner, Client Services
UnitedHealth Group
01.2022 - Current
- Work directly with multiple health plans to build and maintain their Level Funded portfolios
- Identify gaps in the Level Funded portfolio based on the market need of each individual health plan
- Partner with Actuary to present plan pricing to inform health plan portfolio decisions
- Train Account Executives on the fundamental components of the Level Funded product
- Maintain Level Funded processes and procedures to ensure they are followed closely while overseeing the process to minimize human error
- Presenting the Level Funded product, including benefits and value adds, to broker partners and health plans alike to ensure a full understanding of the Level Funded offering
- Work and assist on escalated service issues regarding enrollments, claims, and eligibility
- Provide comprehensive training on Level Funded reporting mechanisms such as the monthly employer reports
- Partner with sales leadership to make decisions on level funded operational requirements such as participation, 15-month rate guarantee, chamber affiliations, and more. This requires tracking these decisions from a year-to-year basis.
- Assist Account Executives with the quote to install process of Level funded groups including urgent escalations
Business Development Analyst
UnitedHealth Group
01.2020 - 01.2022
- Support Account Executives with quoting large group new business by submitting RFPs into our internal systems
- Coordinate the new business pre-sale process to maximize efficiency and keep up with the large volume of proposal requests
- Scrub new business documents received from broker partners in order to identify missing information and then obtaining the necessary items to quote
- Work with Account Executives to implement case strategies through both the quoting and underwriting processes
- Maintain a system to track opportunities through both the presale process and occurrence of the sale
- Assist in the post-sale proceedings to ensure that implementation begins smoothly and without delay
- Engage in special projects through reporting mechanisms to ensure the accuracy of the information in our internal systems
Field Account Manager
UnitedHealth Group
01.2019 - 01.2020
- Support Account Executives/RAEs to resolve escalated service issues including enrollment changes, temporary ID card generation, and PCP assignments
- Reconcile enrollment and eligibility differences as well as rate issues with General Agents (GAs) to clear billing discrepancies
- Primarily responsible for SAM Renewal training of GAs and brokers to expedite the plan change process and promote a user friendly system
- Process retro enrollment changes after review of group eligibility to assure compliance with business rules and regulatory guidelines
- Complete policy changes to aid manual file transmission from GAs in order to limit member impact
- Collaborate with operations and network departments to enroll members according to the product design of their selected plans
Account Consultant
UnitedHealth Group
01.2017 - 01.2019
- Support Account Executives/RAEs to resolve escalated service issues including enrollment changes, temporary ID card generation, and PCP assignments
- Reconcile enrollment and eligibility differences as well as rate issues with General Agents (GAs) to clear billing discrepancies
- Primarily responsible for SAM Renewal training of GAs and brokers to expedite the plan change process and promote a user friendly system
- Process retro enrollment changes after review of group eligibility to assure compliance with business rules and regulatory guidelines
- Complete policy changes to aid manual file transmission from GAs in order to limit member impact
- Collaborate with operations and network departments to enroll members according to the product design of their selected plans
Enrollment Specialist
Evergreen Health
01.2015 - 01.2017
- Primarily responsible for all new small group eligibility, including initial group implementation and mid-year contract changes
- Ensure adherence with all state and federal regulations, and internal policies with regards to eligibility determinations at the group and member levels
- Audit enrollment of individual, small group, and large group member demographic and eligibility information to ensure accuracy
- Responsible for internal database updates on the group and member level as well as resolving escalated service issues when members face disruption
- Serve as primary point of contact and provide day-to-day oversight for health plan document fulfillment vendor. Ensure production and delivery standards and deadlines are met for items such as Member ID Cards, Invoices and EOB/EOPs
- Responsible for small and large group monthly premium billing, delinquency and non-payment terminations, and group/member reinstatement requests
- Conduct Individual and Group grace period calculation for monthly invoice generation
- Identify systemic issues and provide impact analysis reporting to internal business units and external vendor partners, minimizing customer impact
- Collaborate with the Sales and Account Management department in all aspects of group invoicing and enrollment procedures
Education
Bachelor of Arts - Political Science, Psychology
University of Maryland, Baltimore County
Baltimore, MDSkills
- Data-driven decision making
- Industry expertise
- Competitive analysis
- Operational efficiency
- Attention to detail
- Effective communication
- Relationship building
- Analytical thinking
Certification
- Collaborative Institutional Training Initiative (CITI) certified (Oct 2014)
- MD General Life, Accident/Health Producer (Aug 2018)
Language
Fluent in Mandarin Chinese
Timeline
Senior Strategic Partner, Client Services
UnitedHealth Group
01.2022 - Current
Business Development Analyst
UnitedHealth Group
01.2020 - 01.2022
Field Account Manager
UnitedHealth Group
01.2019 - 01.2020
Account Consultant
UnitedHealth Group
01.2017 - 01.2019
Enrollment Specialist
Evergreen Health
01.2015 - 01.2017
Bachelor of Arts - Political Science, Psychology
University of Maryland, Baltimore County