Brenda Kiner

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Chief Executive Officer

PIERCE COUNTY AIDS FOUNDATION

Oct 2023 - Jan 2024 (4 months)

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Chief Administrative Officer

Jan 2023 - Jun 2023 (6 months)

PCAF is dedicated to assisting people living with HIV to meet their needs for food, housing, healthcare and personal support. PCAF provides personalized case management services to people living with HIV and extensive outreach/education/prevention programming to help stop the spread of HIV and combat HIV related stigma. • Responsible for the risk remediation and stabilization of Pierce County AIDS Foundation P&L and grant funding. • Designed a comprehensive network of health and wellness services for all people living with HIV. • Led the development and implementation of 340B Program and Q-Care Partnerships in Pierce County. • Partnered with the Board of Directors to rebrand PCAF Healthcare Access, Ending the Epidemic Strategies, and Cr

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Vice President Operation

HealthHelp, a WNS Company

Jan 2021 - Jan 2022 (1 year 1 month)

HealthHelp is a utilization management partner that collaborates with health plan leaders and providers to improve care and realize sustained cost savings. HealthHelp's specialty benefits management programs include Cardiology, Radiology, Oncology, Musculoskeletal, and Sleep Care. • Provided operational oversight, change management, and transformation efforts for Clinical and non-Clinical Call Center and Utilization • Responsible for WNS Global Call Center Operations in the United States, India, and the Philippines. • Managed the execution of member and provider strategies to drive the growth and retention of resources on/offshore. • Spearheaded large-scale projects and contributed to the maturation of the operational processes and cro

Advising Manager, DSNP/RX Compliance and UAT Innovation

CVS Caremark

Jan 2014 - Jan 2016 (2 years 1 month)

CVS Caremark is a pharmacy benefit manager dedicated to helping each of our 103 million members on a path to better health by getting them the prescriptions they need at an affordable cost. • Managed Enterprise UAT and service delivery for Caremark Enterprise Enrollment, Premium Billing, Claims Payment, and Fulfillment Systems • Deployed 580 IT Projects with a 100% On-Time Completion Rate (OCR) to production with zero defects. • Developed an E2E System monitoring process that allowed for continuous monitoring of data flowing between core applications.

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BU Market Leader – Medicare Operations

Blue Shield Blue Cross of Michigan

Jan 2005 - Jan 2011 (6 years 1 month)

Michigan Blue Cross and Michigan Blue Shield is the largest health insurer in Michigan. A nonprofit mutual insurance company founded in 1939 currently serves 3.9 million people locally and 1.3 million more nationwide. • Provided strategic direction and oversight of the Medicare information security and enterprise risk management (ERM) functions, including all activities related to the development, maintenance, and adherence to policies and procedures. • Managed the implementation of administrative and technical controls to maintain the privacy, security, integrity, and availability of data and information systems. • Fostered compliance with state and federal laws and regulations related to privacy, information security, and ERM. • Led

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Chief Operation Officer – Contract Position

Groupement des Mousquetaires

DES serves more than 2 million members by helping eligible members reach their full potential through temporary assistance for those in need and care for the vulnerable. The Division of Development Disabilities (DDD) is a unique organization in that it serves dual functions. • Accountable for successfully developing and implementing Risk Remediation efforts for AZ Medicaid Managed Care Organization (MCO). • Provide executive oversight of Arizona Long Term Care System (ALTCS) and Division of Developmental Disabilities P&L and achievement on return on investment.

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Head of Member/Provider Experience

Versant Health

Serving more than 38 million members nationwide, Versant Health is the nation's leading managed vision care company. • Oversaw all aspects of member and provider touch operations and downstream areas, including Provider Relations, Provider Contracting, Provider Engagement, Provider Pandemic Stabilization, Shared Services, Workforce Management, Provider and Member Call Center Operations, Vendor Contract Implementation, and Performance Management. • Forecasted and planned task volumes to ensure necessary staffing levels to support call volume demands and P&L aligned financially.

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Sr. Compliance Reimbursement IT Consultant (Medicare and Medicaid

Express Scripts

Express Scripts is a pharmacy benefit management (PBM) company serving more than 100 million Americans. • Implemented enterprise automation efforts to pay and reconcile high-dollar pharmaceutical claims. Responsible for UAT testing of RX adjudication rules and validation of post-payment integrity.

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Sr Director Operations – Dual Population (Medicare/Medicaid)

Centene Corporation

• Interim Vice President, Medicaid Operations • Director, Medicare Advantage, Dual Population, and DSNP Claims Operations Centene Corporation, a Fortune 25 company, is a leading multi-national healthcare enterprise that is committed to helping people live healthier lives. The largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. • Managed day-to-day oversight of Medicare and Medicaid Member Call Center, Enrollment, and Payment Integrity Operations. • Accountable for state, federal, and health plan compliance and key performance indicators for AZ, CA, ID, IL, MI, MD, NY, OH, SC, TX, and WA. • Oversaw Provider Retention, Provider Data Configuration, and

Brenda Kiner

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Brenda's behavioral traits
Brenda's likely patterns of behavior, thought, values, and emotion. Based on the HEXACO model, OCP instrument, and Torre’s own research.