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Steven Anderson
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Consulting director at Optum
United States
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- SPrinciple ConsultantSAPTM Consulting Inc.Jan 2019 - Current (7 years 10 months)- Full risk transformation service line development for provider organizations
- Pharmacy Benefit management Analytics strategy (Provider perspective)
- Medicare Advantage/Supplement Prescription Drug Plan implementation - DDirector, Optum Advisory ServicesJan 2011 - Jan 2019 (8 years 1 month)- Established the Hello Medicare Multi-Carrier insurance exchange and managed the Legal Compliance & Regulatory Affairs and Carrier Integration work groups.
- Developed a missing enrollment file detection and audit process for Blue Shield of CA.
- Captured, tracked and reported improvement in application processing, eligibility verification, website and call center performance for Massachusetts Health Insurance Exchange. 
Consulting DirectorUnited HealthcareJan 2006 - Current (20 years 10 months)- Well rounded in many roles across the United Healthcare enterprise including working with the View 360 team, M&R offline and online marketing Operations, Compliance and Legal teams
- Extensive Optum Rx/CMS Audit experience leading a team of support teams around formulary management. Background in Fraud Waste & Abuse entails being a trusted advisor for operations teams developing sort term.
- A team leader in the State of MA, VT and HI insurance exchanges, responsible for capturing and reporting performance data to stakeholders, project executives and CMS.- CConsultant, Healthcare ConsultingJan 2005 - Jan 2011 (6 years 1 month)- Sentinel event system implementation.
- Materials management policy optimization for Hospital Sisters Hospitals.
- Healthcare Consulting Practice Development. - DDirector Real Estate Management, OperationsJan 2000 - Jan 2002 (2 years 1 month)- Negotiated leased space with physician tenants of the hospital owned medical office buildings.
- Managed 11 different properties across two hospitals in the same primary service area.
- Put together 40 contract approval term sheets to get into compliance with company policy and Federal law. - OOffice Manager, Primary CareJan 1998 - Jan 2000 (2 years 1 month)Primary Care: 1998.– 2000
• Floating Office Manager for 38 primary care physician offices.
• Implemented Electronic Medical Record, Billing and Scheduling Module.
• Performed operational review and overhaul of underperforming practices.