Megan Bickel

Experience

• 

  UnitedHealth Group

  May 2003 - Feb 2017

  • Identify and evaluate instances of adverse customer impact with formularies, prior authorizations, pharmacy benefits, plan programs, and operational structures• Gather and coordinate appropriate company resources to address and resolve issues• Act as a liaison between Plan Administrators and the Pharmacy Benefit Manager• Provide support and relevant information to account managers, customer service leads, and claims supervisors• Contribute to projects as a subject matter expert for the pharmacy benefits of a line of business with both fully insured and alternate funding options• Build pharmacy benefit packages according to plan design • Monitor regulatory compliance activity pertaining to pharmacy mandates• Audit plan structures and coding information for accuracy and consistency Show less  Subject-matter expert for the states in the Northeast and West regions  Resource for other departments within the company for those regions Responsible for regional regulatory requirements pertaining to “network”  Manage large projects across departments, including outside vendors  Coordinate, execute and tabulate various annual customer surveys  Establish relationships with government agencies to facilitate communication between the company and state regulatory monitors Research and provide feedback on insurance law regulations and requirements Assist in the training of new team members Contribute ideas for the organization and management of the workload within the department Track the completion of all projects within the department Show less  Processed and interpreted data to determine appropriate monthly payment for services for all vendors across the country Prepared monthly reports on payments, covered lives, and services rendered Created and maintained a monthly report analyzing the importance and status of hospitals within three-digit zip code areas Sent eligibility information to vendors each month to maintain accurate policy holder information Created and maintained a comprehensive data set to record current status and history of coverage for every three-digit zip code in the country Kept company officers informed of all changes to coverage in every three-digit zip code in the country via maps and database Ran multiple mainframe reports to compile monthly counts of policies Made fee cost forecasts based on previous experience Parceled out collected fees to specific vendors based on policy counts Collected and organized data to establish solid numbers for savings achieved via each vendor Assisted in the planning, preparation and hosting of a three day appreciation event for vendors Analyzed misdirected claim information and relay to appropriate providers for resolution Subcontracted work in claims department to alleviate work load surplus during transition to UnitedHealthcare system Show less

  • Pharmacy Coordinator

    Jun 2015 - Feb 2017

  • Regulatory Affairs Associate

    Dec 2009 - Jun 2015

  • Network Administrator

    May 2003 - Dec 2009
• 

  OneAmerica Financial

  Feb 2017 - now

  • Senior Director

    Sept 2024 - now

  • Director, Product Compliance

    Nov 2020 - Sept 2024

  • Market Conduct Consultant

    Feb 2017 - Oct 2020