Todd Turkewitz

Todd Turkewitz

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location of Todd TurkewitzSouth Portland, Maine, United States

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  • Timeline

  • About me

    Health Plan Operations| 25+ years experience in all aspects of plan operations|Dedicated leader inspired by process improvement and collaboration

  • Education

    • Husson College

      -
      Bachelor of Science (BS) Business Administration and Management, General
    • South Portland High School, South Portland, ME

      -
      HS Diploma, Honors
    • Institute for Civic Leadership- ICL Intensive Phi Class

      2013 - 2014
      Leadership
  • Experience

    • Anthem

      Jul 1996 - Jan 2001
      • Team Leader

        Apr 1999 - Jan 2001
      • Quality Improvement Leader

        Sept 1998 - Mar 1999
      • Claims Processor

        Jul 1996 - Sept 1998
    • Anthem

      Feb 2001 - Oct 2011
      • Manager II Customer Service- Dental

        Mar 2008 - Oct 2011
      • Manager II Claims and Customer Service, National Accounts

        May 2005 - Mar 2008
      • Manager I Claims, National Accounts

        Feb 2001 - May 2005
    • Martin's Point Health Care

      Oct 2011 - now

      Leadership oversight of Claims Administration and Health Plan Applications functions. Current and past responsibilities focused around claims management, member and provider call centers, member enrollment, payment integrity and benefit configuration. Plan types include Medicare Advantage, TRICARE and small group employer sponsored plans. Provided interim leadership support to the health plan product team. This team was responsible for product roadmap development, competitive analyses, annual Medicare Advantage bid process and oversight of supplemental benefit vendors. Responsible for all aspects of claims processing including goal setting, coaching, compliance, quality improvement, inventory management and process improvement.

      • Senior Director, Claims and Configuration, Interim

        Sept 2024 - now
      • Director, Health Plan Operations

        Mar 2014 - Sept 2024
      • Director, Health Plan Products Interim

        Dec 2019 - Dec 2021
      • Manager, Claims Administration

        Oct 2011 - Mar 2014
  • Licenses & Certifications