Elaine Young

Experience

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  State Farm Insurance

  Oct 2002 - Mar 2004

  Office Representative

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  Shargel & Co Insurance Services

  May 2004 - Aug 2011

  Account Manager

  Elaine works with both individual and group clients, answering questions and providing support for benefits administrators. She handles the daily administrative exchanges between Shargel and its carriers.

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  EPIC

  Sept 2011 - Jan 2015

  Associate Account Manager

  · Successfully retained 94%+ of my accounts for the past 2 years at EPIC· Managed small to mid size group accounts (50 to 200 lives)· Prepared renewal presentations on Excel· Guide clients through the open enrollment process and provided them with the communication pieces, forms and coordinated with carriers when switching carriers.· Prepared employee benefits guide, wallet cards, Health and Wellness newsletters, and other communication pieces for the clients upon Open Enrollment and throughout the year· Prepared monthly and quarterly reports for self-funded clients. Show less

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  Hays Companies

  Jan 2015 - Apr 2017

  Account Manager

  To provide superior service to all clients to ensure retention. To provide assistance to the other professionals in order to invite new business or retain accounts. Adhere to company service standard and strive for excellence.Coordinates and executes the implementation of new and existing clients:New Client Set-UpMarketing/ basic financial analysisCoverage profilesBenchmarking DataMaintain excellent relationship with carriers and possess ability to resolve issues with them. Assists Account Executive and Producer in preparing requests for proposals and renewals of benefit coverages.Review of contracts, summary plan descriptions, agreements, etc. for accuracy; prepare requests for proposals and renewals of benefit coverage.Prepare and submits client utilization and financial reporting to Consultant and to client.Works with clients and markets to answer questions and resolves issues.Confers with producers to identify, plan, and develop methods and procedures to obtain greater efficiency and effectiveness of benefit programs.Reviews insurance circulars and bulletins to keep current on changes in the industry.Present and attend open enrollment meetings. Show less

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  Office of Compliance and Privacy Affairs

  May 2017 - Sept 2022

  Compliance Data Analyst
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  Office of Managed Care in the San Francisco Health Network

  Nov 2022 - Sept 2023

  City Program Manager

  1. Act as the contract managing lead for negotiating, budgeting, and contracting City Programs that include SF City Option, Healthy San Francisco, and Tertiary Care Programs (City Programs) with San Francisco Health Plan (“Health Plan”), UCSF, and other providers, other ancillary providers and vendors (collectively “Vendors”);2. Serves as the project manager to collaborate across SFHN and with Vendors to lead the implementation of new and amended City Program contracts, including system enhancements and updates based on program policy changes;3. Active work with City Programs staff in OMC and in Health Plan to facilitate, conceptualize, implement, monitor, and improve assigned programs;4. Serve in the principal administrative analyst role to conduct complex data and program analysis that has a substantive impact on the policies, procedures, and operations of SFHN; and5. Serve as the supervisor of the City Programs staff when assigned.· Manage the on-going relationship with City Programs providers and Vendors, identifying and resolving operations issues as they arise;· Serve as the subject matter expert for all assigned City Programs, understanding the pertinent laws, program contract languages, budget, approval process, stakeholders, program policies and procedures, and administrative systems, to provide leadership, guidance and support to business and clinical operations and community partners;Facilitate and/or represent OMC in meetings with third party administrators, advisory groups, community partners, Health Commissioners and Board of Supervisors as needed for City Programs;· Collaborate with various business units· Monitor and continue improving City Programs · Oversee City Programs operations Show less