Elizabeth Ryder

Experience

• 

  BeneCard PBF

  Jul 2012 - May 2013

  Grievance Coordinator

  - Reviewed consumer claim appeals within the framework of legal contracts and industry standards- Prepared written responses to consumers, accessibly outlining the company's determination

• 

  EmblemHealth

  May 2013 - Oct 2018

  - Managed the company's contractual, financial, and operational relationship with several large NYC health systems- Led the root cause analysis and remediation of systemic issues that resulted in multi-million dollar savings- Designed corrective action plans with attention to efficiency, cost, and impact to business operations- Directed the outcome of long-term systemic initiatives involving collaboration of cross-functional teams and external business partners - Investigated approximately 3,000 consumer complaints filed by New York State regulatory agencies- Composed detailed, formal responses representing the company's financial liability- Analyzed data to determine the underlying cause of performance and systemic issues- Presented findings and recommended corrective action to senior management - Reviewed consumer claim appeals within the framework of legal contracts and industry standards- Prepared written responses to consumers, accessibly outlining the company's determination

  • Contract Administrator

    Aug 2016 - Oct 2018

  • Senior Grievance and Appeals Specialist

    Feb 2014 - Aug 2016

  • Grievance and Appeals Specialist

    May 2013 - Feb 2014
• 

  NCQA

  Oct 2018 - now

  - Collaborates with cross-functional teams to develop, maintain, and grow healthcare accreditation products- Identifies and synthesizes market insights through research, customer interviews, and public comment campaigns to shape actionable product roadmaps and strategies- Creates customer/end-user personas, presentations, and other briefing materials that communicate market problems and opportunities to internal stakeholders (e.g., sales, client management, content development, operations)- Manages the communications and deliverables for a standing committee of industry leaders in healthcare delivery, health insurance, and government regulation Show less

  • Assistant Director of Product Management

    Feb 2023 - now

  • Product Development Manager

    Jun 2021 - now

  • Product Development Analyst

    Oct 2018 - Dec 2021