Michael Tricomi

Experience

• 

  United Way of New York City

  May 2001 - Dec 2007

  Manager

  Hired as an Administrative Assistant and promoted 3 times during my time with the organization. Primary responsibilities included the disbursement of $6m in Federal and State funding inclusive of auditing funded agencies to ensure adherence to program guidelines. Developed application and scoring process to appropriately allocate $6m in Federal and State funding to 500 community based organizations.Provided day to day support to organizations inclusive of technical and financial training to funded organizations.Maintained database of over 3k sites in order to produce required State reporting.Chaired coalition of community based organizations focused on providing rent and utility assistance to the underserved. Promoted from Program Associate, Executive Assistant and Administrative Assistant Show less

• 

  MJHS Inc/Elderplan Inc

  Dec 2007 - Aug 2014

  Manager, Health Plan Operations

  Worked under the guidance of Vice President, Operations to ensure that health plan operations were running compliantly and efficiently. Acted in Chief of Staff capacity in the Vice President’s absence supporting Claims, Provider Operations, Network and Member Enrollment.Oversaw project recovering $2m in overpaid commissions to 3rd party sales brokers.Directed a staff of 10 whose responsibilities included contracting, project management and analytics.Promoted from Project Manager and Business Analyst for Health System which included experience in system implementations, implementing new lines of business, developing training programs and leading $8m in M&A activities.Additional responsibilities included:Managed strategic projects across the health system including: - Mergers and acquisitions- Software system implementations, including system configuration- Process optimization projects- Establishing industry standard KPIs- Leading cost reduction initiatives- Developing & delivering training programs- Oversight over e-Learning system & Instructional Design including managing vendor relationship and system upgrades- Managed Care Operations (Promoted from Corporate Project Manager) - Work with Claims, Member Operations, Network and Member Services to optimize and streamline health plan operations - Oversight over Sales Compensation processing including supervising Commissions Analyst along with implementing new system - Work closely with Compliance Department to ensure Operational Compliance within industry - Oversee work of Project Manager responsible for performing Network functions for delegated Care Management entities - Manage all phases of operational projects as assigned Show less

• 

  WellPoint

  Aug 2014 - Nov 2014

  Business Consultant

  Hired as team lead to establish project management structure among the business and technical analytic resources supporting Clinical and Customer Service reporting.Implemented processes to track, document and archive reporting requests for designated team.Worked with operational leads to document reporting requirements.

• 

  Centene Corporation

  Dec 2014 - Jan 2022

  Sr. Manager, Markets and Operations

  Recruited to develop a department responsible for operational functions, analysis and product/project management in the New York market. Direct a team of 5 project managers and analysts responsible for supporting operational and project reporting. Lead initiatives to increase revenue and reduce expenses across all products resulting in a $40m turnaround for the market.Oversee initiatives focused on growth such as member retention, provider partnerships and product expansion aimed at achieving 5% growth target.Lead process improvement projects to optimize market operational areas and develop oversight structure to monitor corporate performance.Provide oversight for all operational reporting inclusive of required State reporting and producing and monitoring KPIs for market leadership.Promoted from Manager, Product OperationsAdditional responsibilities include:Government initiatives such as VBP, DSRIP and benefit carve-ins such as Nursing Home and Behavioral HealthLiaison with Shared Services for Customer Service and ClaimsProject Management for operational areas such as Medicaid Disenrollment and CAHPS improvement Show less

• 

  VNS Health

  Jan 2022 - now

  Recruited to consolidate oversight, product and strategy functions for the health plan product portfolio and delegated vendors administering supplemental benefits. Product portfolio consists of Medicare and Medicaid products in New York State inclusive of Dual and Long Term Care populations.Specific focus on growth, long term strategy , P&L management and engagement with Federal and State stakeholders.

  • Vice President, Health Plan Product Management

    Aug 2022 - now

  • Director, Health Plans Product Management

    Jan 2022 - Aug 2022