Nadine Conrad Rp Email & Phone Number | Team lead for Medicare Part D Grievance matters for pharmacy benefit management company. *Developed, documented and implemented operating procedures and resource documents *Conducted quality audits to ensure compliance with Medicare guidelines and business expectations. *Monitored department docket for due dates to ensure deadlines are met. *Conducted research on highly sensitive and escalated issues for executive management. *Provided research guidance to team members in order to timely resolve member, pharmacy, plan and client business group escalated issues. *Collaborated and corresponded with internal and external clients and provide status updates. *Prepared reports for client audits; assisted with special projects as needed.*Legal liaison for Ovations Medicare Part D business. *Monitored docketing deadlines of registration filings; assisted outside counsel with policing and watch reports for infringement use of marks and domain names. *Conducted trademark, patent and domain name searches through USPTO website; searched for and purchased available domain names. *Gathered marketing department materials for trademark filings. *Performed legal research on regulatory requirements for business clients and provided written analysis of findings. *Drafted correspondence, memoranda, and reports. *Analyzed issues from a legal risk management perspective. *Reviewed marketing and communication materials to ensure compliance with Medicare guidelines and federal and state regulations. *Prepared formal documents and coordinated approval signatures and filings. *Collaborated with various business units on operational questions and work flows; gathered due diligence documents through research and interaction with various departments. *Participated in plan and Medicare teleconferences and web casts; kept staff attorneys abreast of new regulations and business requirements.Healthcare *Researched various state, county, and city regulations relating to nursing, practice of medicine, and business license requirements. *Communicated daily with city, county and state regulators. *Ensured collaboration agreements and protocols between physicians and nurse practitioners were compliant with medical and nursing board regulations in various states. *Tracked and maintained regulated business and occupational licenses. *Maintained Secretary of State renewal filings; legal department files. *Drafted correspondence, memoranda, and reports; coordinated execution of agreements between contractors, vendors, medical and legal professionals. *Collaborated with legal and operation management teams to ensure compliance with various federal and state regulations in new and existing markets. *Assisted in project implementation and process improvement plans for market development. *Filed corporate reports and annual renewal filings for domestic and foreign qualified entities. *Reviewed credentialing and licensure applications for compliance and consistency.*Initiated and led projects relating to quality improvement and member access and availability standards driven by contracts, community standards, health improvement program components, National Committee for Quality Assurance (NCQA) accreditation standards, and regulatory requirements. *Evaluated, prepared, and maintained policies and procedures for member satisfaction, access and availability standards, and data privacy; maintained policies in Compliance 360. *Collaborated and maintained relationships with interdepartmental employees and external customers on various work projects. *Managed audits for appointment availability and after-hours access standards. *Analyzed member satisfaction survey results and generated reports for measurement purposes. *Monitored projects to ensure compliance with regulatory, accreditation and contractual requirements. *Reviewed, researched and interpreted federal regulations, state statutes, company standards, and NCQA accreditation standards. *Coordinated and scheduled Quality Council presenters; prepared meeting agendas and minutes.Outcome Research and Analysis (ORA)/Research and Prep Team (RPT) *Examined and critiqued various departmental business processes, policies and procedures, and workflow issues including appeals and grievance processes. *Created various workflows to ensure consistency with file reviews. *Formally documented and maintained policies and procedures pursuant to business operations and statutory and regulatory guidelines. *Researched Medicare regulatory requirements and various workgroup projects relating to appeals and grievances. *Participated in process improvement workgroups relating to service, claims processing, and appeals. *Reviewed benefit requests and claims to provide business rationale in support of pre and post service benefit decisions. *Wrote summary briefs on behavioral health service matters for review and advisement by a panel of retired judges pursuant to the behavioral health settlement and operational guidelines. *Monitored regulatory requirements to ensure compliance with benefit decisions. *Assisted with the development of an electronic database to track pre and post service files. *Maintained data integrity of database and prepared monthly reports for executive management. *Coordinated and organized various workflow changes within a rapidly changing environment.Legal Department *Supported litigation/subrogation division of the legal department. *Maintained legal department files and databases. *Assisted with executive secretary functions; recorded and maintained meeting minutes for two internal company boards. *Transcribed dictation. *Docketed hearing deadlines; ensured proper recording and tracking of case files and hearing decisions. *Applied timelines to case files pursuant to behavioral health settlement and operational guidelines. *Devised and facilitated an electronic recording system for tracking litigation files and decisions. *Maintained CLE records for attorneys; arranged travel and completed expense reports.Manage the legal department operations team. Provide paralegal support on corporate governance and employment matters.Primary focus is on employment law, government programs, pharmacy operations support and corporate governance.

Nadine Conrad Rp

Team lead for Medicare Part D Grievance matters for pharmacy benefit management company. *Developed,...
Minneapolis, Minneapolis, United States

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Nadine Conrad Rp’s Email nconrad@primetherapeutics.com

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Nadine Conrad Rp’s Location Minneapolis, Minneapolis, United States

Nadine Conrad Rp’s Current Industry Prime Therapeutics Prime Therapeutics LLC

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Work Experience

Prime Therapeutics

Sr. Legal Administrator

2016-11-01 00:00:00 - Present

Prime Therapeutics LLC

Registered Senior Paralegal

2011-05-01 00:00:00 - Present

Prime Therapeutics, LLC

Team Lead for Medicare Part D Member Research Specialist Team

2008-08-01 00:00:00 - 2010-07-01 00:00:00

UnitedHealth Group

Corporate Paralegal - Healthcare

2008-01-01 00:00:00 - 2008-08-01 00:00:00

MinuteClinic

Corporate Paralegal - Healthcare

2006-05-01 00:00:00 - 2008-01-01 00:00:00

Blue Cross and Blue Shield of Minnesota

Sr. Health Improvement Coordinator

2005-12-01 00:00:00 - 2006-05-01 00:00:00

BlueCross BlueShield of MN

Sr. Paralegal

2002-01-01 00:00:00 - 2005-12-01 00:00:00

BlueCross BlueShield of Minnesota

Legal Secretary

1998-08-01 00:00:00 - 2002-01-01 00:00:00

Skills

No Skills Available

Languages

No Languages Available

FAQ About Nadine Conrad Rp

Nadine Conrad Rp is located at
Minneapolis, Minneapolis, United States

Nadine Conrad Rp is a Team lead for Medicare Part D Grievance matters for pharmacy benefit management company. *Developed, documented and implemented operating procedures and resource documents *Conducted quality audits to ensure compliance with Medicare guidelines and business expectations. *Monitored department docket for due dates to ensure deadlines are met. *Conducted research on highly sensitive and escalated issues for executive management. *Provided research guidance to team members in order to timely resolve member, pharmacy, plan and client business group escalated issues. *Collaborated and corresponded with internal and external clients and provide status updates. *Prepared reports for client audits; assisted with special projects as needed.*Legal liaison for Ovations Medicare Part D business. *Monitored docketing deadlines of registration filings; assisted outside counsel with policing and watch reports for infringement use of marks and domain names. *Conducted trademark, patent and domain name searches through USPTO website; searched for and purchased available domain names. *Gathered marketing department materials for trademark filings. *Performed legal research on regulatory requirements for business clients and provided written analysis of findings. *Drafted correspondence, memoranda, and reports. *Analyzed issues from a legal risk management perspective. *Reviewed marketing and communication materials to ensure compliance with Medicare guidelines and federal and state regulations. *Prepared formal documents and coordinated approval signatures and filings. *Collaborated with various business units on operational questions and work flows; gathered due diligence documents through research and interaction with various departments. *Participated in plan and Medicare teleconferences and web casts; kept staff attorneys abreast of new regulations and business requirements.Healthcare *Researched various state, county, and city regulations relating to nursing, practice of medicine, and business license requirements. *Communicated daily with city, county and state regulators. *Ensured collaboration agreements and protocols between physicians and nurse practitioners were compliant with medical and nursing board regulations in various states. *Tracked and maintained regulated business and occupational licenses. *Maintained Secretary of State renewal filings; legal department files. *Drafted correspondence, memoranda, and reports; coordinated execution of agreements between contractors, vendors, medical and legal professionals. *Collaborated with legal and operation management teams to ensure compliance with various federal and state regulations in new and existing markets. *Assisted in project implementation and process improvement plans for market development. *Filed corporate reports and annual renewal filings for domestic and foreign qualified entities. *Reviewed credentialing and licensure applications for compliance and consistency.*Initiated and led projects relating to quality improvement and member access and availability standards driven by contracts, community standards, health improvement program components, National Committee for Quality Assurance (NCQA) accreditation standards, and regulatory requirements. *Evaluated, prepared, and maintained policies and procedures for member satisfaction, access and availability standards, and data privacy; maintained policies in Compliance 360. *Collaborated and maintained relationships with interdepartmental employees and external customers on various work projects. *Managed audits for appointment availability and after-hours access standards. *Analyzed member satisfaction survey results and generated reports for measurement purposes. *Monitored projects to ensure compliance with regulatory, accreditation and contractual requirements. *Reviewed, researched and interpreted federal regulations, state statutes, company standards, and NCQA accreditation standards. *Coordinated and scheduled Quality Council presenters; prepared meeting agendas and minutes.Outcome Research and Analysis (ORA)/Research and Prep Team (RPT) *Examined and critiqued various departmental business processes, policies and procedures, and workflow issues including appeals and grievance processes. *Created various workflows to ensure consistency with file reviews. *Formally documented and maintained policies and procedures pursuant to business operations and statutory and regulatory guidelines. *Researched Medicare regulatory requirements and various workgroup projects relating to appeals and grievances. *Participated in process improvement workgroups relating to service, claims processing, and appeals. *Reviewed benefit requests and claims to provide business rationale in support of pre and post service benefit decisions. *Wrote summary briefs on behavioral health service matters for review and advisement by a panel of retired judges pursuant to the behavioral health settlement and operational guidelines. *Monitored regulatory requirements to ensure compliance with benefit decisions. *Assisted with the development of an electronic database to track pre and post service files. *Maintained data integrity of database and prepared monthly reports for executive management. *Coordinated and organized various workflow changes within a rapidly changing environment.Legal Department *Supported litigation/subrogation division of the legal department. *Maintained legal department files and databases. *Assisted with executive secretary functions; recorded and maintained meeting minutes for two internal company boards. *Transcribed dictation. *Docketed hearing deadlines; ensured proper recording and tracking of case files and hearing decisions. *Applied timelines to case files pursuant to behavioral health settlement and operational guidelines. *Devised and facilitated an electronic recording system for tracking litigation files and decisions. *Maintained CLE records for attorneys; arranged travel and completed expense reports.Manage the legal department operations team. Provide paralegal support on corporate governance and employment matters.Primary focus is on employment law, government programs, pharmacy operations support and corporate governance.

Nadine Conrad Rp currently works in the Prime Therapeutics | Prime Therapeutics LLC |

No Languages Available

Nadine Conrad Rp has prior
experience in the following industries:
Prime Therapeutics, LLC | UnitedHealth Group | MinuteClinic | Blue Cross and Blue Shield of Minnesota | BlueCross BlueShield of MN | BlueCross BlueShield of Minnesota

Nadine Conrad Rp has the following professional experience:
Prime Therapeutics | Prime Therapeutics LLC | Prime Therapeutics, LLC | UnitedHealth Group | MinuteClinic | Blue Cross and Blue Shield of Minnesota | BlueCross BlueShield of MN | BlueCross BlueShield of Minnesota