Laura Pratt
St. Paul
Summary
Experienced candidate with extensive knowledge of the health insurance industry, including Medicare Advantage, Medicaid, and Commercial insurance lines. Proven success in product development, market analysis, and product lifecycle management. Utilizes and leads cross-functional collaboration to drive product success and adaptability to changing market needs. Strong understanding of strategic planning and execution to achieve business objectives.
Overview
10
10
years of professional experience
Work History
Product Specialist - Medicare Advantage
UCare
03.2022 - Current
- Lead the annual bid submission UCare’s Medicare Advantage product portfolio.
- Assess and analyze competitive market landscape, and present findings to teams of cross-functional leaders.
- Participate in cross-functional teams that guide development of annual product planning.
- Collaborate with sales, marketing, regulatory, and support teams to ensure materials and campaigns were launched on time.
- Support full product lifecycle, from ideation through post-launch support.
- Develop product documentation to communicate upcoming Medicare plan year changes and new products to internal teams, and external vendor partners.
Admissions Coordinator
Pediatric Home Service
09.2019 - 03.2022
- Obtained insurance coverage for Home Infusion Therapy, Skilled Nursing, Extended Hours Nursing, and Durable Medical Equipment
- Facilitated training for new Admissions Specialists and Admissions Representatives
- Mastered extensive insurance policies for home health services within Minnesota and Wisconsin
Admissions Specialist
Pediatric Home Service
09.2018 - 09.2019
- Submitted and appealed prior authorizations for Home Infusion Therapy, Home Health Nursing, and Durable Medical Equipment
- Conducted daily prior authorization reports for Home Infusion and Home Health Nursing
- Collaborated with internal staff, external referral sources, and families to execute patient intakes
Admissions Representative
Pediatric Home Service
12.2016 - 09.2018
- Coordinated new patient intakes for medically complex children who require Durable Medical services in the home
- Collaborated with coworkers and external referral sources to ensure all patients obtained the equipment and supplies needed upon discharge from the hospital
- Gathered documentation to support the medical necessity of individualized therapy for each patient as needed by insurance and compliance
Service Specialist
Midwest Special Services
09.2015 - 08.2016
- Implemented specified program plans for clients
- Developed and taught weekly fitness programs for clients to achieve program goals
- Established working relationships with clients, case managers, and support teams
Education
Bachelor of Science Degree - Community Health Education
Minnesota State University
Mankato, MN01.2016
Skills
- Product management cycle knowledge and experience
- Verbal and written communication
- Large group presentation experience
- Keen attention to detail
- Critical thinking skills
- Effective analytical and market research
- Product strategy
- Data-driven decision making
- Stakeholder communications
- Interpersonal communication
- Cross functional leadership
Timeline
Product Specialist - Medicare Advantage
UCare
03.2022 - Current
Admissions Coordinator
Pediatric Home Service
09.2019 - 03.2022
Admissions Specialist
Pediatric Home Service
09.2018 - 09.2019
Admissions Representative
Pediatric Home Service
12.2016 - 09.2018
Service Specialist
Midwest Special Services
09.2015 - 08.2016
Bachelor of Science Degree - Community Health Education
Minnesota State University
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