Carol Dixon

Background

About Carol Dixon

4-plus years experience in enrolling and maintaining pharmacy provider enrollments with state Medicaid agencies and Medicare (855b, 855s). Perform the following (not an inclusive list):Responsible for assigned book of business: prepare/submit timely and accurately new provider enrollmentapplications; revalidations; relocations; changes in officers/ownership; and miscellaneous updates to stateMedicaid agencies (SMAs) and CMS, adhering to internal and external regulatory standards. Collaborate regularly with our internal legal partners to ensure compliance with how the business reportsdiscipline/disclosures/adverse actions. Monitor and track all assigned enrollment activities in PAL Business. Follow up extensively with regulatoryagencies regarding submitted work. Inform leadership on any licensing concerns. Conduct Genoa-specific training to OptumRx licensing specialist colleagues, illustrating how the Genoa business is reported to state Medicaid agencies and CMS. Lead the team on submitting to SMAs the correct W9 document for those businesses classified as a Disregarded Entity. Created a tracker to document progress. Created a document for senior legal leadership that explains current and preferred process and issues, along with suggested solutions. Research how Pharmacists-in-Charge enroll as a provider with SMAs (currently six states), presented findings to internal partners and leadership. Submit operation gaps requests when current processes or job aids require correcting or clarification.