Michael Ruffra

Background

About Michael Ruffra

Accomplished professional with significant experience in business management and strategy, business consulting, operations, and analytics. Customer-focused, consultative, and accountable, with demonstrated effectiveness at engaging and influencing stakeholders at all levels of an organization. Skilled in: Leadership support, relationship management and team building. Strategic business planning and goal setting. Budget development and tracking. Project planning and execution. Business requirements, business analysis, data analysis and systems design. Business Intelligence (BI), Structured Query Language (SQL) and Data Warehousing. Quality Assurance test planning, User Acceptance Testing (UAT) and test execution. Customer communication, training and support. Standard business productivity tools (Outlook, Teams, Word, Excel, Access, PowerPoint, Visio, SharePoint). Health plan domain knowledge: Member Services and Consumer Experience; Membership and Benefits Administration; Claims Operations and Provider Networks; Referrals, Authorizations and Utilization Management; Grievances and Appeals. OIC and CMS regulatory requirements. HEDIS, CAHPS, Medicare 5 Stars.