Claudine Racine-Raymond
Director of Enrollment Operations at Molina Healthcare | New York City Metropolitan Area
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Claudine Racine-Raymond serves as the Senior Director of Regulatory Affairs at MetroPlusHealth, where she leverages her extensive expertise in regulatory compliance and operational management to ensure the organization adheres to both federal and state regulations. With a robust background in Medicare Advantage and a proven track record in managing multi-functional operational areas, Claudine plays a pivotal role in the review, interpretation, and dissemination of new regulatory guidance from New York State agencies and the Centers for Medicare and Medicaid Services (CMS). Her responsibilities encompass not only the analysis of regulatory changes but also the strategic implementation of these changes across the organization.
In her current role, Claudine actively participates in kickoff meetings for regulatory initiatives, collaborating closely with cross-functional teams to ensure seamless integration of compliance measures into MetroPlusHealth’s operations. Her ability to navigate complex regulatory landscapes is complemented by her skills in budget management, forecasting, and healthcare operations, making her an invaluable asset to the organization. Claudine’s commitment to maintaining compliance with HIPAA regulations and her proficiency in managing Medicare Supplements and Prescription Drug Plans further enhance her contributions to MetroPlusHealth’s mission of providing quality healthcare services.
As the healthcare industry continues to evolve, Claudine remains at the forefront of regulatory affairs, driving initiatives that not only meet compliance standards but also promote operational excellence. Her leadership in regulatory affairs not only safeguards the organization against potential risks but also fosters a culture of accountability and transparency within MetroPlusHealth, ultimately benefiting the members they serve.
Director of Enrollment Operations at Molina Healthcare in August 2024 to Present
Senior Director of Regulatory Affairs at MetroPlusHealth in June 2023 to July 2024
Director of Commercial Compliance at EmblemHealth in July 2020 to June 2023
Director of Regulatory Compliance Operations at EmblemHealth in November 2017 to July 2020
Lead Product Regulatory Operations Specialist at EmblemHealth in August 2015 to November 2017
Medicare Enrollment Manager at EmblemHealth in May 2012 to August 2015
Manager of Medicare Billing, Enrollment, and Reconcilation at Horizon Blue Cross Blue Shield of New Jersey in August 2009 to August 2010
Supervisor III of Medicare Billing and Enrollment at Horizon Blue Cross Blue Shield of New Jersey in March 2008 to August 2009
Supervisor II of COBRA Elect at Horizon Blue Cross Blue Shield of New Jersey in June 2007 to March 2008
Business Development Analyst at Guardian Life Insurance Company of America in September 2006 to June 2007
Administrative Supervisor at Lenox Hill Hospital in January 2003 to January 2005
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Teamwork
Performance Appraisal
Regulatory Standards
Supervisory Skills
Government Contracts
Problem Solving
Operations
Internal Audits
Communication
Workload Prioritization
Software Documentation
Process Improvement
Business Process Improvement
Training
Leadership
Analysis
Integration
Management
Performance Management
Call Centers
Team Leadership
Testing
Budgets
Forecasting
Strategic Planning
Customer Satisfaction
Business Development
Enterprise Software
Customer Service
Healthcare
Managed Care
Health Insurance
Medicare
HIPAA
Insurance
Program Management
Healthcare Management
Business Analysis
Healthcare Information Technology
Access
Vendor Management
Employee Benefits
Microsoft Excel
Project Management
Team Building
PBM
Medicare Supplements
Medicare Advantage
Medicare Part D
Medicare Prescription Drug Plans
Medicaid Managed Care
Medicare/Medicaid Reimbursement
Provider Relations
Healthcare Industry
Microsoft Office
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Discover more about Molina HealthcareWhat is Claudine Racine-Raymond email address?
Email Claudine Racine-Raymond at [email protected]. This email is the most updated Claudine Racine-Raymond email found in 2026.
What is Claudine Racine-Raymond phone number?
Claudine Racine-Raymond phone number is +16464477033.
How to contact Claudine Racine-Raymond?
To contact Claudine Racine-Raymond send an email to [email protected]. If you want to call Claudine Racine-Raymond try calling on +16464477033. (updated on October 29, 2024)
What company does Claudine Racine-Raymond work for?
Claudine Racine-Raymond works for Molina Healthcare
What is Claudine Racine-Raymond's role at Molina Healthcare?
Claudine Racine-Raymond is Director of Enrollment Operations
What industry does Claudine Racine-Raymond work in?
Claudine Racine-Raymond works in the Hospitals And Health Care industry.
Claudine Racine-Raymond Email Addresses
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