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Michael Fopiano's Email & Phone Number

Health care executive; Experienced operations specialist; Staff optimizer; Innovative problem-solver

Michael Fopiano's Email Addresses

m****[email protected] Personal Email

Michael Fopiano's Phone Numbers

(413) ***-*132 Phone number

Michael Fopiano's Work Experience

Tufts Health Plan

Director, Member and Provider Services

July 2013 to Present

Harvard Pilgrim Health Care

Director, Customer Service

January 2001 to January 2010

New England Memorial Hospital

Assistant Director of Pharmacy

May 1988 to October 1993

Michael Fopiano's Education

Bentley University - McCallum Graduate School of Business

January 1995 to January 1999

Massachusetts College of Pharmacy and Health Sciences

January 1982 to January 1984

Boston College

January 1978 to January 1982

Michael Fopiano's Professional Skills Radar Chart

Based on our findings, Michael Fopiano is ...

Democratic
Communicator
Planners

What's on Michael Fopiano's mind?

Based on our findings, Michael Fopiano is ...

52% Left Brained
48% Right Brained

Michael Fopiano's Estimated Salary Range

About Michael Fopiano's Current Company

Tufts Health Plan

Frequently Asked Questions about Michael Fopiano

What company does Michael Fopiano work for?

Michael Fopiano works for Tufts Health Plan


What is Michael Fopiano's role at Tufts Health Plan?

Michael Fopiano is Director, Member and Provider Services


What is Michael Fopiano's personal email address?

Michael Fopiano's personal email address is m****[email protected]


What is Michael Fopiano's business email address?

Michael Fopiano's business email address is [email protected]***.***


What is Michael Fopiano's Phone Number?

Michael Fopiano's phone (413) ***-*132


What industry does Michael Fopiano work in?

Michael Fopiano works in the Insurance industry.


About Michael Fopiano

đź’Ľ Past Experience

Michael Fopiano is currently a Director, Member and Provider Services at Tufts Health Plan in Watertown, Massachusetts. Operations Manager, Member Services at Harvard Pilgrim Health Care from 1995 to 2001 (6 years). Planned, organized and provided oversight to all operations to two Member Services Call Centers, which received over 750,000 calls annually. Responsible for all long-range and strategic planning; design, development, and implementation of quality improvement initiatives targeted at service improvement; staff productivity, and staff satisfaction. Managed a performance evaluation program that effectively combined qualitative and quantitative measurements for all call center staff members. Pharmacy Program Coordinator at Harvard Pilgrim Health Care from 1993 to 1995 (2 years). Responsible for coordinating the issues surrounding the pharmacy benefit as it pertains to the impact on various departments within Pilgrim Health Care. Developed pharmacy/physician-based specialty reports to promote Preferred Drug List and Formulary to physicians. developed and implemented more restrictive Formulary. Promoted the Preferred Drug List and Formulary within the pharmacy network. Director, Appeals, Grievances & Quality Assurance at Harvard Pilgrim Health Care from December 2010 to July 2013 (2 years 8 months). Oversee the full investigation, documentation, and resolution of member appeals in full compliance with all state, federal, DOL, NCQA, and CMS requirements ensuring the highest possible accreditation results. Promoter of the Preferred Drug List and Formulary within the pharmacy network. Director, Customer Service at Harvard Pilgrim Health Care from 2001 to 2010 (9 years). Led all aspects of customer relationship management for members, employers, brokers, and prospective members by understanding all aspects of service delivery and represented the voice of the customer in all internal activities. Responsible for the formulation of the organization’s near term and long-range customer goals and objectives, and the plans and programs directed toward their achievement. Responsible for all regulatory and NCQA standards for customer service. led operations of more than 140 staff members. Successfully managed annual budget of over $9 million. Also, responsible for developing business plans to support specific strategies and goals to ensure high quality and efficient interactions with members via the telephone, the internet, walk-in and IVR applications that will positively influence membership retention and grow membership. Provided oversight and leadership to contact centers, including performance management, quality management, internal and external communications, and training. Established all policies, procedures, work processes, and governance of departmental operations. Grew and expanded the member service centers into a best-in-class operation by improving access, expanding service channels, and improving member satisfaction. Maintained senior management focus on member service results. Responsible for Alliance relationships with United Health Care & Optum Behavioral Health. Assistant Director of Pharmacy at New England Memorial Hospital from May 1988 to October 1993 (5 years 6 months). Provided oversight of pharmacist assignments, performance evaluations, and recommendations for merit increases and promotions. Coordinated continuing education programs, purchasing and inventory control, Quality Assurance programs. Prepared


🎓 Education

Michael Fopiano has a Bachelor of Science degree in Pharmacy from Massachusetts College of Pharmacy and Health Sciences, which he obtained in 1982. Afterwards, he completed a Master of Business Administration degree from Bentley University in 1995. From there, he continued his education by studying at the McCallum Graduate School of Business at the University of Tennessee in 1999. There, he obtained a Master of Business Administration degree in Business Administration from the University of Tennessee in 1999. Additionally, Fopiano has also completed coursework in addition to his formal education in Biology at Boston College as a B.S. in 1978. In total, Michael Fopiano has completed a total of 36 colleges and universities inside of the United States and outside of the United States.


đź’ˇ Technical & Interpersonal Skills

Michael Fopiano’s work experience has experts in many different areas and it has not been reported that he has any particular specialty. He has worked in many different positions in health care and has plenty of experience withoperated services and problem-solving. Fopiano also has experience with customer service, health care administration, and relationships with other businesses.Michael Fopiano is currently a Director, Member and Provider Services at Tufts Health Plan in Watertown, Massachusetts. He has been responsible for all operations,I assessed and managed the organization’s performance, and led operations of more than 140 staff members. Fopiano has been with Tufts Health Plan for over 10 years, and has been responsible for developing, implementing, and monitoring quality management systems and Quality Assurance programs.Michael Fopiano is also a Pharmacy Program Coordinator at Harvard Pilgrim Health Care from 1993 to 1995. He was also responsible for coordinate the issues surrounding the pharmacy benefit as it pertains to the impact on various departments within Pilgrim Health Care. From 2001 to 2010, he was also responsible for all aspects of customer service, and represented the voice of the customer in all internal activities. He also developed and implemented a more restrictive Formulary, and promoted the Preferred Drug List and Formulary within the pharmacy network.Michael Fopiano is currently a Director, Appeals, Grievances & Quality Assurance at Harvard Pilgrim Health Care from December 2010 to July 2013. He was responsible for the full investigation, documentation, and resolution of member Appeals in full compliance with all state, federal, DOL, NCQA, and CMS requirements ensuring the highest possible accreditation results. Fopiano is also a primary contact for all escalated member issues for all state regulatory agencies, including, MA, ME, and NH Divisions/Bureaus of Insurance. buttocks white


Michael Fopiano’s Personal Email Address, Business Email, and Phone Number

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In a nutshell

Michael Fopiano's Ranking

Ranked #155 out of 3,104 for Director, Member and Provider Services in Massachusetts

Michael Fopiano's Personality Type

Extraversion (E), Sensing (S), Feeling (F), Judging (J)

Average Tenure

2 year(s), 0 month(s)

Michael Fopiano's Willingness to Change Jobs

Unlikely

Likely

Open to opportunity?

There's 72% chance that Michael Fopiano is seeking for new opportunities

Michael Fopiano's Social Media Links

/in/michael-fopiano-6b327528
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