Tom Martin

Tom Martin

Tom Martin

Director, Payment Integrity Consulting at UnitedHealth Group

Chair of the Comprehensive Payment Integrity Advisory Board for RISE

Member of the Executive Committee of the RISE Advisory Board

 

Tom served at WellCare Health Plans, Inc. in Tampa, FL as Senior Director of Payment Integrity, overseeing Overpayment Recovery and Pre-Payment Edit inititaives.

Graduating with a BA in Corporate Communication from the College of Charleston in 2001, Tom joined the Japan Exchange & Teaching (JET) Program which landed him in Hyogo Prefecture to teach English communication to senior high school students for 2 years.

This experience sparked a love and respect for teaching and training, but Tom decided an assignment in the States would be more appropriate. From 2003 to 2006, he worked at Ceridian in St. Petersburg, FL as a COBRA & HIPAA Account Manager and a Call Center Supervisor for COBRA participants. From 2006 to 2007, he served as a Business Analyst for Acclaris in Tampa, FL, developing Employee Reimbursement Programs (ERP) that included adoption, fitness, computer, and tuition reimbursement programs along with several FSA plans. In 2007, Tom joined WellCare as Supervisor of Audit reviewing Medicare and Medicaid claims. This lead to several positions at WellCare which included Project Manager and Manager for the Recovery team where he helped uncover overpaid claims that required pursuit and investigation. In the middle of 2010, Tom joined Universal American in Houston, TX as the Director of Cost Containment (CCU) where his experience with overpayments helped grow the unit and added credibility to the overpayment discipline. In 2012, Tom returned to WellCare to serve in his current role as Senior Director.

Tom obtained a MBA from Keller Graduate School of Management and a Masters in Adult Education from the University of South Florida (USF), both while working full time. In 2010, he obtained a PMP certificate and continues to be involved in professional development to refine his skillset


Tags: Tom Martin, UnitedHealth Group, Board

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