Day 2 at the new job. I think with a little time, I'll really enjoy working there. I'll be a lot better when I actually know every one's name (I'm always embarrassed when I don't know someone's name I was introduced to. Although meeting 25 people in 20 minutes is a bit overwhelming).
So, yes, I am now an attorney for the state of California. The general mission of our office is to ensure that HMOs licensed (or which are required to be licensed) in the state comply with applicable laws and regulations. For those who may not be familiar, HMOs are Health Maintenance Organizations, which are companies that offer certain health care insurance coverage for their members.
There are several code sections which regulate the way HMOs must operate. Licensing requirements. Grievance procedures. Appeals processes. Accessibility. All sorts of things. So, for example, if the HMO denies coverage for a procedure, the patient can file a grievance. If the patient is not satisfied with the HMOs response, the patient can file a complaint with us. If we examine the facts and the law and determine the HMO violated the law, we can impose penalties.
If I've lost anyone or put them to sleep, sorry! For me, what is exciting is that I will have the opportunity to make sure the HMOs don't wrongly deny people coverage for things they are entitled to. Keep those HMOs in line!
I went to my first meeting today, an "us against them" meeting. People from our department and people from the health plan. I came out of the meeting all fired up. My boss said she'll assign this one to me. It's something I can get behind and feel good about.
Oh, and no, they don't know I'm pregnant. Lots of time to go before I need to say anything. And time to make sure everything stays on course.
But it's good to be part of a team again.
2 months ago