Professional Summary Extensive experience in Network Development and Provider Contracting with Medicare, Medicaid, Commercial and Worker Compensation. Experience includes Senior Leadership roles managing a team between 5-25 people. Considerable success with building providers network in several states by designing, developing and implementing standard contracts to meet industry standards. Key skills include: Provider Relations Business Model Development Develop and Manage Reporting Provider/Hospital Contracting Monitor Financial Contract Impact Develop Processes and Procedures Contract Negotiations Employee Training/Coaching Leadership Assessment/Development Strategic Reimbursement Methods Credentialing Conflict Resolution Career Highlights Provider Coordinator * Manage contract efforts in seven states * Develop network and business strategy to meet Corporate deadlines * Establish and maintain business relationships with Providers and Hospitals * Resolve claims issues and billing concerns for assigned territory Business Development * Implement developing activities for recruiting and contracting * Oversee and conduct provider negotiation of contracts * Develop strategies and methodologies for specific networks * Collaborate with internal departments to recommend improvement opportunities General Management * Managed 25 consultants in seven states to successfully build Provider/Hospital Networks. * Trained and provide orientations * Develop and manage reporting on process successes and failures in contract management system * Draft and revise contracts to support product requirement, language deviations

Highlights:

• Networking
• Medicare
• Behavioral Health
• Billing
• Business Development
• Business Strategies
• Business Strategy
• Coaching
• Compensation
• Contract Negotiations