Description
PROFESSIONAL SUMMARY Health insurance professional who is experienced in working with managed care organizations and integrated health care systems, developing solutions to manage and reduce risks, increase business opportunities, capabilities, operational efficiencies, value and revenue, serving both private and public sectors. Proven success in contract negotiations, network development, provider/broker/client relations and program administration/operations. SKILLSDetail Oriented, Sound Decision Maker * Highly Effective Negotiator * Knowledge of Commercial and Government Health Insurance Programs (Medicaid and Medicare) * Ability to Manage and Effectively Coach Staff * Strong Ability to Work Cross-Functionally * Plan, Develop and Implement Process Improvement * Quality improvement competency AND ACCOMPLISHMENTS
Work Experience
| COMPANY | POSITION HELD | DATES WORKED |
|---|---|---|
| Contracting Centene Corporation (Mpc) | Manager | 7/2017 - 4/2018 |
| Aetna | Network Manager Contract Negotiator | 7/2013 - 7/2017 |
Accomplishments
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