Highly accomplished and results-driven senior-level business leader with an extensive track record of success fostering powerful health care provider relationships and maximizing account performance. Dedicated to delivering the highest caliber services and tools to meet client needs and promote strong client satisfaction. Possess an unwavering commitment to customer service excellence. Excel at building, training, and optimizing the performance of skilled teams that continually exceed expectations. Skilled in collaborating with members across all organizational levels to drive unified strategies to achieve ambitious business and financial objectives. Drive continuous improvement to streamline and enhance processes, increase productivity, and achieve operational excellence.

COMPANY	POSITION HELD	DATES WORKED
Health Care Service Corporation	Senior Manager Of Provider Network Relations	7/2013 - 8/2018

SCHOOL	MAJOR	YEAR	DEGREE
Olivet Nazarene University	Computer Information Systems	1998	Bachelor Degree

TYPE	TITLE	URL	DESCRIPTION
Website	LinkedIn	media url	LinkedIn Profile
Website	Twitter	media url	Personal Twitter

Highlights:

Companies I like:

Centene | UnitedHealthcare | Aetna | Cigna | Humana | Northwestern | Advocate | DuPage Medical Group

Team Leadership
Provider Network Relations
Provider Network Engagement
Healthcare Administration
Customer Service
Team Management
Team Design
Process Improvement
Process Innovation
Business Analyst

• Complaints
• Data Analysis
• Medicare
• Networking
• Coding
• Insurance
• Business Analysis
• Business Analyst
• NPI
• Support
• Mentoring
• Leadership
• Health Care

 After assuming the role of Senior Manager, I directly oversaw a select, high-profile provider relationship portfolio and directly reconciled over $1B in claims payments over 5+ years.  I delivered trainings to transition 20+ large providers from a Fee-to-Service model to a Value-Base Case format.  I crafted a series of new service strategies based on utilizing Salesforce that significantly streamlined service delivery, slashed costs, and improved synergy between the Provider Network and the organization.  Under my leadership, the Provider Network Consultants (PNCs) utilized a series of strategies I developed to resolve and secure over $500M in payments for unpaid claim disputes within the Provider Network.