Seeking stable opportunities with ethical healthcare organization offering opportunities for continue professional advancement

COMPANY	POSITION HELD	DATES WORKED
Amerigroup Corporation	Director, National Accounts	6/2007 - 4/2008
Medica Health Plans	Contract Manager	9/2005 - 5/2007
Park Nicollet Health Services	Sr.Contract Systems Analyst	3/2003 - 3/2005
UBH	Credentialing Manager	3/2001 - 3/2002
Centreal Neurology Consultants	Manager, Clinic Operations	1/1997 - 2/2001
Allina Hospital and Clinics	Reimbursement Systems Analyst	4/1992 - 12/1996

SCHOOL	MAJOR	YEAR	DEGREE
Norfolk State University	Revenue Cycle Management	2008	Certification Degree
Kaplan University	Healthcare Management	2006	Certification Degree

Highlights:

Successful revision and enhancement of contracting language, provider requirements, and processes for two provider networks, which resulted in a savings of approximately one million dollars of fraud and abuse within the first six months of incorporating. These revisions and enhancements are currently being utilized in several additional departments as it relates to contracting. Successfully completing system development of Contract Modeling System, utilized for financial forecasting and reporting including Departmental Budgeting and Revenue Enhancement. In collaboration with Finance Manager, creation of financial recovery unit responsible for follow through on unpaid or under paid claims due to noncompliance of contracted payers, which led to the recovery of an additional 2.8 million dollars previously not recovered. Development and Enhancement of Department Policies and Procedures for Credentialing processes leading to reductions in provider application processing time, reduction of external quarterly audits to annual audits resulting in overall provider satisfaction.

Companies I like:

Healthcare, HMO

• Network Development
• Contract Financial Modeling
• Revenue Cycle Management
• Contract Management
• Contract Negotiations