Highly organized and experienced managed care business professional with accomplished track record of success in managing the delivery of sound operational and customer service to employer groups, providers, and patients. Experienced in provider network management with network development and expansion, project management and operational expertise in oversight of commercial and government programs including Original Medicare, Medicare Advantage, Medicaid and Worker’s Compensation. Key competencies include: • Program / Project Management and Implementation • Provider Relationships / Contractual Responsibilities • Provider Education / Training/ Communications • Process Improvement / Development • State / National Compliance • ICD 9 / HCC Risk Adjustment Coding • Data Compilation / Analysis • Leadership / Team Collaboration • Credentialing / Re-credentialing • TeleHealth Program Development and Implementation

Highlights:

• Network Operations Management
• Health Plan Network Development and Expansion
• Provider Education and Training
• Provider Communications and Manuals
• Leadership / Team Collaboration
• Credentialing / Re-Credentialing
• Claims Troubleshooting
• TeleHealth Development