Experience

HealthAmerica
• Sr Provider Contract Specialist


Aetna

• United States
• Appliances, Electrical, and Electronics Manufacturing
• 1 - 100 Employee

• Contract Negotiator

  • May 2014 - Present

  Harrisburg, Pennsylvania Area Responsible for re-negotiating or negotiating solo, complex group, hospital-based and large entity physician contracts in support of network quality, availability and financial goals



Coventry HealthAmerica

• Sr. Provider Contract Specialist

  • Sep 2003 - Present

  Harrisburg, Pennsylvania Network Recruiter Renegotiate physician contracts for Commercial insurance plans, Medicare and Medicaid government programs. Service 14 hospital facilties in Central Pennsylvania for all products, Audit contracts and claims, Assist with PA Medicaid network expansion Develop and manage Urgent Care Network Responsible for contract rider renewals and negotiations for Good Samaritian Physician Hospital Organization. Maintain strong relationships with facilities and physician… Show more Network Recruiter Renegotiate physician contracts for Commercial insurance plans, Medicare and Medicaid government programs. Service 14 hospital facilties in Central Pennsylvania for all products, Audit contracts and claims, Assist with PA Medicaid network expansion Develop and manage Urgent Care Network Responsible for contract rider renewals and negotiations for Good Samaritian Physician Hospital Organization. Maintain strong relationships with facilities and physician groups Show less