Experience

Anthem

• Provider Network Manager Sr.

  • Sep 2011 - Present

  Support and lead the overall growth of Medicare Advantage and navigates viable opportunities for solution implementations and partnerships. Communicates and implements the organizations vision, mission, and overall direction for network strategy. Leads, guides, directs and evaluates all the market needs for Medicare in the central region. Support sales team in recruiting providers based on leads provided. Lead expansion meetings and oversee special projects while working with senior… Support and lead the overall growth of Medicare Advantage and navigates viable opportunities for solution implementations and partnerships. Communicates and implements the organizations vision, mission, and overall direction for network strategy. Leads, guides, directs and evaluates all the market needs for Medicare in the central region. Support sales team in recruiting providers based on leads provided. Lead expansion meetings and oversee special projects while working with senior leaders. Assist with creating and communicating value based contracting strategy with market leaders. Show more Show less



Principal Financial Group

• Provider Relations Representative

  • Mar 2009 - May 2010

  Recruit, negotiate and contract providers. Review contract language and claims to determine accurate pricing. Audit provider data and work internally to ensure data is loaded correctly. Worked closely with sales and marketing to ensure we have a viable network.



Tennessee Retina

• Medical Office Manager

  • May 2008 - Jan 2009

  Manage, lead and support all areas of a multi-location physician practice. Manage and negotiate all provider contracts for the practice. Recruit, interview, and hire for all areas. Process A/R reports and procedure analysis reports for board members. Create policies and procedures for all departments. Manage payroll, payables and accounts receivable. Assist the CEO and board of directors as needed.



HCA Healthcare

• Payment Resolution Manager

  • Dec 2003 - May 2008

  Managed a staff of 17 underpayment analysts and 2 team leaders who research payment discrepancies based on contract terms. Mentored, developed, and trained staff. Created monthly financial reports and presented to stakeholders.