Experience

MCMC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Credentialing Manager

  • Nov 2020 - Present

  MCMC offers a full suite of managed care services to the Workers’ Compensation, Group Health, Auto-No Fault and Disability markets. In addition, MCMC also offers managed care services to other entities including the ERISA, FELA, FMLA, General Liability, Longshore and Texas Nonsubscriber markets. MCMC offers a full suite of managed care services to the Workers’ Compensation, Group Health, Auto-No Fault and Disability markets. In addition, MCMC also offers managed care services to other entities including the ERISA, FELA, FMLA, General Liability, Longshore and Texas Nonsubscriber markets.



Sedgwick

• Insurance
• 700 & Above Employee

• Director, Managed Care

  • Sep 2019 - Sep 2021

  Founded in 1969, Sedgwick has grown into a leading global provider of technology-enabled risk, benefits and integrated business solutions with nearly 27,000 colleagues, located across 65 countries.Sedgwick's approach to delivering quality service in areas such as workers’ compensation, liability, property, disability and absence management goes far beyond just managing claims—we aim to simplify the process and reduce complexity, making it easy and effective for everyone involved. Founded in 1969, Sedgwick has grown into a leading global provider of technology-enabled risk, benefits and integrated business solutions with nearly 27,000 colleagues, located across 65 countries.Sedgwick's approach to delivering quality service in areas such as workers’ compensation, liability, property, disability and absence management goes far beyond just managing claims—we aim to simplify the process and reduce complexity, making it easy and effective for everyone involved.



CareWorks Managed Care Services

• Director, Managed Care

  • May 2016 - Sep 2021

  CareWorks Managed Care Services has been a leading national provider of managed care services. We’ve specialized in Workers’ Compensation cost containment since 1985, and our team has the experience and expertise to create and manage custom solutions that deliver cost savings to clients and the appropriate care to injured workers. We have leveraged our experience through innovative services supported by our cutting-edge technology. We provide greater answers and flexibility to our customers while delivering improved outcomes while providing the injured worker the best care possible while controlling medical cost.



MCMC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Manager, Provider Networks

  • Jul 2012 - Apr 2016

  MCMC offers a full suite of managed care services to the Workers’ Compensation, Group Health, Auto-No Fault and Disability markets. In addition, MCMC also offers managed care services to other entities including the ERISA, FELA, FMLA, General Liability, Longshore and Texas Nonsubscriber markets.Responsible for management of managed care networks. This includes overseeing network development initiatives, ensuring network regulatory compliance, and managing provider relationships.

• Reviewer Recruitment Coordinator

  • Jan 2009 - Jun 2012

  MCMC offers a full suite of managed care services to the Workers’ Compensation, Group Health, Auto-No Fault and Disability markets. In addition, MCMC also offers managed care services to other entities including the ERISA, FELA, FMLA, General Liability, Longshore and Texas Nonsubscriber markets.Responsible for recruiting health care professionals for a variety of managed care networks. This includes, qualifying & developing candidates, interviewing, and fee negotiations.