Experience

LA Care Provider

• Hospitals and Health Care
• 1 - 100 Employee

• Account Manager

  • Jul 2014 - Present

  • Responsible for all aspects of the L.A. Care provider contracting and relationship management process, drafting, reviewing, negotiating and implementing phases of contract.• Build nurturing and maintain positive working relationships between L.A. Care and its network.• Maintain an in-depth understanding of L.A. Care’s governing regulations, policies and procedures, operating standards, contracts and provider performance and needs.• Develop and conduct relevant and tailored provider orientation sessions, make educational visits about L.A. Care practices, policies, requirements and work to resolve provider issues.• Monitor and manage network adequacy by assuring appropriate access to service throughout L.A. County to comply with State and Federal requirements.• Responsible for On-boarding training of new contracted providers and ensure accounts maintain appropriate trainings and credentials to care for L.A. Care members.

• Lead Member Relations Navigator

  • Feb 2012 - Jul 2014

• Member Service Health Navigator

  • 2007 - 2012

• Member Services Call Center Supervisor

  • 2004 - 2007

• Member Services Quality Coordinator

  • 2002 - 2004

• Member Services Representive

  • 2000 - 2002