Javier Paz
Provider Relations at Universal Care- Claim this Profile
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Bio
Experience
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Universal Care
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Provider Relations
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Feb 2018 - Present
Javier maintains working relationships with provider organizations through out the Bay Area. Acts as the company liaison to providers, communicating Brand New Day policies and procedures. Provide provider onboarding and ensure compliance with contracts. Javier maintains working relationships with provider organizations through out the Bay Area. Acts as the company liaison to providers, communicating Brand New Day policies and procedures. Provide provider onboarding and ensure compliance with contracts.
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Verity Medical Inc
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San Jose, CA
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Physician Liaison ~ Provider & Patient Support ~ Relationship Management
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Jun 2014 - Jul 2017
At Verity, Javier resolves a wide range of issues for physicians, insurers, health plan administrators and internal staff. Javier is the key point of contact for providers, helping to guide them in improving systems, resolving disputes, and averting disputes in the future. Among his accomplishments, he brought on 50+ new providers, and streamlined the process of on-boarding more in the future. Provider & Patient Support Conflict Resolution System Management & Improvements Relationship Management Administration Records Management Project Support Process Improvements Show less
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Network Relations Specialist ~ Managed Care Systems ~ Negotiations
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2012 - 2013
Javier drove negotiations in resolving issues for managed care systems and subcontractors. He developed extensive datasets and analysis for stakeholders and acted as the key liaison for payers and providers. Mr. Paz also ensured full coverage of geographies, specialties, and ancillaries. In addition, he contributed key contributions to internal projects that advanced operations, improved efficiency of contract processes, and ensured their integrity through developing improved operating standards and best practices.Managed Care SystemsSystem ImprovementsNegotiationsSOP DevelopmentData Management & AnalysisPayer-Provider Relationship Management Show less
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Administrative Associate III ~ Healthcare Administration ~ System Improvements
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2009 - 2012
Javier provided administration for Healthcare Directors who oversaw the development of a new network of 300+ primary and specialty care physicians. He coordinated meetings for advisory committees, responded to customer inquiries, and worked with cross-functional partners to resolve issues and develop key process improvements. In addition, Mr. Paz took on website development and played a key role as Systems Administrator for electronic authorization processing.Healthcare AdministrationNetwork DevelopmentMeeting CoordinationProcess ImprovementsCross-Functional CoordinationWebsite Development Show less
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Dignity Health Care - Sequoia
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Palo Alto, CA
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Health Information Associate ~ Information Management ~ System Upgrades
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2007 - 2009
Javier managed all health records for a leading physicians network. He oversaw data input, troubleshooting, and training and development of new staff including on HER software. He also developed and improved response to requests by patients and physicians, contributed to numerous projects, and launched the group’s migration to a paperless system. Records Management Database & Systems Upgrades Training & Development Troubleshooting Relationship Management Cross-Functional Communications Show less
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CHW Occupational Health Clinic
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Palo Alto, California
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Patient Access Representative II ~ Patient Relationship Management ~ Information System Upgrades
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2004 - 2007
Javier managed patient relations and took on administrative roles for an operational clinic while serving as case manager for referrals and appointments. He managed scheduling, registering patients, confirming benefits coverage, and helping to implement key system software upgrades to advance information processing. Healthcare Information Management System Upgrades Patient Relations Javier managed patient relations and took on administrative roles for an operational clinic while serving as case manager for referrals and appointments. He managed scheduling, registering patients, confirming benefits coverage, and helping to implement key system software upgrades to advance information processing. Healthcare Information Management System Upgrades Patient Relations
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