Experience

Care Connectors Medical Group

• United States
• Medical Practices
• 1 - 100 Employee

• Director of Network Management

  • Oct 2018 - Present

  -Establish & Manage multiple client accounts - Serve as a liaison between clients, providers and the organization - Manage & oversee operations, coordination, and special projects within entire organization. -Serve as a thought partner to the CEO and help to resolve strategic and structural issues facing the organization, and to ensure business and staff challenges are dealt with in an effective manner. -Coordinate division and departmental actions to continually improve employee engagement. -Manage & oversee HR related duties, notices and changes. -Engage with the Executive Leadership team on key Operations initiatives and challenges -Manage employees across the nation - Manage HEDIS, AWV related services in multiple states - Establish and manage the medical mobile unit services for vaccination, HEDIS and AWVs. - Create and Manage provider contracting. - Manage provider networks. - Responsible for monitoring success of member scheduling and engagement. - Establish marketing campaigns. - Responsible for overseeing hiring for the organization. - Serve as a resource to all within the organization for unlimited support to projects, plans and challenges. Show less



Advantmed

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director of Network Management

  • May 2017 - Sep 2018

  Developing prospecting plans for accounts. Executing on plans of engagement and outreach on a provider and member level. Working closely with sales reps to develop presentation materials, account & market research documentation, and other sales support activities. Maintaining and establishing a network of providers. Developing prospecting plans for accounts. Executing on plans of engagement and outreach on a provider and member level. Working closely with sales reps to develop presentation materials, account & market research documentation, and other sales support activities. Maintaining and establishing a network of providers.



SIERRA MEDICAL GROUP

• United States
• Medical Practices

• Director of Network Management

  • Sep 2015 - May 2017

  Responsible for network growth and development, Physician employment, recruitment and contract negotiations. Monitor operational, fiscal performance and contractual compliance. Experience in ACO, Exclusive agreements, Employment, Specialist and Primary Care agreements. Responsible for network growth and development, Physician employment, recruitment and contract negotiations. Monitor operational, fiscal performance and contractual compliance. Experience in ACO, Exclusive agreements, Employment, Specialist and Primary Care agreements.



Regal Medical Group

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Senior Network Manager/Contracting

  • Mar 2004 - 2015

  Responsible for network growth and development, physician recruitment and contract negotiations. Monitor operational, fiscal performance and contractual compliance. Experience in ACO, Exclusive agreements, Specialist and Primary Care agreements. Physician relationships in the San Fernando Valley, Santa Clarita, Los Angeles, South Orange County and Long Beach. Responsible for network growth and development, physician recruitment and contract negotiations. Monitor operational, fiscal performance and contractual compliance. Experience in ACO, Exclusive agreements, Specialist and Primary Care agreements. Physician relationships in the San Fernando Valley, Santa Clarita, Los Angeles, South Orange County and Long Beach.