Experience

Epilepsy Foundation

• United States
• Non-profit Organizations
• 200 - 300 Employee

• Philanthropic Giving Manager

  • Feb 2023 - Present

  • Independently manage day-to-day functions to support planned gifts, workplace giving, and third-party fundraisers. • Market and promote workplace giving campaigns for the national Epilepsy Foundation and state chapters. • Lead and expand third-party fundraising initiatives to increase donations and program support. • Manage planned giving, stock donations, donor advised funds, and other fundraising avenues for the Epilepsy Foundation. • Independently manage day-to-day functions to support planned gifts, workplace giving, and third-party fundraisers. • Market and promote workplace giving campaigns for the national Epilepsy Foundation and state chapters. • Lead and expand third-party fundraising initiatives to increase donations and program support. • Manage planned giving, stock donations, donor advised funds, and other fundraising avenues for the Epilepsy Foundation.



Allina Health

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

• Contract Manager

  • Aug 2020 - Feb 2023

  • Manage relationship between Allina business units and third-party payers in the coordination of service delivery. • Negotiate terms to support positive performance under total cost of care and other highly collaborative arrangements. • Ensure that payer contract language and terms adhere to all state regulatory and compliance requirements for healthcare administration. • Research emerging trends, evaluate opportunities, and provide recommendations for participation in health plan programs and insurance products. • Organize and lead projects requiring collaboration with other departments, ensure contractual requirements are met (e.g. agreed upon timelines are achieved for payment methodology changes, reporting of clinical and financial data, ensuring operational processes are modified in response to health plan changes). • Develop payer-specific summaries of key goals, issues, and opportunities as inputs to the strategic and tactical planning process. • Monitor payer-specific milestones, deliverables, and timelines, designing processes and solutions to stay on track. • Engage internal operations in payer discussions, meetings; deliver appropriately summarized payer-specific information to enable contract implementation and minimize payment issues. • Direct Contract Consultants in day-to-day claims issue resolution, policy and procedure changes, and management of other operational issues between Allina and the health plans. Show less



Aetna, a CVS Health Company

• United States
• Wellness and Fitness Services
• 700 & Above Employee

• Contract Negotiator

  • Jan 2015 - Jun 2019

  • Developed, maintained, and enhanced partnerships with medical facilities, physicians, and ancillary providers which served as contractual networks of care for members.• Recruited key facilities and specialist physicians to enhance network adequacy and increase medical product offerings. • Exercised tact and maintained professionalism with CEOs, CFOs, consultants and physicians throughout escalated and sensitive negotiations. • Modeled and negotiated contract reimbursements using various methodologies including, Medicare Physician Fee Schedule, DRGs, ASC Groupers, Value Based Contracts and commercial Fee-for-Service rates.• Negotiated contract language with stakeholders to ensure regulatory and administrative obligations were met by all parties. • Coordinated with Legal, Compliance, and Medical Analytics to verify feasibility of contract revisions.• Adhered to all state regulatory and compliance requirements for both commercial products and government programs.• Partnered across the organization to launch new initiatives, identify business goals, and manage program implementation. ▪ Served as a regional lead for multiple, internal workgroups designed to create more efficient processes and reduce operational expenses.• Earned Lean Six Sigma Yellow Belt certification as part of professional development. Show less

• Network Account Manager

  • Sep 2008 - Dec 2014

  • Built and cultivated long-term relationships with key facilities, physicians, and medical stakeholders in multiple states.• Led joint operations meetings with hospital leadership to address contract and claim issues and identify solutions.• Managed and resolved high-level, sensitive, and urgent issues that could not be addressed by internal partners. • Worked with Medical Appeals, Claims, and Legal to facilitate claims reprocessing and address policy issues.• Collaborated with internal business units to share expertise and streamline workflows between departments.• Trained team members on internal systems and led contract integration project for Coventry Health acquisition. • Developed regional guide and implementation process for Medical Rental, Auto, and Worker’s Compensation products. Show less



University of California, Davis

• United States
• Higher Education
• 700 & Above Employee

• MBA Program Manager

  • Oct 2006 - Jun 2008

  ▪ Independently managed the Bay Area MBA Program, consisting of 180 professional MBA students. ▪ Consistently used tact, judgment and professionalism in communications with current MBA students, faculty and prospective MBA candidates. ▪ Advocated high-level student concerns to the Administration and Deans to ensure that issues were addressed; exercised discretion when handling difficult, sensitive or confidential matters. ▪ Designed, edited and distributed promotional materials to MBA students regarding employment opportunities, alumni relations, special engagements, and essential networking events. ▪ Administered a complex MBA interview process and assumed responsibility for all logistics and correspondence during recruitment season. ▪ Supervised student assistants within department, delegated workload and trained them on admissions process. ▪ Acted as primary liaison with the San Ramon Valley Conference Center (SRVCC) to handle all on-site logistics for faculty, students and staff and addressed challenges related to off-site program delivery. Show less



Gallagher

• United States
• Insurance
• 700 & Above Employee

• Marketing Analyst

  • Aug 2004 - Aug 2006

  ▪ Researched, analyzed and negotiated insurance carrier proposals to meet the benefit needs of brokerage clients. ▪ Partnered with brokers and sales representatives to identify and adhere to benefit and budgetary requirements of clients. ▪ Designed comprehensive marketing proposals and generated financial comparisons for client presentations. ▪ Verified accuracy and integrity of insurance carrier contracts, rates and plan designs. ▪ Prepared and presented employee benefit materials for member open enrollment meetings and orientations. ▪ Communicated and adhered to health and welfare benefit regulations for multiple plan designs. Show less



Esurg

• Technology, Information and Internet
• 1 - 100 Employee

• Regional Account Manager

  • Nov 2002 - Jul 2004

  • Partnered with external sales executives to manage regional and national medical supply accounts. • Developed and fostered relationships with hospitals, medical groups, and physicians to grow and retain client base. • Served as a liaison between customers and medical distribution partners to resolve elevated service and delivery issues. • Established internal operating procedures, implemented process improvements, and conducted new employee training. • Partnered with external sales executives to manage regional and national medical supply accounts. • Developed and fostered relationships with hospitals, medical groups, and physicians to grow and retain client base. • Served as a liaison between customers and medical distribution partners to resolve elevated service and delivery issues. • Established internal operating procedures, implemented process improvements, and conducted new employee training.



First Choice Health Network

• Greater Seattle Area

• Client Services Representative

  • Mar 2001 - Oct 2002

  • Worked closely with internal managers and external group administrators to support member insurance carriers while ensuring contract compliance. • Generated GeoAccess reports to analyze network accessibility and adequacy for insured members. • Implemented and managed a new claims invoicing database to identify payment discrepancies and address inefficiencies. • Worked closely with internal managers and external group administrators to support member insurance carriers while ensuring contract compliance. • Generated GeoAccess reports to analyze network accessibility and adequacy for insured members. • Implemented and managed a new claims invoicing database to identify payment discrepancies and address inefficiencies.



First Choice Heath Network

• Greater Seattle Area

• Provider Relations Advocate

  • Jul 2000 - Feb 2001

  ▪ Conducted on-site training for providers and facilities on how to identify and utilize the First Choice Network. ▪ Acted as a liaison between providers and affiliated parties to address contractual questions and resolve complex claims issues. ▪ Adjudicated physician and hospital claims to ensure proper payment was received. ▪ Conducted on-site training for providers and facilities on how to identify and utilize the First Choice Network. ▪ Acted as a liaison between providers and affiliated parties to address contractual questions and resolve complex claims issues. ▪ Adjudicated physician and hospital claims to ensure proper payment was received.