Albert Ramirez work email
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Albert Ramirez personal email
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I am an accomplished and results-oriented health services professional who appreciates the challenge of managing large scale projects. I am effective in working both internally within a highly matrixed environment and externally with health care provider partners to deliver results. I have successfully worked within various health services organizations with an increasing scope of responsibility.Key Competencies: Contract negotiation – hospital, physician group, ancillary servicesHealth care provider network development and managementRelationship managementClient/Account servicesStaff leadership and managementFinancial analysisPopulation health/Value based collaborative careTechnologies:Emptoris, Sharepoint, Microsoft OfficeKey Achievements:Network development lead in support of multiple new product entry into markets leading to 6% -12% plan pricing reductions.Project manager of network configuration and contracting for delivery system alliance joint-venture partnership with a market leading health system.
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Ardent HealthArdent HealthNashville, Tn, Us -
Avp, Payer Strategies, Americas RegionArdent Health Services Oct 2022 - PresentNashville, Tennessee, Us -
Regional Director, Managed Care Services, Americas RegionArdent Health Services Aug 2020 - PresentNashville, Tennessee, UsWorking effectively with America’s Region Joint Venture partners or on my own accord to negotiate payer contracts, monitor contract performance, and to build productive relationships with commercial, Medicare advantage, Medicaid Managed Care, Direct employers and other third-party payers on behalf of the Region hospitals, ASCs, physician groups and other system providers.
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Avp, Provider ContractingCigna Healthcare Aug 2012 - May 2020Bloomfield, Ct, Us• Negotiates provider network contracts with complex physician groups and health systems to achieve competitive discounts, fair market unit costs and network accessibility and to obtain preferred contract structure.• Performs financial analysis of contracts to determine impact on network discounts and unit costs using proprietary analytical tools and data utilization reports.• Developed and implemented market physician network fee-for-service compensation schedules to achieve targeted 5% cost savings and competitive discount targets.• Directed successful value-based, limited physician network development and recruitment and obtained regulatory approval to operate in Austin, Houston and San Antonio markets.• Managed the implementation, operations and network relationship for Cigna’s delivery system alliance joint-venture partnership in Austin, Texas. -
Director, ContractingCigna Healthcare Sep 2005 - Jul 2012Bloomfield, Ct, Us• Executed the initial phase of value-based physician group contracting across all Texas markets within the contract office.• Negotiated hospital and physician group contracts to achieve competitive rates and enhanced network accessibility.• Analyzed the performance of new and renewal contracts and the impact on network discounts and unit costs.
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Contract ManagerCigna Healthcare Jul 2003 - Aug 2005Bloomfield, Ct, Us• Contracted with ancillary service providers and physician groups within budget requirements and adhering to preferred contract terms and conditions.• Performed financial analysis of negotiated contracts.
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Senior Director Of OperationsIntercultural Physicians Network Oct 2002 - Jul 2003• Directed a ten (10) person staff with responsibility for physician and ancillary services provider contracts, provider relations, recruitment and customer service call center operations. • Developed policies for managing physician and ancillary services provider contracts, recruitment and communications.
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Director, Physician ServicesAmcare Health Plans Of Texas Apr 1999 - Sep 2002• Renegotiated physician fee-for-service compensation schedules resulting in over 6% annual savings across Texas markets.• Contracting efforts secured the company’s regulatory approval to operate in the Houston market and CMS license to operate a Medicare+Choice HMO plan in the Houston market.
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Manager, ContractingAetna U.S. Healthcare Dec 1998 - Mar 1999After Aetna U.S. Healthcare acquired NYLCare Health Plans of the Gulf Coast, my role was integrated into an equivalent role with Aetna U.S. Healthcare.
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Manager, ContractingNylcare Health Plan Of The Gulf Coast 1993 - 1998• Recruited physicians and hospitals to expand the company’s provider network throughout Texas and southwestern Louisiana.• Negotiated multi-specialty physician risk-capitation contracts supporting the company’s service area development of the Austin, San Antonio and East Texas markets.
Albert Ramirez Skills
Albert Ramirez Education Details
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University Of HartfordMaster Of Business Administration - Mba -
The University Of Texas At AustinAdvertising
Frequently Asked Questions about Albert Ramirez
What company does Albert Ramirez work for?
Albert Ramirez works for Ardent Health
What is Albert Ramirez's role at the current company?
Albert Ramirez's current role is Ardent Health.
What is Albert Ramirez's email address?
Albert Ramirez's email address is al****@****hoo.com
What schools did Albert Ramirez attend?
Albert Ramirez attended University Of Hartford, The University Of Texas At Austin.
What skills is Albert Ramirez known for?
Albert Ramirez has skills like Managed Care, Medicare, Healthcare, Provider Relations, Healthcare Management, Hipaa, Healthcare Industry, Network Development, Healthcare Consulting, Health Insurance, Physician Relations, Hospitals.
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