Amber Creswick Email & Phone Number

• Responsible for all contracting activities for provider groups and hospitals in the Central Valley region.
• Maintains service orientated and collaborative atmosphere within the department for both internal and external customers.
• Ensure provider contracts are current with regulatory language.
• liaison between internal departments and providers for claim issues, delegation, quality performance, network expansion and retention.
• Adhoc reports for regulatory agencies and internal departments.
• Liaison between Health Net and Cal Viva for Medicaid provider contracts and reporting.

Los Angeles, CA

• Trusted and valuable source of provider language to PNM to ensure provider contracts are provider/plan neutral while maintaining regulatory compliancy and keeping Centene’s core values.
• Liaison between multiple departments to ensure proper approvals are received in a timely manner to quickly execute provider contracts
• Maintaining knowledge in current health trends, policies and legislation
• Organize and oversee provider contracts
• Review/analyze and create language when necessary
• Ensure provider contracts have current language and rates

Los Angeles, CA

• Responsible for reviewing and monitoring policies and procedures to ensure compliance with regulations
• Responsible for the coordination of responses for Corrective Action Plans, inquiries, follow-up and reporting
• Responsible for all tasks and analyses necessary for the preparation and submission of filings to regulatory agencies
• Assists in the preparation of materials and requirements for regulatory audits

Los Angeles, CA

Los Angeles, CA

Los Angeles, CA