Amy F. Bradley Email & Phone Number

Jacksonville, Florida, United States

• Establish and maintain contracts for Mobility, Home Modification, Vehicle Modifications, Medical Equipment, Home Health.• Analyze and target services and regions within the network that required expansion.• Cost and price analysis integrated from multiple data sources to review proposed Contractor cost changes and ensure cost containment and high profit margins.• Collaborate closely with leaders reviewing and negotiating contract language to limit company liability.• Cultivate strong relationships with contractors to continue competitive costing and process improvements.• Present process improvement opportunities.• Managing Credentialing and recredentialing of contractors

Jacksonville, Florida, United States

Remote

• Monitor and analyze network for five service lines, driving expansion to assist with provider acceptance and cost-containment opportunities.• Bolster strong written and oral communication skills and accurate data reporting to achieve highly-progressive project implementation. • Develop financial models to evaluate operational efficiencies and strategic cost containment opportunities. • Cultivate an inclusive and diverse environment to grow and develop analytical, communication, and relationship building skills.• Develop and foster an atmosphere of ownership where team members are confident in their decisions and leading of projects.

Jacksonville, Florida, United States (Remote)

• Establish and maintain provider contracts for home health services for Medicaid, Medicare, and Commercial Insurances.• Collaborate closely with legal teams reviewing and negotiating contract language to limit company liability.• Cultivate strong relationships with providers to continue competitive costing and process improvements.

Remote

• Lead the evaluation, training, and development of the company's contract managers and credentialing specialists in network growth, provider credentialing, cost-benefit analysis, and process deployment. • Bolster strong written and oral communication skills and accurate data reporting to achieve highly-progressive project implementation. • Develop financial models to evaluate operational efficiencies and strategic cost containment opportunities. • Monitor, analyze, and review network development and cost containment strategies for five service lines, identifying areas needing expansion and development.• Cultivate an inclusive and diverse environment to grow and develop analytical, communication, and relationship building skills.• Develop and foster an atmosphere of ownership where team members are confident in their decisions and leading of projects.

Remote

• Migrate data and costing structures for clients from four legacy systems to a unified, sophisticated financial and order management platform.• Streamline the migration of costing structures and improve business requirements towards a more compliant and effective system. • Oversee the development of analysis templates to facilitate the ease of collating relevant historical transaction data and regulatory costs. Accountable for providing costing methodologies while covering five service lines that are customizable and adaptable by state. • Prepare in-depth reviews of network utilization changes and develop comprehensive reports on their financial impact for recommendations. • Create and maintain a staffing model for current and projected volume of work and productivity for departmental teams.• Cultivate successful interdepartmental relationships, accommodating provider relations, operations, and finance by reviewing and responding to cost, audit, and ad hoc requests.• Design and implement templates for cost and price analysis integrated from multiple data sources, including spreadsheets and SQL.• Act as subject matter expert to management, peer, and operational departments regarding analysis, system functionality, cost negotiations, and provider relationships.

Remote

• Establish and maintain provider contracts for home health, transportation, language, and durable medical equipment service lines.• Analyze and target services and regions within the network that required expansion.• Utilize Excel templates for cost and price analysis integrated from multiple data sources to review proposed provider cost changes and ensure cost containment and high profit margins.• Collaborate closely with legal teams reviewing and negotiating contract language to limit company liability.• Cultivate strong relationships with providers to continue competitive costing and process improvements.• Present yearly business review of provider spend, referral trends, provider accomplishments and process improvement opportunities.• Review provider claim audits to ensure delivery of goods and services were performed as requested and billing processes were followed as expected

Jacksonville, Florida Area

• Establish and maintain provider contracts for home health providers in states that accounted for 60% of yearly spend.• Target regions within the network that required expansion.• A top performer of new provider network implementation, targeting client needs and white space regions.• Utilize Excel templates for cost and price analysis for proposed cost changes.• Work within an Access database CRM tool to track contracting efforts and credentialing updates for monthly reporting.• Resolution of complaint escalations for provider failures. Reviewing failure trends, offering corrective action plans and continued provider utilization recommendations. • Assist operations with staffing needs when unable to locate providers.