Ashley M Loggins Email and Phone Number

Acting liaison between Independent Physician Association, Provider community, and health plans-Effectively communicate with Physicians & staff daily, focused on building provider relationships-Perform Quarterly Division meetings for review of financials, quality standards & initiatives-Acting point person for oversight and resolution of Provider claims and billing issuesConduct monthly analysis of Financial & Utilization Data-Review cost performance for Providers & Physician Associations within specialty care divisions-Maintain financial awareness of monthly performance budgets to identify & analyze negative trendsExecute final preparation, distribution, collection, and audit of Performance/Quality Measures-Review/monitor current quality standards to ensure targets are being achieved, including Pay for Performance, Medicare Advantage STARS ratings and ACO Quality standards-Ability to accurately and successfully explain quality standards related to: PQRI, HEDIS, and STARS. Identification and resolution of orientations and training needs-Perform onsite education & support, including assessment of needs & presentation of Provider manuals-Coordinate cross-sectional training for Provider offices related to MA Plans and HIE & ACO productsSupport of provider network-Work to finalize, distribute, and retrieve provider contracts and credentialing information-Promote company initiatives including: Proprietary Medicare Advantage plans, Proprietary Health Information Data Exchange Programs and Pioneer Accountable Care Organization material

Processing and reviewing resumes, as well as interviewed potential candidates. Accurately access skill sets, including communication and interpersonal skills, computer literacy, and dependabilty in order to place an individual in an acceptable position. It was also my responsibility to acquire new clients through phone calls, emails, and personal contact, to promote the business.