Bailey Forrest Email & Phone Number

Des Moines, Ia, Us

Saint Louis, Mo, Us

Founded an award-winning micro-brewery with three partners.

Indianapolis, Indiana, Us

Indianapolis, Indiana, Us

In this role, I oversee all facets of operations analysis and performance management including non-emergency transportation, Dental, and Vision for all company government businesses. I support market expansion by identifying key opportunities for strategic partnerships both globally and locally.Some key achievements in this role include:• Prevented $100M in potential penalties due to the successful coordination of mitigation responses.• Decreased vendor reporting issues by 204% year on year.• Orchestrated a culture change journey in an effort to empower previously restricted staff.• Directed the development of local programs to implement strategic partnership solutions and grant tactical support to the company Covid-19 steering committee.

I conducted all aspects of provider network strategies including access analysis, network FFS contracting, and provider relations. Established the department's strategic vision, objectives, policies, and procedures to meet company goals as defined by the local plan president and COO. Facilitated newly acquired health plan integration activities including training, assigning work, and managing the performance of staff.Some key accomplishments in this role include:• Administered incremental cost of care initiatives to the value of over $5M.• Effected 2% decrease in Medicaid contractual relativity.• Maximized associate productivity and satisfaction levels by orchestrating organizational rebuild, including the facilitation of career progressions, cross-training, and silo destruction.

Indianapolis, Indiana, Us

In this position, I formed a core contracting strategy which included guidelines for recruiter compensation and coordinated approvals. I partnered with local health plan staff and leadership to design and implement the project plan to mitigate staff resource shortages and undertake logistical challenges. Supported contract negotiations by conducting analyses of and drawing conclusions from market data.Some key accomplishments in this role include:• Directed negotiation procedures with four health systems with an annual spend of $350M within scheduled time constraints for program launch.• Promoted from Provider Network Performance Manager to Director of Network Management.• Devised a tool for directors to submit large files for loading onto tracking system while ensuring suitable formatting and data integrity.• Employed and led external consultants to facilitate network recruitment effort in two states.

London, Gb

Here I performed negotiations with large health systems to execute unit cost management strategies. Evaluated opportunities to expand or change the network to meet the company's goals, including coordinating Medicare service area expansion applications. Managed an extensive portfolio of a multitude of contracts with variable and fixed terms.Some key achievements in this role include:• Promoted from Provider Contracting Specialist to Senior Provider Contracting Specialist in under two years.• Regulated portfolio procedures for contracts comprising over 10,000 providers delivering treatment to Medicare and commercial members.• Steered an effort to accomplish a seven-county and two-county Medicare service area expansion.

• Successfully coordinated Medicare 7 county (2011) and 2 county (2012) service area expansion application• Part of multi-faceted team coordinating Coventry Health Care of Iowa and Nebraska’s Health Care Exchange applications• Continued to maintain provider data management system while transitioning to new role within Coventry• Developing negotiation skills through negotiations over reimbursement terms and contractual obligations with medical providers and certain facility types• Led project to update older facility agreements to current standards

• Designed, built and implemented a system to digitize a manual process for entering, reviewing and loading of new providers to the Coventry network• Following successful implementation and management of provider data management system, rolled out a second system in the Coventry Health Care of Nebraska plan; including planning, build out, training and support• Maintained accurate provider reimbursement based on contractual updates• Researched payment issues to determine cause of inaccurate payment, developed and implemented resolution• Performed quality review of several business areas to ensure data integrity

Bachelor'S Degree, Psychology

Education record