Brian Spangler Email & Phone Number

Lexington, Ky, Us

Plans, directs, and coordinates the managed care policies, goals, and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payer relationship management. Provides strategic leadership, financial and administrative oversight of managed care contracting and operations with commercial, Medicare, and Medicaid managed care payers on behalf of the organization and other related ventures.

Chicago, Illinois, Us

Plans, directs, and coordinates the managed care policies, goals, and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payer relationship management. Provides strategic leadership, financial and administrative oversight of managed care contracting and operations with commercial, Medicare, and Medicaid managed care payers on behalf of the organization and other related ventures.

Bryan, Tx, Us

Plans, directs, and coordinates the managed care policies, goals, and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payer relationship management. Provides strategic leadership, financial and administrative oversight of managed care contracting and operations with commercial, Medicare, and Medicaid managed care payers on behalf of the organization and other related ventures.

Negotiated and managed multi-million dollar tier-one managed care hospital contracts for the state of Kentucky. Lines of business include commercial, Medicare, and Medicaid.

Built custom, narrow hospital, ancillary, and physician networks and negotiated large Chicago-based managed care hosptial contract for large Fortune 500 companies.

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Negotiated Tier 1, 2, and 3 managed care ancillary contracts for state of Kentucky and Southern Indiana to include: DME, Ambulatory Surgery Centers, Free-Standing Radiology, Labs, Sleep Centers, Home Health, Home Infusion, and Hospice.

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Negotiated and managed multi-million dollar tier-1 managed care physician contracts.Managed relationships with key physician partners.Negotiated complex medical provider agreements and fee schedules for commercial and Medicare lines of business. Navigated through negotiations with the goal of keeping unit cost trends within budget.Worked with cross functional teams to identify negotiation and pricing strategies.Utilized internal systems to ensure timely loading of contract and fee schedule data.Resolved claim and network issues by working with internal and external business partners.

Arlington, Virginia, Us

Served both on active duty (1996 - 2003) and reserves (2006 - 2012) as a Unit Supply Sergeant / Logistical Director.Maintained property accountability under automated PropertyBook System; assisted in the development of equipment requirements and reports; coordinated with supply activities; reviewed and annotated changes to unit material condition status report; posted transactions to organizational property books and supporting transaction files; managed and accounted for Organizational Clothing and Individual Equipment; determined method of obtaining relief from responsibility for lost, damaged, and destroyed equipment; maintained personal clothing records.

Managed contractors' projects after the point of sale to include: initial customer contact, working with customers to determine the direction of project and timeline, releasing products for production, making transportation arrangements, fielding all customer questions, resolving any customer problems, and total customer care. Scheduled production for eight precast concrete manufacturing facilities, tracked inventory patterns, scheduled stock production, scheduled custom production, and devised scheduling solutions to ensure the customers' timelines were met.

Masters, Business Management

Masters, Business Administration

Bachelor'S Of Science, Business Management