Brian Sandusky Email & Phone Number

Corona, CA, US

Orange County, California, United States

Irvine

• Building new payor relationships and providing service to existing payor clients, including the implementation of new payor contracts and providing support for key clients.
• Identifying, establishing, and maintaining network provider relationships through negotiation, re-negotiation, implementation and administration of contracts for primary care and specialist physicians in the.
• Negotiation and implementation of urgent single-case agreements for out-of-network physicians as necessary.

Irvine, California

• Successfully recruited and established a network of mobile therapy providers to provide on-demand therapy services to injured employees of several clients with over 300 total locations in 32 states
• Provided ongoing mobile therapy services for three separate tours of touring shows, by personally recruiting, establishing and coordinating onsite care of injured performers at each stop of the tour across the country
• Successfully established outpatient therapy networks providing physical therapy, occupational therapy, chiropractic, acupuncture, massage therapy, and post-offer employment screens in Arizona, California Georgia.
• Handled multiple daily requests for Single Case Agreement negotiation in order to provide in-network coverage in areas of need for an active referral within 48 hours of receipt by locating an appropriate provider.
• Responsible for determining appropriate fee-schedules by client and per state for both mobile and outpatient lines of business in order to ensure profitable margins were established and maintained
• Directly involved in the successful negotiation and/or re-negotiation of agreements with national provider groups of 100 plus locations nationwide

On May 30, 2014, Network Synergy Group was sold to One Call Care Management’s (OCCM) fully owned subsidiary, Align Networks. Upon Align Networks acquisition of Network Synergy Group, I assisted with special projects to update Align agreements with California providers, while continuing to provide service to NSG providers during the transition.

• Responsible for marketing to, and recruitment of therapy providers in an exclusive territory including Alaska, Arizona, California, Hawaii, Idaho, Nevada, and Washington
• Efforts have resulted in the addition of over 680 provider locations since March 2012, covering 7 states, while securing mutually agreeable terms and reimbursement rates
• Successfully expanded provider network into previously uncovered states of Alaska, Hawaii, Idaho and Washington
• Increased network coverage in Arizona by 143%, California by 89%, and in Nevada by 195%. Overall coverage in the territory increased by over 130%
• Work closely with NSG Sales team members and client case managers to identify high-priority providers, and to secure agreements where possible
• Attend local case manager meetings to report on benefits of utilizing NSG providers, and to obtain nomination of high-priority providers

Calabasas, CA

• Provider Marketing and Recruitment (California, Colorado, Maryland & West Virginia)
• Identify, qualify, contact, and meet with potential PTPN members (Physical Therapists in private practice)
• Develop marketing strategies and material for use with prospective members
• Answer PTPN member questions/problems with contracting issues that cannot be handled by administration
• Attend and speak at local member meetings
• Attend and exhibit at national Physical Therapy Association meetings, trade shows, etc.

Newbury Park

• Guided agent and brokers with the sale of individual and small group policies: including benefits, quoting, legislation, policy/procedures regarding underwriting
• Presented at group meetings throughout California for agents/brokers on a variety of sales topics, including small group quoting, and use of sales assistant software
• Was hand picked by Management to develop the small group “Rapid Quote” department.
• Under strict deadlines, produced small groups insurance quotes for groups of 2-50 employees per census data provided by outside agents

Thousand Oaks, CA

• Reconciled daily receipts from service, parts and sales departments
• Generated and sent invoices to corporate partners
• Assisted the dealership Controller in collections for in-house financed accounts
• Prepared documents for presentation in small-claims court

Education record

Education record