Christopher Harris Email & Phone Number

San Antonio, TX, US

Miami Gardens, FL, US

• Chart successful course of directing financial and medical cost performance of 40+ primary care clinics and 35,000+ Medicare patients across Texas, the Midwest, and Central Florida to reduce costs by 6.5%.
• Cultivate a network of specialists, facilities, vendors, and ancillary providers for PCP referrals, resulting in an 11% improvement in leakage and reducing Part B expenses by over $71 per member per month.
• Collaborate with hospitals and health information exchanges to increase patient capture rates by 25% and readmission rates by 2.5%.
• Navigate contract negotiations with vendors to effectively reduce costs, resulting in a 3-day improvement in admit times, a 15% increase in eConsult/Telehealth utilization, and a 14-day reduction in speed to treatment.
• Implement strategic initiatives to streamline operational processes, resulting in significant improvements in efficiency and patient care outcomes.

Dallas, Texas, US

• Guided a team of four network developers in expanding provider and health system recruitment and contracting for a multi-market Medicaid payor, targeting a program size exceeding $50M.
• Transitioned to an episode-of-care value-based payment model with downside risk contracting.
• Drove a 10% increase in episode volume by strategically shifting utilization from non-contracted to contracted providers, significantly enhancing network efficiency and care quality.
• Spearheaded the expansion into four additional states (Florida, Georgia, Ohio, and Nebraska) to grow Medicaid membership by over 3 million and increase the program size to over $200M.
• Developed and implemented strategic initiatives to boost provider engagement and participation in value-based care programs, leading to improved patient outcomes and cost savings.
• Leveraged advanced data analytics to identify and capitalize on opportunities for network optimization, resulting in substantial cost reductions and enhanced financial performance.

Virginia Beach, Virginia, US

• Directed full life cycle contracting for over 20 delegated and shared risk groups, covering more than 80,000 Medicare and 100,000 Medicaid lives.
• Planned, executed, and managed several cost of care projects while overseeing a statewide team of 5 direct and 10 indirect reports.
• Renegotiated contracts to generate $15M in savings in 2020; increased risk on existing glide-path contracts to generate additional $10M in savings in 2021.
• Improved Medical Loss Ratio (MLR) by 2%, enhanced STAR ratings by 0.5 to 1 STAR, increased HEDIS percentile by 10%, and boosted membership by 10% for accounts managed by my team.
• Spearheaded initiatives to optimize cost of care and enhance patient outcomes, resulting in substantial financial and quality improvements.
• Collaborated with cross-functional teams to align provider account management strategies with overall organizational objectives, fostering a cohesive and efficient approach to care delivery.

Virginia Beach, Virginia, US

• Managed a team of 16 direct statewide reports and over 10 indirect reports; engaged in effective contracting, negotiation, and termination of agreements to optimize the provider network, ensuring network adequacy and.
• Achieved a 10-point increase in provider satisfaction scores, elevating managed markets from among the lowest to the highest in provider satisfaction ratings.
• Designed and launched comprehensive training programs for network staff focused on provider account management and issue resolution resulting in a 50% boost in employee productivity and operational efficiency.
• Redirected membership from low- to high-performing providers, enhancing Medical Loss Ratio (MLR) by 10% on impacted accounts while maintaining membership loss at below 5%.

Virginia Beach, Virginia, US

• Coordinated the management and growth of the provider relations program and provider network; monitored and resolved provider network concerns and issues.
• Managed provider relations issue resolution, education/orientation, evaluation of network adequacy, recruitment and marketing related to providers
• Negotiated contracts with providers statewide and in conjunction with leadership, developed strategy to develop the provider network for the health plan
• Evaluated the provider network to ensure appropriate access for membership and developed/executed recruitment plans.
• Developed and implemented processes that ensure provider claims are paid accurately, timely, and on first submission.
• Monitored team activities to assure that staff met performance standards and operated effectively and efficiently; resolved escalated claims/operations issues.

Saint Louis, MO, US

• Managed the contract management system team of 12 and processes, which ensured:o All contracts are accessible and nomenclature consistent across all markets and product types including consolidating all contracts and.
• Managed network integrity, contracts and reporting for over 80,000 unique providers, which included: Contract interpretation/validation, facilitating provider set-up and contract configuration/pricing to ensure.

Saint Louis, MO, US

• Managed and directed provider network comprised of over 400 providers and 50,000 regional members
• Built network to 90% physician hospital organization (PHO) saturation and over 50% regional member saturation
• Collected claims and demographic data for complex formulary bonus determination and budgeted accordingly for quarterly and annual bonus payouts via bucketing of discounted fee schedules
• Increased HEDIS compliance across network and coached provider base to increase quality metrics and preferred facility utilization metrics for performance incentive
• Initiated project plans and problem solved for provider claim, member, and authorization issues
• Organized and administered quality and utilization steering committee that consisted of hospital, health plan, and community physician representatives

Houston, Texas, US

• Marketed and sold occupational and workers’ compensation medical services to employers for a new regional medical clinic and managed account base consisting of over 1,000 employers in a subset of San Antonio
• Qualified and pursued sales leads by cold calling, appointments, trade shows, or effective means to obtain business. Added more than 10 new accounts per month for tenure at clinic
• Analyzed and generated reporting to aid in directing care for employers to medical clinic

Irvine, CA, US

• Prospected, recruited, contracted and credentialed medical providers, hospitals, PHO/IPAs, and ancillaries for Oklahoma, Arkansas and North of DFW; including negotiating discounts below fee schedule o Network build was.
• Sold managed care services to self-insured employers, TPAs, and insurance carriers by cold calling, participating in several trade organizations and leveraging existing relationships

• Operated the entirety of a workers' compensation office with the exception of patient care
• Lowered accounts receivable turnover ratio by 25%
• Restructured filing and data management and created a means to more efficiently access reporting and patient details
• Managed and grew a referral base of over 40 orthopedic and neurosurgeon providers

Master'S Degree, Business Administration And Management, Healthcare

Degree: Bachelor Of Business Administration, Business/Managerial Economics