Deanna Stephenson Email & Phone Number

Long Island City, Ny, Us

Manage the day-to-day operations of the Provider Relations Department, Northeast Regional Office, including providing leadership, oversight, and mentoring to over 20 provider relations staff. Coordinate and manage various projects including Provider Access & Availability, Provider reviews/ audits, QARR/ HEDIS and medical record retrieval associated with various risk audits. Foster, manage, and sustain positive relationships with over 10,000 providers located within 18 counties. Review, assess, and develop outreach strategies based on available and appropriate data and provide consistent communication of goals/outcomes. Partner with marketing to develop outreach collateral and strategies to be used uniformly throughout the markets and providers. Serve as an internal liaison with other operational departments regarding provider service projects.

Albany, Ny, Us

Served as leading expert on New York State and national managed care program initiatives as well as liaison between trade association membership, health plans, and New York State Department of Health (DOH) in order to clearly interpret, communicate, and educate on health care policy. Fostered new relationships with health plans, health providers, and state policy makers. Monitored and analyzed the changing landscape of the health care delivery system in New York State and nationwide.

New York, New York, Us

Managed vendors for provider networks by recruiting new providers and managing relationships with existing Medicare and Medicaid networks. Reviewed and facilitated Requests for Proposals from ancillary providers and negotiated complex contracts with physicians and specialist providers in collaboration with the legal department. Served as the entry point and system of checks and balances between network development and other departments for the purpose of reviewing risk-based provider contracts. Resolved provider issues and advised providers of new protocols, policies, and procedures.

Negotiated all managed care contracting for private provider group. Negotiated all managed care contracting for private provider group. Wrote business plans and proposals, developed strategic projects, and researched objectives, defined methodologies, and delivered final reports outlining conclusions and recommendations. Led project teams to determine budgets, timelines, and resource requirements. Ensured compliance with Medicaid and Medicare billing requirements by authoring compliance policies and procedures.

Acted as liaison between insurance agency and association members as subject matter expert. Led staff to implement association mission and goals, cultivated relationships between members and managed care companies, and interfaced with external stakeholders to drive members’ business growth. Provided web-based member training, tracked new insurance legislation including Health Care Reform initiatives, monitored insurance media venues, and introduced PR communication strategy. Developed and delivered webinars to more than 3,000 association members, plus members of other associations and professional entities covering such topics as contracting, business of practice, health care reform, negotiations, CPT coding, Medicare and Medicaid, CPT 5010, and PQRS.

Directed all facets of provider relations to ensure quality patient care and provider satisfaction. Managed new provider recruitment, rate negotiations, contract implementation, information advocacy, issue resolution, provider network management, and administrative operations for territory covering all of New England including New York and Pennsylvania. Ensured compliance with demographic access standards. Coordinated provider communications, training, and continued medical education in New York State. Enabled organization to track provider performance by measuring patient outcomes and utilization rates. Improved retention rate among psychiatrists by 5%, optimized medication management and cost controls, and improved employee efficiency by 25%.

Directed all administrative operations of anatomic and clinical laboratory including business / financial planning, corporate compliance, and process / procedure implementation.

Master'S Degree Program In Health Care Administration, In Process

Ba, Biology / Forensic Science