Ed Sims Email & Phone Number

Texas, United States

Frisco, Texas, Us

Responsible for leading and implementing the Behavioral Health provider network strategy and provider network transformation focused on optimizing network performance (Commercial, Medicaid and Medicare), driving a competitive cost position, expanding telehealth utilization, delivering on strategic value-based network goals, and managing day-to-day operational components of the Magellan Health provider network management organization, including credentialing and provider data management. Lead provider network and operational infrastructure aligned to cost related levers and ensuring the market network(s) meet cost metrics, adequacy standards, network compliance regulations, and profitability goals. Additionally, responsible for setting market network strategy and budget for contracting across all provider types and product segments, pushing innovation across traditional and non-traditional models for all lines of business, coordinating expansion activities, and driving towards local market and national goals.

Lewisville, Texas , Us

Plano, Texas, Us

Louisville, Ky, Us

Miramar, Fl, Us

Responsible for managing and expanding all Managed Care Accounts, the Key Account team, downstream network providers, Network Operations and Provider Relations.

Amsterdam, Noord-Holland, Nl

Responsible for the complete management and oversight of the strategic account strategy and executive relationships within the home healthcare, managed care, medication adherence and senior living channels in the US. Led a high-performance strategic account organization that built and maintained valuable relationships with partners that lead to strong organic growth, new business development and channel expansion. Achieved the Philips President's Achievement Award 3 years (3 times eligible) for my business units exceeding sales & revenue goals.

Baton Rouge, Louisiana, Us

Directed the overall admission growth of the organization within 14 of the 22 states AMED operated at the time with $520MM in revenue. Responsible for establishing the short and long-range growth objectives, including expansion and enhancement of managed care contracts, quality care initiatives, start-ups, acquisitions and developing partnerships with physicians, senior living organizations, hospitals and rehab providers that improve patient care service and add shareholder value.  Responsible for leading and coaching a team of 13 Area Vice Presidents Facilitate the activities and consultative selling development of 350+ Sales Representatives. Direct initial sales training classes and programs to enhance the consultative selling ability of the sales force. Oversee all phases of the sales cycle from prospecting to closing major accounts

Denver, Co, Us