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Elizabeth Roach is listed as Contract Specialist at OneCare Vermont, a with 44 employees, based in Colchester, Vermont, United States. AeroLeads shows a work email signal at onecarevt.org and a matched LinkedIn profile for Elizabeth Roach.
Elizabeth Roach previously worked as Network Operations Specialist at Onecare Vermont and Manager, Network Operations at Onecare Vermont. Elizabeth Roach studied at Champlain College.
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Certified Professional Coder (CPC)Highly motivated professional with 28 years in the Health Care industry currently working as a Network Operations Specialist for OneCare Vermont, the largest Accountable Care Organization in Vermont. Past experience includes positions related to: billing, Human Resources Assistant, Workers Comp, Credentialing and Contract Analyst. Experience with quality assurance measurement abstraction for shared savings models for Medicare, Medicaid and Commercial business. Several years of experience as Manager for Network Operations with a focus on beneficiary and provider engagement, Shared Savings Opt Out processes and communication to network participants specific to network participation. Oversaw Participant contracting including & Regional Clinical Physician agreements and other vendor agreements affiliated with OneCare Vermont. Administer and maintain multiple software systems including enhancements, modifications, and all help desk functions. Accountable for document management and process and procedure development. Maintain annual compliance for all programs and systems currently owned by OneCare Vermont. Effective leadership, analytical skills, collaboration and use of excellent written and oral communication has allowed me to expand in my current role. Increased exposure to accountable care initiatives provides opportunity to become more involved in the overall health care reform for our state. Successfully maintain an active certification through American Academy of Professional Coders for professional and payer coding guidelines.My past experience has helped me to see the many sides of health care from both the professional, hospital and insurer's view point. This has allowed me to gain the knowledge and understanding of a very complicated healthcare delivery system in VT and the United States.
Listed skills include Healthcare, Managed Care, Healthcare Management, Hospitals, and 13 others.
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Coordinates contracting functions and is responsible for supporting network rostering for all OneCare Vermont (OneCare) contracts. Responsible for managing the lifecycle of frequently updated files, using internal tools to process and maintain these files, often updating data that has significant visibility and impact on other teams within OneCare who rely on high-quality data to support clinical and financial reform efforts.
Colchester, Vt
The Manager of Network Operations is responsible for the development and maintenance of the OneCare Vermont (OCV) participant network. The incumbent leads the operational servicing of the network, including the provider contracting and enrollment functions required by the payers. As the Network leader, the Manager is expected to oversee and direct the internal and external network team in order to provide superior service to network participants and assure compliance with network contracts.… Show more The Manager of Network Operations is responsible for the development and maintenance of the OneCare Vermont (OCV) participant network. The incumbent leads the operational servicing of the network, including the provider contracting and enrollment functions required by the payers. As the Network leader, the Manager is expected to oversee and direct the internal and external network team in order to provide superior service to network participants and assure compliance with network contracts. The Manager also serves as the primary contact for the OCV participant network when operational issues related to the contracts arise or when there are escalated complaints. Show less
Colchester, Vt
The Supervisor of Provider Relations is responsible for the management of the overall day to day functions of the Provider Relations Department. The Supervisor will work closely with the Senior Network Profile Specialist regarding provider claim issues, provider profile changes, providers requesting to be contracted with VMC, and new processes to improve the service we provide our customers. Coordinates day to day contracting systems and work associated with contracting including contract… Show more The Supervisor of Provider Relations is responsible for the management of the overall day to day functions of the Provider Relations Department. The Supervisor will work closely with the Senior Network Profile Specialist regarding provider claim issues, provider profile changes, providers requesting to be contracted with VMC, and new processes to improve the service we provide our customers. Coordinates day to day contracting systems and work associated with contracting including contract assessment and analysis, contract strategy, contract development, contract implementation, monitoring and negotiations of provider contracts for VMC. Is the primary contact for the Vermont Managed Care (VMC) Network Providers and Facilities, with regard to operational, contractual, and business issues relevant to both the VMC and the Fletcher Allen Health Care (FAHC) Payer Contracts. As the liaison between the VMC Network Providers / Facilities and FAHC's Clinical Departments / Medical Staff, and the VMC and FAHC contracted insurance plans, provides superior service and advocacy on behalf of both VMC and FAHC providers while ensuring and maintaining continued collaborative working relationships between all parties. In this process, collaborative working relationships between Community Providers and FAHC are also established and fostered. This position researches all provider issues through to resolution and communicates results to the provider, payers, and VMC staff. Also responsible for the project management of various VMC business projects and initiatives. While providing daily educational meetings and seminars for the VMC Network, he/she develops and maintains education and marketing tools that include the VMC Provider Manual, the VMC "Partners in Care" Newsletter, the VMC and Fletcher Allen Preferred Web Sites, and healthcare conference and trade-show display table. Show less
Colchester, Vt
Works closely with the Senior Network Profile Specialist regarding provider claim issues, provider profile changes, providers requesting to be contracted with VMC, and new processes to improve the service we provide our customers. Coordinates day to day contracting systems and work associated with contracting including contract assessment and analysis, contract strategy, contract development, contract implementation, monitoring and negotiations of provider contracts for VMC. the primary… Show more Works closely with the Senior Network Profile Specialist regarding provider claim issues, provider profile changes, providers requesting to be contracted with VMC, and new processes to improve the service we provide our customers. Coordinates day to day contracting systems and work associated with contracting including contract assessment and analysis, contract strategy, contract development, contract implementation, monitoring and negotiations of provider contracts for VMC. the primary contact for the Vermont Managed Care (VMC) Network Providers and Facilities, with regard to operational,contractual, and business issues relevant to both the VMC and the Fletcher Allen Health Care (FAHC) Payer Contracts. As the liaison between the VMC Network Providers / Facilities and FAHC's Clinical Departments / Medical Staff, and the VMC and FAHC contracted insurance plans, he/she provides superior service and advocacy on behalf of both VMC and FAHC providers while ensuring and maintaining continued collaborative working relationships between all parties. In this process, collaborative working relationships between Community Providers and FAHC are also established and fostered. This position researches all provider issues through to resolution and communicates results to the provider, payers, and VMC staff. Also responsible for the project management of various VMC business projects and initiatives. While providing daily educational meetings and seminars for the VMC Network, develops and maintains education and marketing tools that include the VMC Provider Manual, the VMC "Partners in Care" Newsletter, the VMC and Fletcher Allen Preferred Web Sites, and healthcare conference and trade-show display table. Show less
Burlington, Vermont Area
• Negotiated commercial third party payer contracts.• Completed Due Diligence of payer proposals.• Contract operational analysis to include review of payer policies and procedures.• Contracting for all available FAHC professional and facility services.• Built positive working relationships with payers.• Responsible for contract maintenance and communications, disseminate new or revised payer contract terms.• Facilitate Payer/Provider relations, attend Payer Ops meetings,… Show more • Negotiated commercial third party payer contracts.• Completed Due Diligence of payer proposals.• Contract operational analysis to include review of payer policies and procedures.• Contracting for all available FAHC professional and facility services.• Built positive working relationships with payers.• Responsible for contract maintenance and communications, disseminate new or revised payer contract terms.• Facilitate Payer/Provider relations, attend Payer Ops meetings, Problem solving, Liaison between Payer and operational staff.• Obtained Payer benefit interpretations for new services and distribute to appropriate parties.• Oversaw the implementation of new contracts or renewed contracts.• Attended monthly operational meetings with various FAHC departments.• Negotiated single case agreements for non-contracted payers.• Assisted in the resolution of issues regarding, claims, appeals and denials.• Worked closely with contracted payers Provider Relations staff.• Assigned duties as necessary to staff assistant Show less
•Worked closely with the President of CBA/EBPA•Provided geo access report information from various networks for potential sales.•Ordered Disruption reports and other various report requests. •Negotiating provide contracts.•Updating claims payment systems and the CBA/EBPA provide web site. •Provider meetings to discuss issues regarding contracts or potential contracts, billing questions or other concerns.•Contracting and re-contracting of providers and hospital… Show more •Worked closely with the President of CBA/EBPA•Provided geo access report information from various networks for potential sales.•Ordered Disruption reports and other various report requests. •Negotiating provide contracts.•Updating claims payment systems and the CBA/EBPA provide web site. •Provider meetings to discuss issues regarding contracts or potential contracts, billing questions or other concerns.•Contracting and re-contracting of providers and hospital contracts.•Liaison between providers/hospitals and provider networks and Utilization Management dept. Show less
Other employees you can reach at onecarevt.org. View company contacts for 44 employees →
Rebecca Lindstrom Colgan
Colleague at Onecare VermontUnited States
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Spenser Weppler
Colleague at Onecare VermontSouth Burlington, Vermont, United States
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Linda Cohen, Jd, Mhcds
Colleague at Onecare VermontBurlington, Vermont, United States
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Julia Reshetova, Cpa
Colleague at Onecare VermontBurlington, Vermont, United States
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Martita Giard
Colleague at Onecare VermontGreater Burlington Area, United States
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Wulfman Carrie
Colleague at Onecare VermontColchester, Vermont, United States
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Derek Raynes, Esq.
Colleague at Onecare VermontGreater Burlington Area, United States
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Tammy Carroll
Colleague at Onecare VermontEssex Junction, Vermont, United States
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Aaron Perry
Colleague at Onecare VermontRiver Forest, Illinois, United States
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Esther Halden, Pt, Cpps
Colleague at Onecare VermontGreater Burlington Area, United States
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Quick answers generated from the profile data available on this page.
Elizabeth Roach works for OneCare Vermont.
Elizabeth Roach is listed as Contract Specialist at OneCare Vermont.
AeroLeads has found 1 work email signal at @onecarevt.org for Elizabeth Roach at OneCare Vermont.
Elizabeth Roach is based in Colchester, Vermont, United States while working with OneCare Vermont.
Elizabeth Roach has worked for Onecare Vermont, Vermont Managed Care Now Onecare Vt, Vermont Managed Care, Fletcher Allen Health Care, and Comprehensive Benefits Administrator.
Elizabeth Roach's colleagues at OneCare Vermont include Rebecca Lindstrom Colgan, Spenser Weppler, Linda Cohen, Jd, Mhcds, Julia Reshetova, Cpa, and Martita Giard.
You can use AeroLeads to view verified contact signals for Elizabeth Roach at OneCare Vermont, including work email, phone, and LinkedIn data when available.
Elizabeth Roach studied at Champlain College.
Elizabeth Roach is listed with skills including Healthcare, Managed Care, Healthcare Management, Hospitals, Healthcare Information Technology, Provider Relations, Network Development, and Insurance.
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