Gary Gonzales Email & Phone Number

California, United States

Orange County, California Area

Cypress

Managed a staff of 4 managers, with 55 persons in my span of control. Initiated the telehealth program within the state of California, led the autism recruitment effort, led a team of professionals to add a provider network in the Bay area. Promoted twice in 12 months.

Lansing, Michigan Area

Lansing, Michigan Area

The major function of the Director of Network Services is to provide leadership over all aspects of the Network Services Department (13 staff), including contracting of the provider network, facility/medical record reviews, credentialing/re-credentialing, provider issues and complaints, system implementation of payment arrangements, maintenance of fee schedules, provider incentive programs resulting in optimal access to quality, compassionate, cost-effective health care services for all health plan members.

Albany, Ny

Accountable for managing seven contracting professionals, practitioner and 3rd party vendor relationships for the 24 county (400,000 members) service area – mostly covering the Capital District in upstate New York.

Santa Ana, Ca

Responsible for the implementation of all provider and health plan contracts throughout six physician networks, three hospitals, and support departments (Finance, Claims, Eligibility, etc.) in a highly dynamic organization. Primary SJHS contact with the HMO and PPO payor community on most contractual or operational matters.

Cypress, Ca

Director, Provider Services and Contracting - promoted from staff level; Negotiated budget-favorable risk contracts with over 100 IPAs, medical groups and hospital providers within 8 Southern California counties within acceptable MCR targets.

Ba, American Studies

Ma, Management

3.9 GPA.