Gene Rinehart, Mha Email and Phone Number
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Strategic thinker with solid understanding of health care industry. Lead significant large-scale projects and develop tactics to exceed long-term growth plans using analytical, organizational, and leadership expertise. Execution champion considered go-to expert. Assessments of current state, development of short term and long strategic plans, development of recommendations, action plans, and execution. Renegotiate managed care agreements to deliver on revenue and profit margin targets. AREAS OF EXPERTISE:Strategic Planning | Managed Care Contracting | Revenue Cycle Management | Relationship Management | Persuasion | Change Management |Project Management | Education of Business Office Personnel | Executive Reporting SERVICES OFFERED:• Strategic Planning – Establish short- and long-term growth goals for clients identifying opportunities to maximize revenue and growth.• Contract Analysis and Negotiations - Review existing contracts and negotiate new contracts with payers to ensure optimal reimbursement rates for clients.• Value Based Payment Arrangements – Work with clients to assist in the transition to value- based payment arrangements from traditional fee for service models.• Credentialing Support - Assist providers with the credentialing process, ensuring that they are able to participate in all relevant networks.• Payment and Denial Management - Help providers manage payments and denials, ensuring that they are paid accurately and on time.• Compliance Support - Provide ongoing support to ensure that providers are in compliance with all relevant regulations and requirements.
Provider Partnership
View- Website:
- providerpartnership.com
- Employees:
- 5
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Provider PartnershipAtlanta, Ga, Us
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Principal ConsultantStrategic Healthcare Collaborations 2023 - Present• Strategic Growth Planning – Establish short- and long-term growth goals for the practice identifying opportunities to maximize revenue and growth.• Contract Analysis and Negotiations - Review existing contracts and negotiate new contracts with payers to ensure optimal reimbursement rates for physician practices.• Value Based Payment Arrangements – Work with the practice to assist in the transition to value-based payment arrangements from traditional fee for service models.• Credentialing Support - Assist physician practices with the credentialing process, ensuring that they are able to participate in all relevant networks.• Payment and Denial Management - Help physician practices manage payments and denials, ensuring that they are paid accurately and on time.• Compliance Support - Provide ongoing support to ensure that physician practices are in compliance with all relevant regulations and requirements. -
Director, Strategy And Planning | Product ExcellenceElevance Health 2017 - 2022Indianapolis, Indiana, Us• Led Product Lifecycle Management process by delivering market-leading integrated products and technology solutions, accelerating membership and earnings growth.• Executed development and oversight of Commercial Product Roadmap tool, presenting a single source of truth for Product Strategy and informing stakeholders of in market products and products in development.• Directed Product Excellence team, supporting all commercial business segments that provided project management, performance management, and executive reporting.• Headed strategic planning process for commercial business segments with focus on development of strategies and tactics, growing membership and financial performance.• Implemented 1st summer internship program for Commercial Product organization, selecting 5 college interns to participate in 10-week program focused on building bench strength for organization. -
Business Change DirectorElevance Health 2012 - 2017Indianapolis, Indiana, Us• Acted as advisor and key point of contact for chief of staff of President of East Region and National Provider Solutions business segments, establishing annual financial and membership targets for 6 commercial state health plans (Georgia, Virginia, Connecticut, New Hampshire, and New York).• Managed day-to-day operations of organization, including staff meetings, verifying communication of strategic activities, best practices, and progress toward goals.• Served as Plan of Record lead during commercial strategy planning process, handling project funding / governance, prioritization, IT resources, and delivery date oversight.• Conducted research and prepared presentations and talking points for Senior Leadership on array of topics for internal and external constituents, identifying trends and opportunities to course correct if results were not in line with expectations.• Led and managed special projects and supervised teams and resources, keeping team on task, negotiating with senior leadership as needed to build consensus, and executing responsibilities consistently on time.
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Provider Network Management, Director | Director, Network Management | Senior Contract ManagerBlue Cross And Blue Shield Of Georgia, Inc. 2002 - 2012• Partnered with senior management within National Provider Solutions, establishing strategic plans and objectives.• Recruited qualified staff and developed strong teams through training and effective organizational practices, guaranteeing accuracy and timeliness of output and deliverables for assigned functional areas.• Coordinated project management across department and divisional lines, reporting project status to senior management.• Developed new programs to recruit or educate providers, enhancing existing relationships and promoting BCBSGa to community of providers.ADDITIONAL RELEVANT EXPERIENCE:HCA, Atlanta, GARegional Director, Managed Care• Executed net revenue enhancement plans for 5 HCA facilities in greater Atlanta, increasing annual net revenue over prior years.• Negotiated HMO, PPO, and employer-direct agreements, obtaining improved financial terms.• Provided greater access to covered lives, contracting with managed care plans that previously excluded Emory / HCA facilities.• Developed and implemented standard contract language provisions and requirements, eliminating opportunities for inappropriate discounting.• Created and employed contract compliance procedures within facilities, ensuring timely and accurate payor reimbursement.• Performed detailed modeling of proposed rates during contract negotiations, determining anticipated financial impact of participation with major payors in Georgia.
Gene Rinehart, Mha Skills
Gene Rinehart, Mha Education Details
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Medical University Of South CarolinaHealthcare Administration -
College Of CharlestonBiology
Frequently Asked Questions about Gene Rinehart, Mha
What company does Gene Rinehart, Mha work for?
Gene Rinehart, Mha works for Provider Partnership
What is Gene Rinehart, Mha's role at the current company?
Gene Rinehart, Mha's current role is PRINCIPAL CONSULTANT | Results Driven Leader, Increase revenue and profit margins for Healthcare Providers, Spearheading Execution and Building Lasting Relationships.
What is Gene Rinehart, Mha's email address?
Gene Rinehart, Mha's email address is ge****@****int.com
What schools did Gene Rinehart, Mha attend?
Gene Rinehart, Mha attended Medical University Of South Carolina, College Of Charleston.
What skills is Gene Rinehart, Mha known for?
Gene Rinehart, Mha has skills like Managed Care, Medicare, Healthcare, Health Insurance, Network Development, Provider Relations, Contract Negotiation, Healthcare Management, Medicaid, Change Management, Hospitals, Process Improvement.
Who are Gene Rinehart, Mha's colleagues?
Gene Rinehart, Mha's colleagues are Mary Simon, Jan Block.
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