Hayden Cook Email and Phone Number
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At Bon Secours Mercy Health, my strategic negotiations have been instrumental in optimizing revenue through the successful closure of over 100 managed care agreements. This has produced an impressive expected revenue increase of over $10 million, with nearly $5.7 million surpassing budget projections. My focus on comprehensive deals across various payor lines has been central to securing a three-year contract with Kentucky's highest-paying commercial payor.My previous tenure at BlueCross BlueShield of Tennessee honed my capabilities in account growth and system organization. There, I played a pivotal role in launching a Medicare Advantage Chronic Special Needs Program and negotiating the company's inaugural full-risk contract in the Medicare Advantage line. This experience has cemented my expertise in healthcare systems and payor contracting, positioning me as a valuable leader in the field.
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- Employees:
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Fractional Healthcare Executive And ConsultantIndependentNashville, Tn, Us -
Independent Healthcare ConsultantSelf EmployedNashville, Tn, Us -
Vp Of Payor Strategy And ContractingAom Infusion Sep 2024 - Present*Lead and manage AOM's Payor Contracting function and responsible for relationships with well over 100 different payors and related organizations across multiple markets*Negotiate payor contracts in order to maximize revenue, improve collection efforts, and scale the company from a handful of states to one with a nationwide presence*Tasked with assisting the transition of AOM from a home infusion company to one with multiple avenues to care for patients and a population health focus -
Director Of Payor ContractingBon Secours Mercy Health Jul 2021 - Sep 2024Cincinnati, Ohio, Us*Achieved revenue optimization for the health system by negotiating and closing 124 managed care agreements spanning all lines of business with multiple payors and generating expected revenue of $12.5 million, with $7.7 million being above budget*Instrumental in completing the first enterprise-wide contract in the history of the company inclusive of all hospital, medical group, and ancillary services spanning Ohio, Kentucky, South Carolina, and Virginia with unbudgeted revenue increases of $2 million*Successfully closed a major negotiation worth nearly $200 million with a national payor spanning both Ohio and Kentucky inclusive of commercial, Medicare, and Managed Medicaid product lines and all hospital, medical group, and ancillary services provided by Bon Secours Mercy Health*Concluded a new, three-year contract with the highest-paying contracted commercial payor in Kentucky and secured a nearly $2 million revenue increase inclusive of all hospital, medical group, and ancillary services provided by the organization*Completed the first 4 contracts in the company as part of its expansion into virtual care service line*Negotiated payor contracts on behalf of the organization which included hospital, medical group, and ancillary entities for all lines of business spanning both fee-for-service and value-based reimbursement methodologies*Was responsible for a book of business of over $400 million annually and building and maintaining relationships with more than 25 different payors throughout Kentucky, Ohio, and Florida -
Associate Principal, Provider Networks & ContractingBluecross Blueshield Of Tennessee Jun 2018 - Jul 2021Chattanooga, Tn, Us*Completed over 365 different managed care contracts spanning all lines of business (Commercial, Medicare Advantage, and Medicaid) which included both fee-for-service and value-based reimbursement methodologies *Responsible for creation and maintenance of over 200 contracts as part of a provider recruitment initiative designed to lower the costs of specialty drugs for our enrolled commercial members*Instrumental in contracting and building the company’s first ever Medicare Advantage Chronic Special Needs Program (CSNP) product*Successfully negotiated the first full-risk contract within the company in the organization’s Medicare Advantage line of business*Developed, trained, and mentored a colleague new to managed care negotiations who was promoted to my role once I left the organization*Closed over 180 contracts in organization’s commercial line of business with over $1.1 million in projected aggregate cost savings*Recontracted 30 practices in three months as part of the Stones River Independent Physician Association contract termination project -
Senior Network Contract ManagerUnitedhealth Group Mar 2016 - May 2018Us*Successfully closed over 200 professional managed care contracts on top of the first contract in the Southeast region as part of the company’s Emergency Department Transformation Initiative project*Completed the first contract in the country for United’s value-based episodes of care program in its commercial line of business*Contracted two practices with forecasted cost savings of $1.4 million in organization’s commercial line of business*Exhibited superb process and project management skills and was estimated to save the company $2 million by means of a non-physician loading project in its Medicaid line of business*Received expanded job duties to include urgent care center contracting and inclusion in a national contracting program -
Provider Services Team LeadMissionpoint Health Partners (Now Ascension Care Management) Apr 2015 - Feb 2016*Assisted contracting team by creating grouper fee schedules for our surgery centers in each market*Revised credentialing policy and process to prepare company for future growth*Redesigned the Provider Relations side of Salesforce to ensure contract loading and data entry was more efficient*Refined current processes and created new ones for the newly formed Provider Services department*Trained, managed, and supervised new hires through utilization of checklists and hands-on development of checklists and hands-on development
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Provider Services Specialist (Now Ascension Care Management)Missionpoint Health Partners Feb 2014 - Apr 2015*Played instrumental role in contracting 4,300 providers in a 6 month timeframe*Loaded approximately 5,000 providers in 6 different markets in Salesforce and maintained this information on a daily basis.*Ensured approximately 700 primary care physicians received their capitation money on a monthly basis.*Resolved claims and billing issues for 850 practices while working with 2 different payers*Aided our Medical Director in the monthly operations of 10 different physician committees*Received organization’s inaugural Getting Stuff Done award due to reputation for completing assigned work both quickly and accurately and through displaying the flexibility, energy, and willingness to seek out and take on additional responsibilities
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Network LiaisonMissionpoint Health Partners (Now Ascension Care Management) Feb 2012 - Jan 2014*Was the 11th person hired in a start-up population health management company which built and maintained clinically integrated networks (CINs) in 6 different geographies. The company eventually grew to over 200 employees.*Part of a team that grew our provider network to 1,500 providers in under a year with the original goal being 400 providers.*Oversaw approximately 190 physician practices at 260 locations*Implemented checklists to ensure consistency and effectiveness throughout the company
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Human Resources Information Systems SpecialistSaint Thomas Health Services Nov 2011 - Jan 2012Nashville, Tn, Us*Utilized PeopleSoft to process changes in employee status*Involved daily in converting to a new company-wide computer system*Sourced applicants in recruiting department through Position Manager -
Network Operations SpecialistHealthspring Sep 2011 - Oct 2011*Interacted with physicians in four different provider networks to manage costs*Tracked revenue, expenses, hospital admissions, and other key performance measures for each provider*Maintained key provider information through HealthSpring’s various databases
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Health Services InternHealthspring Jun 2011 - Aug 2011*Developed and evaluated safety training program for field employees*Designed online clinical outcome (HEDIS) training module for HealthSpring*Standardized training processes for practice coordinators"Created a standardized metric reporting format for various departments
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Graduate AssistantLipscomb University Jul 2010 - Jul 2011Nashville, Tn, Us*Employed problem-solving skills by assisting in creation of filing system for a new professor*Performed curriculum research for creation of new business ethics course -
Employee And Organizational Development InternUniversity Of Tennessee Jan 2010 - Apr 2010Us*Received highest score possible on employer evaluation"Participated in wellness research projects*Cross-trained in recruiting department
Hayden Cook Skills
Hayden Cook Education Details
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Lipscomb UniversityHealthcare & Leadership -
University Of Tennessee, KnoxvilleHuman Resource Management
Frequently Asked Questions about Hayden Cook
What company does Hayden Cook work for?
Hayden Cook works for Independent
What is Hayden Cook's role at the current company?
Hayden Cook's current role is Fractional Healthcare Executive and Consultant.
What is Hayden Cook's email address?
Hayden Cook's email address is ha****@****mas.org
What is Hayden Cook's direct phone number?
Hayden Cook's direct phone number is +161528*****
What schools did Hayden Cook attend?
Hayden Cook attended Lipscomb University, University Of Tennessee, Knoxville.
What skills is Hayden Cook known for?
Hayden Cook has skills like Leadership, Customer Service, Healthcare, Organizational Development, Recruiting, Microsoft Excel, Human Resources, Data Analysis, Powerpoint, Public Speaking, Peoplesoft, Microsoft Word.
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