As a member of the executive team, responsible for the RCM, market access, analytics, and client management operations for the company. • Manage the operational activities of the revenue cycle management, reporting and analytics, client implementation, and account management teams. • Responsible for RCM client sales, onboarding, and client operations. • Identify and maintain national and international vendor relationships. • Provide consulting services to hospital systems, laboratories, ASCs, utilization management vendors, fertility clinics, provider networks, and payers.• Responsible for client experience and retention.

Provided consulting services on the overall or specific components of the managed care sales process. • Launched a consulting company focused on payer engagement and sales, including strategy development, agreement review, negotiation strategies, affiliation tactics, fee schedule analysis and rate benchmarking, and the creation of new payment models. • Created forecasts to determine projected return on closed contracts, including estimates of market potential by service and geographic area.• Clients included laboratories, addiction treatment centers, ASCs, fertility providers, and laboratory utilization management vendors.

Led national market activities and developed relationships with payers that promoted profitable lab agreements.• Implemented a sales strategy that communicated the company’s economic and medical value.• Recognized opportunities for differentiation and innovation that strengthened payer relationships.• Built an infrastructure to execute a sales strategy including recruiting a team to achieve growth targets.• Coordinated contract language and pricing negotiations and revenue reconciliation.• Established a partnership culture with payers by developing and maintaining key relationships.• Designed payment models with a flat rate, episode-of-care pricing, and value-based payment options.• Evaluated new markets for self-insured employers, ACOs, TPAs, PBMs, GPOs, and GSA payers.

The primary objective was to create and execute a payer sales and contracting strategy resulting in a significant commercial payer base, expanded access to patients, and favorable reimbursement.• Lead a targeted sales approach to contracting with national health plans.• Managed relationships and contract negotiations with all commercial and government payers.• Established contacting policies, performance goals, and strategy.• Introduced new contracting models and revenue enhancement strategies.• Worked with all levels of the company to ensure payer agreements were optimized.• Identified opportunities to engage MCOs in new services and partnerships.

Directed the implementation of the managed care sales strategy and growth plans for targeted health plans. Accountable for client performance, activities, satisfaction, and retention. • Developed and maintained client relationships to manage internal and external expectations.• Interacted with internal departments to resolve care and service issues.• Ensured account revenue was preserved and/or increased month to month.• Worked with the sales team to maximize revenue opportunities in negotiating contracts.• Led internal teams to identify and resolve account growth obstacles.• Coordinated the development of training, reports, and account support mechanisms.• Managed account performance, identifying and proposing growth opportunities within account base.

Provided strategic leadership, financial and operational oversight of the company’s managed care contracting, payer relationships, and government lobbying efforts. • Established the company’s managed care strategic vision, objectives, policies, and procedures. • Led all aspects of the Managed Care Department including personnel management and creating departmental policies, goals, and objectives. • Interpreted state, regional and national industry trends to identify opportunities to optimize radiation therapy and cancer imaging reimbursement. • Served as liaison between physicians, payers, and company leaders. • Developed revenue enhancement strategies for existing centers and prospective acquisitions.• On a national basis, established and maintained relationships with government advisors to encourage open communication and influence beneficial legislation and programs.

Managed existing product lines and developed new product ideas for a target audience of national managed care/insurance companies, self-insured employers and State or managed Medicaid plans. • Led identification of market opportunities and development of new capabilities with the overall goal of diversifying the customer base and increasing sales. • Met with clients, prospects and industry leaders to determine future needs, relevant trends and pricing models that responded to changing market conditions. • Designed and implemented new radiology benefits management product offerings to support organizational strategy and client growth.

Responsible for directing the company’s national provider network strategy for health services.• Led a department that managed a directly-contracted network of 2,600 imaging centers in 46 states.• Strategically expanded network coverage to improve margins and increase market share.• Managed relationships with national insurance companies, hospitals, and outpatient imaging companies.• Supported high-level sales process targeting managed care organizations.

Managed existing product lines, generated new product ideas and developed products for a target audience of national managed care companies.• Coordinated the development and implementation of product and market research strategies.• Managed product and service enhancements through cross-functional teams.• Led product/benefit review process and recommended changes to optimize product portfolio.

Responsible for the negotiation of payer agreements for OrthoLink physicians and ancillary providers. Responsibilities:• Coordinated all contract negotiations including financial analysis of reimbursement, contract language review, and education regarding managed care agreements and compliance.• Managed communications with senior staff and physician leaders relating to the managed care strategy for ambulatory surgery centers, physician clinics, imaging centers, and physical therapy facilities.• Served as a corporate resource regarding physician and ancillary managed care reimbursement methodology, payer relations, retail fee schedules, and other items.• Supervised onsite Managed Care Coordinators including hiring, training, assigning work, appraising performance, and resolving problems.