Irby C "Ford" Simpkins, Capm, Ache Email & Phone Number

Port Washington, Ny 11050

Responsible for Configuration and Setup of Product Solutions for our customers. Focused on ensuring our clients have the right solution and data that meet their needs.

Port Washington, Ny

Corporate responsibility for payer and home care provider account management for the TN MCOs. Focused on ensuring client software and strategic process deployment. I manage current client software upgrade, training and provider relations within the context of electronic visit verification. Overall responsibility for client satisfaction, retention and full deployment of purchased software solutions. Provide strategic consulting with the payers.

Perform Network Development functions of Previous Role.Lead facility and other complex negotiations.Provide oversight and coaching for all HEOPS Network Development projects.Create winning strategies to meet network adequacy requirements for all HEOPS Network Development projects Evaluate Train and Test Network Development Staff and Project Participants continuously on the following elements: Negotiations and Closing, Managed Care, HEOPS Processes, and Client Materials.

Performed all functions of Lead Network Development Specialist. Created winning strategies to meet network adequacy requirements for multiple types of networks (Commercial, Medicare, and Medicaid).Developed and enforced project processes.Obtained, Measured, and tracked project performance metrics for entire organization. Maintained and facilitated all project and administrative innovative process improvements. Assessed and refined internal and client processes to create automation opportunities and identify new products and services.

Developed and implemented RFP winning strategies to overcome deficiencies based upon net need analysis.Managed network development projectsSuccessfully Negotiated 1500+ medical and behavioral contracts for Providers, IPAs, PHOs, Hospitals, Community Mental Health Centers, and other ambulatory services.Successfully Negotiated Commercial, Medicare, and Medicaid fee for service and capitated contracts.Managed teams of 2-10 network recruiters to maximize success.Responsible for reporting expedited network development projects. Responsible for project contract administration process.Responsible for leading the team to 9 responses to RFPs in 10 months representing 30 million dollars in potential revenue. HEOPS was in the final two for 5 of 9 RFPs. Awarded 1 contract.Wrote key network development and contract administration policies and procedures in preparation for ISO 9001 certification.

Created Financial Policies and Procedures in preparation for ISO 9001 Certification.Maintained Accounts Receivable. Maintained Accounts Payable.Created and Maintained Executive Financial Key Performance Indicator Dashboard.

Use creative problem solving to solve customer issues utilizing multiple resources.Process insurance claims.Maintain current product knowledge on all wireless products.

Managed customer's experience.Maintained current product knowledge on all desktop and portables computers.Used creative problem solving and multitasking techniques to solve customer issues utilizing multiple resources.

Master, Business Administration

Bachelor Of Arts, English Literature

Diploma