James Bottorff Email & Phone Number

Jeffersonville, IN, US

Waltham, MA, US

Development, maintenance and management of an adequate provider network in assigned geographical area.Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned.Engage internal subject matter experts and providers to identify opportunities to improve.

• In this role I exercise knowledge in contract management and negotiation for highly visible providers. I am the driving force in managing the quality and cost efficiency for operations in efforts to optimize functions.
• Impacts decision making by advising Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts
• Meets the company’s network adequacy standards by assessing and evaluating provider network and creating strategic plans

Tampa, Florida, US

During my time here I leveraged expertise to lead a team of network management specialists and representatives in efforts to drive the expansion plan. I handled network contracts, managed risk contracts, and tracked the performance of health systems, primary care, and specialty arrangements for Medicaid and Medicare product lines. I also aided partners in.

Louisville, Kentucky, US

• I demonstrated skill in managing communications and relationships between hospitals, health systems, providers and independent physician associations (IPA) to drive the achievement of objectives. I was responsible for.
• Contributed to the expansion of healthcare services from 150K members to 320K across 16 countries and Kentucky
• Served as a Subject Matter Expert regarding contracts and negotiation to assist cross-functional departments in increasing memberships
• Boosted customer satisfaction by incorporating high impact improvement strategies
• Established promotional path for team members through coaching and individual development plans (IDPs)
• Reduced medical costs by implementing improvements for medical loss ratio (MLR) and per member/per month (PM/PM) costs

Clearwater, Florida, US

I was hand selected by the national respiratory and DME company to lead the cultivation and management of insurance plan relationships nationwide. I traveled to connect with senior decisions makers to discuss contract reimbursement among managed care payers. In addition, I collaborated effectively within a sales team to create strategies to approach.

Louisville, Kentucky, US

• Having held multiple positions during my time with this company, I was recognized for exceptional leadership and expertise resulting in a promotion from Provider Contracting Rep to National Contracting Executive within.
• Decreased health plan expenses by $15M through establishing a strategic partnership with DME and Apria
• Selected for panel discussions to share health insurance policy and best practices among office managers, administrators, and executive healthcare professionals
• Successfully renegotiated contract with Owensboro Medical which provided cost savings of $1M

Louisville, Kentucky, US

Recruited to analyze and strategically negotiate new and existing contracts among physician groups and hospitals in Louisville and Western Kentucky territory.* Stayed abreast of changing state and national healthcare laws which required highly regulated commercial and Medicare compliance. Conducted seminars to provide healthcare coverage information and.

Louisville, Kentucky, US

I directed daily operations of four Louisville Oncology locations including staffing, front and back office, registration, scheduling, billing and collection. I also supervised 10 – 20 employees in support of each department. To boost performance and productivity I hired and trained staff, conducting performance appraisals and evaluations to elevate.

Louisville, Kentucky, US

This role consisted of managing, training and developing a staff of 20. I fostered productive work environment, recognizing positive behavior, correcting low performers, and instilling collaboration among teams. I delivered timely billing services in conjunction with revenue-cycle goals and regulatory compliance. I also outsourced billing which reduced.