Extensive expertise in Market Access development and Managed Care network contracting, including fee-for-service, capitation, value-based reimbursement, and risk sharing. Over 20 years experience in market access and managed care contracting from both provider and payer perspectives; including, network development, negotiating capitated and risk sharing agreements, relationship management, problem solving, network strategy, provider/payer networks, delegation, and working with internal and external operational departments.Specialties: Provider Contracts Negotiation, Payor Contracts Negotiation, ACO, value-based reimbursement, capitation, risk-based contracts, sub-capitation, Hospital, Medical Group, Ancillary contracts, Durable Medical Equipment and Home Medical Equipment Negotiation, Laboratory and Pathology Contracts Negotiation, Specialty Pharmacy Contracts Negotiation and Mail Order and Retail Pharmacy Negotiations.
Listed skills include Healthcare Management, Managed Care, Healthcare, Medicare, and 36 others.