Created new process to engage Non-Value Based Contract providers with existing National incentive programs, Medicare Advantage Quality Incentive Program (MAQIP) to increase Star rating and Optum In Office Assessment (IOA) to increase Risk Adjustment.Develop new strategies to assist Engagement Managers to engage Value Based Contract community-based providers with Boots on the Street approach to increase Star Rating and Rick AdjustmentCollaborate with Retention Managers to educate members on preventive screenings/monthly health awareness topics at Annual Enrollment Period (AEP) and Open Enrollment Period (OEP) events to improve Star Rating and Patient Experience.

On a team that manages the Quality STARS program for UHC Medicare. We use UHC Medicare Claim Data to assist physicians in improving their patient's health outcomes and increasing the STAR Rating for HEDIS.

Responsible for improving vaccination for children, increasing lead screenings for children, and reducing claim denials for 60 Platinum Providers in Northern New Jersey Counties.

Managed a team of eight Network Account Managers that were responsible for servicing the physician community. They were responsible for resolving claim issues, educate on policies, and be the liaison between UHC and the office.

Transitioned into a team that was integrating all acquired health plans of UHC (AmeriChoice and Oxford.) Responsible for teaching the new team about the Medicaid side of the business and had to learn the commercial side of the business at the same time. Within 6 month was promoted to Senior Network Account Manager.

I was responsible for several northern and central territories where I was responsible for the servicing of physician contracts. I would resolve claim issues, educate on policy, and became the liaison between their office and UHC. Negotiated non-participating specialty contracts to improve network deficiencies as required by Medicaid State Contract.

Join the Johnson & Johnson Global Security Operation Center that is responsible for employees and properties all over the world. Making sure all are safe and secure.

Responsible for training of weekend security officers, access control of multi-building Ethicon campus (a J&J Company), and the protection of employees and property.

Serviced a territory in Northern Jersey of physicians. I was responsible for claim resolution, contract negotiations, and education of office on HNJH policies.