John Hanzel Email and Phone Number

01/2013 - PresentNetwork Management Representative Sr. Manages physician contracting, network development and provider relations functions for developing, executing and maintaining a provider network strategy. Works in concert with medical management and sales developing actions to meet market growth and medical cost targets. Provides service and education to network physicians/providers.• Leads a team of Network Management Representatives and/or Specialists in developing, servicing and contracting providers.• Monitors primary care and specialty risk arrangements for Medicaid, and Medicare product lines.• Achieves company targets through aggressive IPA primary care, specialty and ancillary provider contracting and risk contract management• Performs data analysis and develops specific actions to manage medical cost trend.• Assists in developing practices to assist risk partners in managing financial risk.• Identifies areas to improve provider service levels.• Educates/enhances relationships within the provider community.• Special projects as assigned or directed.• Working with IPA groups, maintaining relationships with IPA’s and their Providers.• Perform site evaluations for Provider’s facilities• Educate IPA’s on HEDIS and Care Gaps, Provide the IPA’s with their current HEDIS and Care gap reports.• Distribute IPA’s with their monthly surplus/deficit reports.• Perform Provider orientations for new Provider’s joining an IPA group