John Schneider Email & Phone Number

Phoenix, Az, Us

Phoenix, Arizona, United States

Phoenix, Arizona, United States

Phoenix, Arizona Area

Phoenix, Arizona Area

Phoenix, Arizona Area

• Design, develop, contact, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products.• Communicates with external constituents to effectively engage the provider community.• Seeks to optimize provider interaction and provides recommendations based on balance of provider needs and Aetna’s objectives.• Responsible for developing and maintaining relationships… Show more • Design, develop, contact, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products.• Communicates with external constituents to effectively engage the provider community.• Seeks to optimize provider interaction and provides recommendations based on balance of provider needs and Aetna’s objectives.• Responsible for developing and maintaining relationships with physician and business leadership of key physician groups, ancillary providers, and delivery systems. • Interacts with large, high profile physician groups, IPAs, PHOs and hospital systems to facilitate solutions that are mutually beneficial for both providers and the organization. • Collaborates cross-functionally on more complex issues to ensure provider needs are met and outstanding issues are resolved. i.e. provider service efficiencies, provider service improvement initiatives, identifies opportunities for process improvement. • Collaborates with internal team members on the implementation of large, high profile physician groups, IPAs, PHOs and hospital systems to ensure a positive business relationship. Acts as Liaison between contracts and other key departments (credentialing, claims, prior authorization, utilization management, case management) understandings on behalf of the company. Show less

Phoenix, Arizona Area

• Communicates with external constituents to effectively engage the provider community and demonstrate the Aetna value proposition.• Proactively identifies new trends and products within Mercy Maricopa Integrated Care and the industry and works to raise awareness throughout the organization in order to gain consensus on a course of action and ultimately drive to implementation.• Consistently monitors Mercy Maricopa Integrated Care service capabilities to collaboratively ensure that… Show more • Communicates with external constituents to effectively engage the provider community and demonstrate the Aetna value proposition.• Proactively identifies new trends and products within Mercy Maricopa Integrated Care and the industry and works to raise awareness throughout the organization in order to gain consensus on a course of action and ultimately drive to implementation.• Consistently monitors Mercy Maricopa Integrated Care service capabilities to collaboratively ensure that provider constituent’s needs are met. Seeks to optimize provider interaction and provides recommendations based on balance of provider needs and Mercy Maricopa Integrated Care objectives. • Responsible for developing and maintaining relationships with physician and business leadership of key physician groups, ancillary providers, and delivery systems.• Interacts with large, high profile physician groups to facilitate solutions that are mutually beneficial for both providers and the organization. Show less

Phoenix, Arizona Area

• Manages cooperative working relationships with providers and/or through personal visits, correspondence and telephone contact.• Educates providers and Mercy Care Plan Staff, including: assessing needs, designing and developing training and educational materials, training appropriate audiences/customers (e.g., contractual requirements, policies and procedures, etc.), and evaluating training success and modify educational components as needed.• Coordinates distribution of educational… Show more • Manages cooperative working relationships with providers and/or through personal visits, correspondence and telephone contact.• Educates providers and Mercy Care Plan Staff, including: assessing needs, designing and developing training and educational materials, training appropriate audiences/customers (e.g., contractual requirements, policies and procedures, etc.), and evaluating training success and modify educational components as needed.• Coordinates distribution of educational materials.• Plan, create presentations and coordinates meetings, seminars and conferences. Training anddevelopment of external provider education programs• Conducts and manages ongoing audit of provider information.• Provide issue resolution and complex trouble shooting for providers. Researching and remediating claimsprocessing quality issues• Works with local contractors and GMs to insure contracts comply with policies and guidelines and ifexceptions are necessary, ensures the ability to administer those non-standard contracts.• Acts as network expert by developing and participating in presentations to existing andprospective customers.• Works with management to draft, clarify and recommend changes to policies which impact network management.• Assisting physicians and practice managers on web portal access for member eligibility, claims and authorization status• Oversee and implement provider data demographic, provider additions, contract, and termination changes Show less

Silver Springs, Md

• Responsible for overall coordination and status reporting of complex project oriented work efforts• Manage day to day tracking and status of key projects to enhance APS networks• Solely responsible for the day-to-day activities of record retention and all maintenance of such• Develop and track incoming and outgoing credentialing/ contracting files for practitioners and provider organizations• Quality control on new and existing files for practitioners and provider… Show more • Responsible for overall coordination and status reporting of complex project oriented work efforts• Manage day to day tracking and status of key projects to enhance APS networks• Solely responsible for the day-to-day activities of record retention and all maintenance of such• Develop and track incoming and outgoing credentialing/ contracting files for practitioners and provider organizations• Quality control on new and existing files for practitioners and provider organizations• Organize and manage the identification, pulling, and staging of hard copy credentialing and contract documents• Tracking and organization of off-site file storage• Perform in depth contract research on practitioners and provider organizations in preparation for contract execution in APS Systems• Accurately execute and update APS’ systems to reflect contracting status of practitioners and provider organizations• Extensive communication via telephone and written with practitioners and provider organization regarding contracting status• Develop and implement inventory controls and turn around times for filing of practitioner and provider organization documents and files• Develop and implement inventory controls and turn around times for accurate contract executing in APS systems• Work collaboratively with all APS departments on research to effectively handle multiple projects• Work in conjunction with other APS staff to identify areas of performance that need attention and cooperate in the development of corrective action plans• Revise and develop policies and procedures as needed Show less