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John Paul Munnich is listed as Managed Care Professional Experienced in Network Management/Provider Relations/Contracting at Northwell Direct, a Northwell Health company, based in Smithtown, New York, United States. AeroLeads shows a work email signal at northwell.edu and a matched LinkedIn profile for John Paul Munnich.
John Paul Munnich previously worked as Director, Network Management & Contracting at Northwell Direct, A Northwell Health Company and Director, Network Management & Contracting at Careconnect Insurance Company, Inc.. John Paul Munnich studied at Stony Brook University; Johns Hopkins University.
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Health insurance professional with extensive experience in network management and provider relations, including customer service, contract negotiation and execution, network development and management, physician and IPA management, new product implementation, associate training and supervision. Proven track record of successfully establishing and maintaining meaningful business relationships with providers ranging from physician offices to hospital networks. Highly skilled in problem solving; with focus on customer service, teamwork, relationship building, and overall customer satisfaction.
Listed skills include Managed Care, Healthcare, Health Insurance, Hmo, and 13 others.
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Lake Success, NY, US
Following my time at CareConnect, I was retained by Northwell Health to assist in the establishment of a direct to employer network offering through Northwell Direct, the health system’s solution to help employers bend the cost curve, improve productivity and keep their employees healthy. At Northwell Direct, I have been working to strategically build a.
East Hills, NY, US
In my 4+ years at CareConnect, I played a key role in the development and strategic growth of the provider network in an eight-county service area to meet regulatory, access and cost-control needs. This included identification of contracting targets, negotiation and completion of contracts, and implementation and testing of terms and reimbursement. I was.
New York, NY, US
While at Healthfirst, I managed the provider relations, network development, and contracting activities for hospitals, hospital affiliated providers, and community providers for all of the company’s products by developing and maintaining positive business relationships. My responsibilities included account and relationship management functions where I was.
NY, New York, US
In this position, I worked to expand and maintain the provider network through contracting and provider service functions and I managed relationships with the existing network. In addition to my network management role, I implemented and ran a high-dollar claim negotiation program that saved more than $3.5 million over 24 months and I executed fee schedule.
Hartford, Connecticut, US
As a Network Services Consultant, I was responsible for reviewing the network composition to make sure that the necessary providers were included and I worked to recruit and contract providers as needed. The position involved negotiating with providers according to the appropriate guidelines and working to ensure that any non-standard contracts could be.
Hartford, Connecticut, US
This was similar to a senior rep position where I performed special projects for the department director and other management while being a resource for provider reps who needed support, guidance, and training. I was involved in initiatives around HIPAA, EDI and other electronic connectivity efforts where I created reports and tracked provider compliance.
Hartford, Connecticut, US
In my role as a PSC, I was the provider representative for my assigned territory and acted as the liaison between the providers and the plan for all issues from provider education, to claims, to credentialing and recredentialing. I created cooperative relationships and helped to improve provider satisfaction as reflected in survey results and I also helped.
At the Hospital Council I had a variety of responsibilities that included responding to customer inquires, producing reports for member hospital executives, helping to maintain a 7,500 item contract portfolio and staffing committee meetings. I was instrumental in establishing and obtaining State approval for a security training program that offered State.
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John Paul Munnich works for Northwell Direct, a Northwell Health company.
John Paul Munnich is listed as Managed Care Professional Experienced in Network Management/Provider Relations/Contracting at Northwell Direct, a Northwell Health company.
AeroLeads has found 1 work email signal at @northwell.edu for John Paul Munnich at Northwell Direct, a Northwell Health company.
John Paul Munnich is based in Smithtown, New York, United States while working with Northwell Direct, a Northwell Health company.
John Paul Munnich has worked for Northwell Direct, A Northwell Health Company, Careconnect Insurance Company, Inc., Healthfirst, Magnacare, and Aetna.
You can use AeroLeads to view verified contact signals for John Paul Munnich at Northwell Direct, a Northwell Health company, including work email, phone, and LinkedIn data when available.
John Paul Munnich studied at Stony Brook University; Johns Hopkins University.
John Paul Munnich is listed with skills including Managed Care, Healthcare, Health Insurance, Hmo, Healthcare Industry, Healthcare Management, Provider Relations, and Network Development.
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