Karen Werth Email and Phone Number
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Excellent problem solver with strong analytical and interpersonal skills. Experienced and knowledgeable in providing continuing medical education opportunities and risk management services to physicians, nurse practitioners and physician assistants. Experienced in negotiating contracts with individuals and large companies in the health care arena. Self-starter who effectively organizes and prioritizes high level tasks, manages others, and persists in the completion of simple to highly collaborative projects.
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Lead Risk Management RespresentativeTmlt Oct 2014 - PresentAustin, Texas, United StatesProvide risk management services and education to physicians and their staff. Respond to inquiries daily from physicians and other health care personnel regarding medical risk management issues. Schedule and perform audits with solo practitioners and medical groups. Review in house claims and underwriting data. Assess potential exposure utilizing questionnaire, auditing medical records, and interviewing physicians and administration. Present recommendations to physicians and their staff. Conduct CME component of audit. Follow up with recommendation reports. Write articles for inclusion in newsletters and CME education publications. -
Director Of ContractingCommunity Partners Health Plans Sep 2003 - Sep 2014Champaign, IllinoisNegotiated and implemented provider contracts for Preferred Provider Organization which served over 15,000 members. Maintained all regulatory compliance with Illinois Department of Insurance. Provided customer service to resolve medical billing and claim issues. Identified and pursued new network development opportunities. Maintained database of over 2,200 providers. Communicated with payers and providers regarding fee schedules, contracts, and plan designs. Designed and maintained provider manual. Met with TPA and self-funded employer group regarding medical costs and utilization. Licensed Health and Life Producer – States of Illinois and Texas.
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Stop Loss SpecialistHealth Alliance Medical Plans May 1998 - Nov 2000Urbana-Champaign, Illinois AreaInvestigated and proposed Stop Loss coverage options to prospective and renewing large self-funded employer groups. Educated sales representatives, brokers and consultants on Stop-Loss quotes and variables. Continually researched market for new Stop Loss products and trends. Maintained Stop Loss policies and procedures manuals regarding claims notifications and filings. Oversaw end of policy years claims processing timeliness. Developed and prepared Stop Loss reports for clients, carriers, and brokers. Worked with case managers to keep Stop Loss carriers informed of high dollar claimants in order to assure maximum and timely reimbursement. -
Pharmaceutical Sales RepresentativeSchwarz Pharma 1994 - 1997Palo Alto, CaPromoted and sold gastrointestinal and cardiovascular medications to physicians, nurses, and pharmacists. -
Territory ManagerFrancodex 1991 - 1994Palo Alto, CaliforniaPromoted and sold pharmaceutical pet products to wholesalers and retailers in northern California, Oregon, and Washington. Hired, trained, and managed part time sales representatives in territory.
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Key Sales RepresentativeKraft Foods Group 1989 - 1991Houston, TexasDeveloped professional sales presentations to sell new products, displays and advertising to grocery stores and commissaries. Consistently achieved 150% - 190% of sales quota. Managed activities and hours of nine merchandisers.
Karen Werth Skills
Karen Werth Education Details
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Marketing -
Master Of Business Administration (Mba)
Frequently Asked Questions about Karen Werth
What company does Karen Werth work for?
Karen Werth works for Tmlt
What is Karen Werth's role at the current company?
Karen Werth's current role is Lead Risk Management Respresentative at TMLT.
What is Karen Werth's email address?
Karen Werth's email address is k.****@****bal.net
What is Karen Werth's direct phone number?
Karen Werth's direct phone number is +121789*****
What schools did Karen Werth attend?
Karen Werth attended Texas A&m University, University Of Illinois At Urbana-Champaign.
What skills is Karen Werth known for?
Karen Werth has skills like Strategic Planning, Sales, Customer Service, Physicians, Medical Underwriting, Risk Management, Malpractice Insurance, Health Insurance, Contract Negotiation, Network Expansion.
Who are Karen Werth's colleagues?
Karen Werth's colleagues are Kathy Phillips, Stephanie Downing, Karina Monsivais, Eric Estrada, Heinz Gert Pieper, Shayne Forsberg, Tierra Schmitke.
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