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Extensive Managed Care experience in both Commercial and Government sponsored business including network contracting, provider relations and customer service operations . Contracting experience includes all types of value based agreements-gain share/risk share, bundled payments and patient centered medical homes.
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Director Of Managed CareNumotion Oct 2021 - PresentBrentwood, Tn, UsResponsible for the overall managed care effort in the Midwest (20 states). Focus on revenue growth, margin improvement, implementing innovative programs and rate mitigation activity. Conduct key customer meetings and facilitate clinical in-services with health plans. -
Director, Provider Network ManagementAnthem, Inc. Sep 2019 - Oct 2021Indianapolis, Indiana, Us -
Rvp, Medicare Network Management And StrategyAnthem, Inc. Feb 2018 - Sep 2019Indianapolis, Indiana, Us
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National Director, Medicare Network Management And StrategyAnthem, Inc. Nov 2015 - Feb 2018Indianapolis, Indiana, Us
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Directory, Provider Network ManagementAnthem, Inc. Mar 2011 - Nov 2015Indianapolis, Indiana, UsNegotiated hospital system and large physician group contracts. This includes planning and implementing new provider networks, as well as revising and monitoring existing networks. Contract for various lines of business including commercial and Medicare Advantage. Negotiate using various payment methodologies including DRG, per diem, gain share and bundled payments.
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Director, National Ancillary ContractingAnthem, Inc. Nov 2009 - Mar 2011Indianapolis, Indiana, UsManaged a team of twenty associates who were responsible for the contracting, data analysis and provider relations process for select ancillary providers across all fourteen Anthem states in addition to the HealthLink network. This includes planning and implementing new provider networks, as well as revising and monitoring existing networks. Built standard contract models to maximize automated claims adjudication and medical expense reduction.
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Director Specialty NetworksAnthem, Inc. Nov 2004 - Nov 2009Indianapolis, Indiana, UsManaged the contracting, data analysis and provider relations process for all ancillary providers in the Anthem and HealthLink networks. This included planning and implementing new provider networks, as well as revising and monitoring existing networks. Negotiated capitated, case rate, per diem, and fee for service agreements. Negotiated physician group agreements with all radiology, pathology, anesthesia, and emergency room groups. Built standard contract models to maximize automated claims adjudication and medical expense reduction.
Keith Boyce Skills
Keith Boyce Education Details
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University Of Missouri-Saint LouisManagement
Frequently Asked Questions about Keith Boyce
What company does Keith Boyce work for?
Keith Boyce works for Numotion
What is Keith Boyce's role at the current company?
Keith Boyce's current role is Director Of Managed Care.
What is Keith Boyce's email address?
Keith Boyce's email address is ke****@****bal.net
What is Keith Boyce's direct phone number?
Keith Boyce's direct phone number is +131492*****
What schools did Keith Boyce attend?
Keith Boyce attended University Of Missouri-Saint Louis.
What skills is Keith Boyce known for?
Keith Boyce has skills like Network Development, Hmo, Health Plans, Managed Care, Health Insurance, Healthcare Industry, Provider Relations, Provider Contracting, Healthcare, Ppo, Contract Negotiations, Medicare.
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