Kelli Pedrazzi

Kelli Pedrazzi Email and Phone Number

Emerging Provider Business Model Senior Advisor at Cigna @ Cigna
Kelli Pedrazzi's Location
East Hanover, New Jersey, United States, United States
Kelli Pedrazzi's Contact Details

Kelli Pedrazzi work email

Kelli Pedrazzi personal email

n/a
About Kelli Pedrazzi

I have chosen a career in healthcare because I truly want to serve others.I offer 20+ years of health benefits organizational experience with diverse background in hospital contracting, data management, physician profiling, provider service, vendor management, client management, non-participating provider cost containment, and medical economics reporting and analysis.In addition, I bring very strong relationship-building skills, technical expertise and project management experience."The greatest wealth is health."- Virgil

Kelli Pedrazzi's Current Company Details
Cigna

Cigna

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Emerging Provider Business Model Senior Advisor at Cigna
Kelli Pedrazzi Work Experience Details
  • Cigna
    Senior Advisor, Emerging Provider Business Models
    Cigna Apr 2020 - Present
    New Jersey, United States
    Key contributor responsible for assessment and analysis around the rapidly growing demand for contracting with new and emerging provider business models . This assessment includes determining if there is strategic alignment, validating if these entities truly deliver on affordability and value, and consideration of how these entities impacts our products and brand. This requires working with and across multiple business units in the Enterprise to understand the implications and opportunities these emerging and evolving provider models represent.
  • Cigna
    Senior Contracting Manager, Non-Par Policy & Strategy
    Cigna Jul 2014 - Apr 2020
    New Jersey, United States
    Key contributor leading a team focused on identifying and implementing solutions to reduce and control total medical costs for clients and customers related to non-par provider utilization. Responsible for development and delivery of educational materials related to non-par programs for leadership across the organization, including reporting to identify and prioritize non-par to par contracting conversions and referral opportunities. Subject matter expert and business lead for surprise billing legislation, working with Legal and Regulatory Compliance in the creation and implementation of operational solutions.
  • Cigna
    Senior Business Specialist, Non-Par Policy & Strategy
    Cigna Jan 2013 - Jul 2014
    Greater New York City Area
    Responsible for identification, prioritization and delivery of Non-Par Cost Containment programs to meet internal and customer medical cost goals. Success is based on ensuring strong partnerships with business teams, ongoing program results, development and analysis of reporting, ongoing identification and delivery of process improvements.
  • Cigna
    Business Project Senior Specialist - Provider Experience
    Cigna Dec 2010 - Dec 2012
    Greater New York City Area
    Responsible for:- maintenance, continued development and management of Project Portfolio, including innovations to the tracking and reporting related to the plan. - sharing Overall Project progress and results throughout the organization.- data compliation and organization resulting in data-driven decisions for staffing support and transition to a new relational database - working with Operational Effectiveness and Business Analytics to collect and analyze staffing data resulting in business proposals for senior management.
  • Cigna Healthcare
    Sr. Analytics Lead
    Cigna Healthcare Jan 2012 - Dec 2012
    Responsible for:- Contract Intent Discovery. This included Contract Reviews resulting in fact-based recommendations on system configuration to systematically capture contract intent terms and related variation within those terms. Also responsible for the resource deployment to gather data and map/replicate the data.- Data Quality Management Algorithm and Scorecard Development. This included the delivery of standardized, repeatable algorithms and mapping for foundational data elements supporting overall strategy.- Non-Par Selection Analysis. This included validation of Non-Par selection accuracy and identification of root causes/sources of future opportunities, Results of this analysis supported the importance of improving ACCU (accurate, current, complete, and usable) of underlying data.- Mentoring and developing analysts to ensure continued project progress/understanding and contribute to career progression.

Kelli Pedrazzi Skills

Healthcare Managed Care Healthcare Management Healthcare Information Technology Process Improvement Health Insurance Hospitals Strategy Hipaa Medicaid Analysis Medicare Program Management Crm Management Vendor Management

Kelli Pedrazzi Education Details

Frequently Asked Questions about Kelli Pedrazzi

What company does Kelli Pedrazzi work for?

Kelli Pedrazzi works for Cigna

What is Kelli Pedrazzi's role at the current company?

Kelli Pedrazzi's current role is Emerging Provider Business Model Senior Advisor at Cigna.

What is Kelli Pedrazzi's email address?

Kelli Pedrazzi's email address is ke****@****gna.com

What schools did Kelli Pedrazzi attend?

Kelli Pedrazzi attended Seton Hall University, University Of Scranton.

What skills is Kelli Pedrazzi known for?

Kelli Pedrazzi has skills like Healthcare, Managed Care, Healthcare Management, Healthcare Information Technology, Process Improvement, Health Insurance, Hospitals, Strategy, Hipaa, Medicaid, Analysis, Medicare.

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