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Accomplished, strategic Healthcare Leader who drives organization growth and delivers quality results across highly matrixed, regulated environments for Fortune 50 healthcare organizations. Extensive experience managing service operations, value-based contracts, provider relations, Medicare collaboration, regulatory compliance and network management. Specialized expertise in developing network strategies and monitoring performance aligned with business goals to expand opportunities and coverage. Engaging leader who motivates and develops team members to become top performers and deliver superior service.CompetenciesFederal and State Regulatory Compliance | Operational Performance | Provider Service & Solutions |Value Based Contracts (VBC) | Team Productivity | Medical Benefit Ratio (MBR) | Medicaid & Medicare Products | Quality & Performance Improvement | Lean Six Sigma | HEDIS Measurements | CMS ReimbursementFor Healthcare / Managed Care Leadership opportunities contact me at klawrence2202@gmail.com
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Payment Innovation DirectorAnthem Jan 2018 - PresentNationalDevelop and manage internal and external communications for Anthem’s Medicare Value Based Programs. Collect voice of the customer feedback to directly influence program design, program roadmaps, and program communication strategy. Perform complex market and competitive analysis, engage Anthem cross functional teams and SMEs to support messaging strategy regarding the roll out and enhancement of Value Based Payment concepts. Help connect dots between Anthem’s Medicare Value Based Program goals and other Anthem capabilities to tell a “single threaded story”. Develop and design processes and systems that support business needs. Lead special projects/initiatives. -
Director/Sr. Manager, Medicare CollaborationAetna Oct 2012 - Dec 2018Tampa/St. Petersburg, Florida AreaAccountable for all aspects of implementation, account management and benefit realization of Medicare Provider Collaboration arrangements in the Southeast US. Key responsibilities: identifying and recruiting large physician groups and hospital systems for Medicare collaboration arrangements; negotiating quality based collaboration agreements including shared risk arrangements; coordinating cross functional teams to support engagement activities; developing growth strategies to increase membership. -
Director, Medicare Network ManagementUnitedhealthcare Community And State Mar 2010 - Nov 2012NationalResponsible for oversight and project managing Medicare provider network for the UnitedHealthcare Community & State (fka: Americhoice) Dual Special Needs Plans (SNP) nationally. Responsibilities include managing relationships between UnitedHealthcare Networks, UnitedHealthcare Medicare & Retirement (fka Ovations) and UnitedHealthcare Community & State, national oversight of Dual SNP Medicare network strategies and business planning, and monitoring existing Dual SNP network performance.
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Director, Network ManagementUnitedhealthcare Jul 2007 - Mar 2010NationalResponsible for oversight and project managing of the development of government products healthcare network. Responsibilities include acting as liaison between UnitedHealthcare Network management departments and Ovations business segments, presenting the Ovations products to hospitals and large physician groups, preparing applications for product filings to CMS, performing analytics to identify appropriate network development strategies, and management of network staff.
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Frequently Asked Questions about Ken Lawrence
What company does Ken Lawrence work for?
Ken Lawrence works for Anthem
What is Ken Lawrence's role at the current company?
Ken Lawrence's current role is Payment Innovation Director at Anthem.
What is Ken Lawrence's email address?
Ken Lawrence's email address is kl****@****ail.com
What is Ken Lawrence's direct phone number?
Ken Lawrence's direct phone number is (877) 557*****
What skills is Ken Lawrence known for?
Ken Lawrence has skills like Network Development, Provider Relations, Medicare, Hmo, Ppo, Medicaid, Managed Care, Health Insurance, Health Policy, Healthcare Industry, Healthcare Consulting, Hipaa.
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Ken Lawrence
Founder @ Upall ⭐ Increase Productivity & Retention For Today'S New WorkforceMinneapolis, Mn2medium.com, thebrandlab.org -
3gmail.com, gmail.com, soundtransit.org2 +1.206.XXXXXXXX
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Ken Lawrence
Technology Executive | Digital Transformation Leader | Technology Enthusiast | Military VeteranSevern, Md -
6lmicapital.com, lawrencemortgage.com, lmicapital.com, klclpartners.com, ascensioncre.com, lmicapital.com3 +128136XXXXX
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