Ken Sanchez Email and Phone Number
Director Of Payer Relations and Contracting /Managed Care at Children's Hospital Colorado at
@
Children's Hospital Colorado
aurora, colorado, united states
Ken Sanchez's Location
Pine, Colorado, United States, United States
Ken Sanchez's Contact Details
Ken Sanchez work email
- Valid
- Valid
- Valid
Ken Sanchez personal email
n/a
About Ken Sanchez
Ken Sanchez is a Director Of Payer Relations and Contracting /Managed Care at Children's Hospital Colorado at Children's Hospital Colorado. He possess expertise in managed care, healthcare management, medicare, medicaid, healthcare and 31 more skills.
Ken Sanchez's Current Company Details
Children'S Hospital Colorado
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Director Of Payer Relations and Contracting /Managed Care at Children's Hospital Colorado
aurora, colorado, united states
- Website:
- childrenscolorado.org
- Employees:
- 5478
Ken Sanchez Work Experience Details
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Director Of Payer Contracting Managed CareChildren'S Hospital Colorado Dec 2023 - PresentAurora, Colorado, United States
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Director Of Payer RelationsBoulder Community Health Jul 2021 - Dec 2023United States -
Manager Of Payer RelationsBoulder Community Health Mar 2017 - Jul 2021Boulder, Co
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Senior Provider Network ManagerAnthem Jan 2015 - Feb 2017Denver, ColoradoProvider Solutions Senior Provider Network Manager for Colorado Physician Contracting managing the Hospital Based Physician / Rural Non-Hospital Based Physician Network Management -
Provider Network Manager Ii Enterprise Ancillary ContractingWellpoint Dec 2013 - Jan 2015Greater Denver AreaProvider Network Manager II for the department of Physician Engagement and Contracting serving the Anthem Enterprise Ancillary Contracting department; managing DME/ Orthotics and Prosthetic services for network development for Virginia and Georgia. -
Senior Fee Schedule AnalystPhysician Health Partners Nov 2011 - Sep 2013Greater Denver AreaDeveloped and implemented new policies and procedures for the configuration of fee schedules to assure contracts were configured for the correct payment of claims.Conducted analysis of: complex capitated contracts, adhoc data mining requests.Provided for internal and external subject matter expertise in contracting and CMS reimbursement methodologies.Provided monthly, quarterly, and annual new business financials analysis and reporting to Client Board. Reported results to internal / external clients assuring strong relationships and retention of key clients. -
Senior Contract ManagerPhysician Health Partners May 2006 - Nov 2011Greater Denver AreaSupervised a contracting team, overseeing the contract writing and successful negotiation of provider, ancillary, and facility contracts for commercial, Medicaid, Medicare and government self-funded insurance plans.Extensive client management for a major account which resulted in significant improvements in communication, decreased costs, and increased satisfaction with the contracting process.Oversaw all contract activities for the statewide provider network for the Colorado Department of Corrections managed health care program.Conducted extensive contract negotiations with hospital systems for statewide facility contracts.Created and implemented comprehensive templates for Master Service Agreements with Facilities, Ancillary and Providers relationships, as well as templates for Letters of Agreement (LOA) contracts.Prepared and secured Request for Proposal (RFP) responses for two government self-funded healthcare programs with the Colorado Division of Youth Corrections and the Colorado Mental Health Institute.Defined and implemented internal processes and procedures to create efficiencies and decrease contract turnaround time.Implemented and managed the transfer of a provider network to Physician Health Partners for a new book of business with over 300 providers and facilities.
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Network Account ManagerUnitedhealth Group Jan 2004 - Apr 2006Greenwood VillageExtensive client relationship management including writing, negotiating and securing major contracts.Conducted sales/marketing presentations to key potential clients including physicians, hospital systems, Colorado Medical Society and Practice Administrators.Highly skilled in resource planning, budget preparation and projected financial forecasts.Comprehensive contract management including budget management, negotiation of changes in scope with clients, contract extensions, budget forecasting, and data capture for resourcing metrics.Generated new business leads, presented department capabilities at client meetings, proposal preparation and contract negotiation for wide range of regulatory consulting and submission projects. Managed the planning and determination of departmental algorithms for clinical trials.Conducted internal trainings and presentations regarding regulatory affairs, and departmental systems and processes.
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Network Manager-Colorado Pediatric PartnersPhysician Health Partners Jan 2000 - Dec 2003Greater Denver AreaExtensive client relationship management including writing monthly network communication. Responsible for the recruitment, education and retention of all physicians within Colorado Pediatric Partners, an Independent Provider Association through written and verbal communications including larger presentations and a general membership meetings.Functioned as the Single Point Of Contact for the network regarding decisions from the Physician Board.
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Assessment And ReferralWest Pines Behavioral Health 1994 - 1999Wheat Ridge, Colorado
Ken Sanchez Skills
Managed Care
Healthcare Management
Medicare
Medicaid
Healthcare
Health Policy
Hipaa
Hospitals
Provider Relations
Healthcare Information Technology
Physician Relations
Healthcare Consulting
Revenue Cycle
Healthcare Industry
Disease Management
Policy
Network Development
Utilization Management
Team Building
Health Insurance
Process Improvement
Emr
Physicians
Contract Negotiation
Credentialing
Ppo
Strategic Planning
Quality Improvement
Program Management
Case Management
Management
Ehr
Analysis
Healthcare Reimbursement
Leadership
Insurance
Frequently Asked Questions about Ken Sanchez
What company does Ken Sanchez work for?
Ken Sanchez works for Children's Hospital Colorado
What is Ken Sanchez's role at the current company?
Ken Sanchez's current role is Director Of Payer Relations and Contracting /Managed Care at Children's Hospital Colorado.
What is Ken Sanchez's email address?
Ken Sanchez's email address is ke****@****mcs.com
What skills is Ken Sanchez known for?
Ken Sanchez has skills like Managed Care, Healthcare Management, Medicare, Medicaid, Healthcare, Health Policy, Hipaa, Hospitals, Provider Relations, Healthcare Information Technology, Physician Relations, Healthcare Consulting.
Who are Ken Sanchez's colleagues?
Ken Sanchez's colleagues are Kathryn Revenig, Lexi Petruccelli, Lauren Pulley, Mandy Seader, Nichole Mayer, Kathleen Spomer, Kaylee Atwell.
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Ken Sanchez
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