Kim Abram Email & Phone Number

Remote

Restorix Health is a DME POS that focuses on providing wound care supplies to members residing in a long term care center. The Regional Network Manager is responsible for identifying and contracting with health plans, insurance companies, federal and state Payors, Accountable Care Organizations and Independent Practice Associations.

Greater Denver Area

BridgeHealth connects people with the nation’s best surgical care for a better experience, better outcomes, and better value. Through value-based contracting that employs bundled payments for episodes of care, we create measurable value for everyone: the patient, the surgeon, and the plan sponsor. Our members experience improved outcomes and decreased likelihood of complications, while receiving a level of personalized support that is unique in healthcare. Our providers gain national recognition, incrementally grow their practice, and improve cashflow. Plan Sponsors benefit from improved population health, increased employee satisfaction, and reduced healthcare costs. When value is aligned everyone wins.

Denver, Colorado

Responsible for managing all aspects of the Network Contracting, Reimbursement and Provider Relations functions for the purpose of building a high quality, competitive network that produces affordable and predictable healthcare spend for our clients. BridgeHealth works with self funded employers to offer their employees access to high quality surgical care across the country. We use value based pricing and a comprehensive care model to provide a unique healthcare experience for our clients.

6000 East Evans Ave. Denver, Co 80222

Des Moines, Iowa Area

Manage general agency relationships for 3,000+ agents in the state of Iowa, representing 500,000 members in the under 65 and over 65 market segments.Lead a team of 15 sales and support staff engaged in day-to-day operational interface with general agencies. Act as “business owner” subject matter expert (SME) for all aspects of product development, marketing strategies, agent website and training/support tools. Consistently exceeded sales and retention goals, 2012 to present.Named “Business Owner” for successful implementation of Microsoft Dynamics CRM application for 125 user sales organization to enhance access to date, reporting and account visibility.Served as lead sales executive for implementation of Connecture quote and enrollment systems to support new sales and retention per Affordable Care Act regulations.

Des Moines, Iowa Area

Lead Operations Management Team supporting all aspects of multi-million dollar national career distribution channel including new product development, brand positioning, brochure design and market launch. Developed, negotiated and managed B2B relationships and enhanced sales in areas of imported products, lead acquisition and sales recruiting functions. Collaborated with all areas of company on sales-focused compensation schedules, agent & consumer facing website design and agent training and support tools.

Des Moines, Iowa Area

Developed, negotiated and operationalized 40+ PPO relationships for national multi-million dollar insurance company with 200K+ members to include evaluation of provider access, physician & hospital discounts and access fees to deliver first class service availability. Managed Pharmacy Benefit Manager (PBM) relationship to include pharmacy access, drug formulary and market positioning to enhance customer satisfaction. Facilitated resolution of complex business and consumer issues and maximized profitability by ensuring best in class business model.

Des Moines, Iowa

Evaluated, negotiated and operationalized Managed Care agreements for statewide 200+ physician organization to include reimbursement schedules, credentialing process and contract legal review. Identified, designed and supervised the managed care credentialing process for 200+ physicians to ensure participation and compliance with 20+ different insurance company programs. Monitored, analyzed and reported clinical and financial outcomes for managed care agreements to physician board.

Des Moines, Iowa Area

Evaluated, negotiated and operationalized managed care agreements and reimbursement schedules for Iowa Health System and 200+ physician organization. Measured, monitored and reported outcomes of existing managed care agreements, tracking relevant indicators for trends and concerns. Coordinated and supported Iowa Health System Worker's Compensation Network facility and physician contracts. Researched and evaluated managed care market dynamics and presented results to hospital and physician executive staff and operations personnel.

Des Moines, Iowa

Collaborated in preparation and analysis of Iowa Health System capital and operations budgets while providing financial advice and assistance to operations managers in analyzing facts, identifying relevant issues, evaluating alternatives and recommending courses of action. Measured, maintained and monitored departmental productivity and cost standards to ensure managers understood the cost structure and could effectively manage the operations.

Master Of Business Administration (M.B.A.), Business Administration And Management, General

Bachelor Of Science (B.S.), Accounting And Business/Management

Activities and Societies: Dean's List, Golden Key Honor Society, Regent's Scholarship, Swanson Foundation Scholarship, University.