Larry Lindsey Email and Phone Number
I look forward to leading Healthcare Administration to a People Serving Industry. Every individual that has to access healthcare should exit with a positive experience!About Me:- Subject Matter Expert (SME) in the Healthcare Industry -Background in data analysis, education, healthcare research, enterprise software enhancements, healthcare implementation, fee schedule maintenance and claim adjudication configuration-Talents include but not limited to leveraging comparative known knowledge to absorb new information for complex business decisions that require limited turnaround time response-Proven ability to outperform external and internal competition by way of a natural-persistence approach to complex problem solving task-Coventry/Aetna merger & acquisition Strategy Development Team asset for intellectual system migration and data redistribution for financial contract synergies -Exhibits the ability to fluidly transition thoughts and communication from a micro level to macro level which allows me to stay connected with the organizations base and address cultural necessities that impact strategic decisions- Niche interest in technology infrastructure, industry trends, organization strategies, business financials, end to end process improvement, culture influence management, and marketing strategies- Product Portfolio Management for Medicare, Medicare Advantage, Medicaid, Healthy Kids, HMO, PPO, POS, Specialty Business, Workers Compensation, National Products, Exchange, and Individual -Extensive experience working in network operations, contracting efficiencies as well as discrepancy recoveries and disbursement resolutions-Ability to work both independently and in cross-functional team environments. Manages and prioritizes multiple projects-Business conduct, integrity, and ethical decision making will always be a part of my values.
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Senior Manager Medical EconomicsAetna, A Cvs Health Company Jul 2024 - Present -
Manager Medical EconomicsAetna, A Cvs Health Company Oct 2021 - Aug 2024Tampa, Florida, United States -
Medical Economics ConsultantAetna, A Cvs Health Company Oct 2019 - Oct 2021Tampa/St. Petersburg, Florida Area -
Lead Network Operations Consultant FlAetna Oct 2017 - Oct 2021Tampa, Florida -
Team Lead, Contract Coordinator FlAetna Aug 2017 - Oct 2017Tampa, Florida -
Contract Coordinator FlAetna Jan 2014 - Aug 2017Tampa, FloridaAetna migration/conversion of synergy contracts for hospital and ancillary negotiated rates. Works closely with system comparisons and hands on negotiated rate coordination into Coventry interfaces. -Creates, extracts contracted negotiated rates from Aetna interfaces by way of redistributing and loading rates for accurate claim payment for Aetna synergy migration efforts into legacy Coventry claim auto adjudication systems -Provides Florida Healthplan final signoff for major hospital and ancillary contracts-Reviews the contracted system structure that affects clean claim payment and accuracy prior to live auto adjudication -Reviews complexities of contracted rates prior to implementation into Coventry claim payment systems-Maintains legacy editing software for Coventry and Aetna migrated contracts -Maintains legacy Coventry fee schedules which are currently tied to hundreds of hospital and ancillary providers-Leader -
Lindsey Financial GroupLarry Lindsey Llc Dba Lindsey Financial Group Llc Jan 2010 - PresentLand O' Lakes, Florida, United States
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Contract Implementation Specialist FlCoventry Health Care, An Aetna Company Oct 2009 - Dec 2013Tampa, FloridaProduced and maintained reimbursement fee schedule for Coventry Health Care Hospital and ancillary contracts. - Acted as internal contact for all departments impacted by contract setup and addressed implementation concerns for facility provider contracts-Produced unique market fee schedules for central Florida hospitals and all ancillary facilities -Responsible for financial analysis of proposed capitation or risk sharing arrangements-Investigated issues/set-up problems that arose with the appropriate departments-Determined the necessary technology interfaces needed by the provider from Coventry and worked with the IS department for development roll out -Investigated interface problems as they arose-Facilitated ongoing internal meetings to share, distribute contract information to review the action plans and answer questions-Supported other areas of network operations as required, including assisting with the accreditation process-Researched and resolved claims issues for physician’s offices, hospitals, ancillary of all types -Initial contact for all ancillary contract management issues and concerns for the state of Florida -Implemented contract language into multiple paying systems to reimburse 13+ insurance products -Assisted contractors in contract production of rate allowable for complex/base schedules-Demonstrated understanding of current trends, offering resolution to various healthcare issues-Enforced state and government policies for facilities contracts-Took initiative with many additional tasks that were outside your job description without being asked for the benefit of the company -
Provider Relations Representative FlCoventry Health Care Jan 2009 - Sep 2009Tampa, FloridaResponsible for maintaining working relationships with existing provider network; assisting providers with policy, procedure interpretation; maintaining accurate data for current databases relating to provider facilities and physician information; assisting with physician recruitment activities-Maintained regular contact with key provider organizations and served as a liaison to internally resolve complex issues; developed strong interpersonal relationships with assigned providers-Researched and resolved incoming escalated provider inquiries within contract guidelines; educated providers on new protocols, policies, procedures-Assisted with physician recruitment by identifying specific providers within a designated territory-Facilitating the distribution of provider agreements while handling territorial provider demographic maintenance-Ensured provider database documentation was up-to-date, accurate, and complete; ensured new physician contracts were entered promptly & accurately-Assisted with the development and implementation of provider training programs-Researched and analyzed provider-Built and submitted fee schedules for paying system (IDX, PCM)-Aided in migration of critical provider information -Eagar to learn and successfully performed other duties outside the scope of my required duties and responsibilities
Larry Lindsey Education Details
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University Of South FloridaFinance, Marketing -
Rock Valley CollegeGeneral Studies -
Bachelor Of Science (B.S.)
Frequently Asked Questions about Larry Lindsey
What company does Larry Lindsey work for?
Larry Lindsey works for Aetna, A Cvs Health Company
What is Larry Lindsey's role at the current company?
Larry Lindsey's current role is Financial Strategy, Business Development & Tax Risk Opportunities.
What schools did Larry Lindsey attend?
Larry Lindsey attended University Of South Florida, Rock Valley College, University Of South Florida.
Who are Larry Lindsey's colleagues?
Larry Lindsey's colleagues are Bain Barbara, Cherrylou Amosco, Erica Hargrove, Lauren Gray, Brittany Keefe, Awuah Kwame, Vipul Prakash.
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Larry Lindsey
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Larry Lindsey
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