Communicate contract terms, payment structures, and reimbursement rates to providers Analyzes financial impact of contracts and terms Maintains contracts and documentation within a tracking system. Assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures Act as conduit for provider issue resolution

Communicate contract terms, payment structures, and reimbursement rates to providers Analyzes financial impact of contracts and terms Maintains contracts and documentation within a tracking system. Assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures Act as conduate for provider issue resolution Monthly provider visits ( via telephone during pandemic) Assisted with on-boarding the entire state for statewide Medicaid HMO implementation (received a North Star Award and a Star Award for outstanding services) I meet or exceed all Network requirements, demographics, deadlines and state contract requirements.

Oversee Dental Medicaid Vendor for Humana Florida- DentaQuest Ensure HEDIS and EPSDT measures, reviewed and reported to Florida- devloped CAP as needed Review provider network for adequacy, utilization, and compliance Assist in developing workflows and cross departmental processes Develop or assist with any community outreach, projects and members education

Direct B2B sales Dental EHR programIdentify and develop Providers relationshipsAssist with customer support as needed

Handle all new clientsDefined the need for a database, developed, organized and implemented data baseRecognized areas of inefficiency, developed new work flow and tracking systemsMaintain outstanding customer service and relationsDeveloped , planed, organized and taught classes at regional meetingsWrite a weekly motivational blog

All aspects of practice management including personnel management, patient services, practice sales, inventory, etc.

Handle all sales and customer service for the Chattanooga territoryConsistently in the top 10 nationallyLuncheon presentation and training

Developed and initiated organizational work flows for proclaim national appeals program and awarded a circle of excellence for the program Organized and presented employee opinion survey and won a vision award Implemented and trained other office personal Processed complex claims.

Significant contribution to increasing annual profits in my division more than 1.5 million dollars a year.Awarded a seat on the board of director for the management and growth of my division. Design and implement procedures to ensure efficiency and organizational growth. Developed and implemented a successful computerized inventory system.