Lori Powers Email & Phone Number

Washington, United States

Greater New York City Area

Responsible for contracting and re-negotiating existing hospital contracts on behalf of TriWest Health Alliance with hospital systems in 22 states.

Greater New York City Area

Responsible for developing relationships and negotiating contracts with transportation providers throughout the country to build a robust Medicaid transportation network on behalf of United Healthcare.

N.Y.C, N.Y.

Evaluate and negotiate contracts on behalf of Skilled Nursing Facility with 6 large Managed Care Organizations. Represent large multi-specialty physician group in evaluating, strategizing and negotiating contracts with Managed Care Organizations. Develop, strategize and negotiate contractual relationships with MCO's on behalf of large mental health provider.

NYC

Consultant to Centerlight Healthcare formerly Comprehensive Care Management. Responsible for building Adult Day Health Care network, Social Day Care network, ALP's, physician and ancillary recruitment for MLTC, FIDA and all other lines of business. Additional contracting including skilled nursing facilities, dialysis, laboratory, home infusion, and.

Bronx, N.Y.

Responsibilities included evaluating and negotiating exclusive lab contract as well as maintained ongoing working relationship with Vendor. Negotiated and contracted relationship with new dental vendor. Also, contracted with Skilled Nursing Facilities, home infusion vendors, homecare companies, DME vendors as well as all other Providers to meet Medicaid.

NY, NY

Consultant to Touchstone Health Partnership, Inc. to launch new PSO product. Responsibilities included developing marketing strategy, network development with focus on physician, hospital and ancillary contracting and preparation of documents for New York State license. Helped to develop hospitalist program for Inpatient Care Management. Targeted.

Responsible for all ancillary contracting. Including negotiating rates and contract language with Skilled Nursing Homes, Dialysis Facilities, Radiology Facilities, Homecare Companies, Vision Providers, Chiropractors, Physical Therapists, and Occupational Therapists throughout New York State.Account Manager and key liaison for all vendor relationships.

Touchstone Health Partnership, Inc. New York, N.Y. 3/04-10/06Network Development Specialist-Physician Recruitment Participated in start-up of Medicare PSO (only one other in country) bringing company from pre-operational to operational in downstate and upstate counties.Responsibilities included development, creation and implementation of documents and.

Developed relationships with managed care organizations on behalf of 21 skilled nursing facilities, collectively known as the Alliance Continuing Care Network.Assessed payor market and determined targets for contacting. Negotiated contract language and rates with 12 payors. Staff liaison to the managed Care Committee: offered guidance, support, and.

Developed relationships with managed care organizations on behalf of 21 skilled nursing facilities, collectively known as the Alliance Continuing Care Network.Assessed payor market and determined targets for contacting. Negotiated contract language and rates with 12 payors. Staff liaison to the managed Care Committee: offered guidance, support, and.

Key participant in start-up of Company contracted and educated both Beth Israel/ St. Lukas Roosevelt physicians for participation in Global Risk deals.Assisted in development of all marketing materials for providers participating in global risk arrangements. Supervised intern in all areas of Provider Relations and Network Development. Presented at monthly.

Participated in start -up of company, contracted with hospitals, physicians, ancillary providers, IPA’s and PHO’s.Key liaison between plan and all contracted Manhattan facilities.Maintained positive working relationship with over 2000 participating Manhattan physicians.Educated providers to ensure delivery of appropriate medical care.Contact person for 5.

Masters In Social Work

Bachelors, Social Work