Mario Macías

Mario Macías Email and Phone Number

Director Provider Contracting @ Excellus BCBS
Mario Macías's Location
Brockport, New York, United States, United States
Mario Macías's Contact Details

Mario Macías personal email

n/a
About Mario Macías

Mario Macías is a Director Provider Contracting at Excellus BCBS. He possess expertise in health insurance, healthcare, managed care, medicaid, process improvement and 14 more skills.

Mario Macías's Current Company Details
Excellus BCBS

Excellus Bcbs

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Director Provider Contracting
Mario Macías Work Experience Details
  • Excellus Bcbs
    Director Provider Contracting
    Excellus Bcbs Jan 2024 - Present
    Rochester, New York, Us
  • Somatus
    Director Provider Engagement, Northeast & Mid-Atlantic Regions
    Somatus May 2022 - Jul 2023
    Mclean, Virginia, Us
  • Molina Healthcare
    Director Provider Contracting
    Molina Healthcare Nov 2020 - May 2022
    Long Beach, California, Us
    Contracting and Provider Network performance, Maintenace, Compliance, Regulations and Credentialing. IPA and Vendor Management. Medicaid/Medicare network expansion. Staff development.
  • Monroe Plan For Medical Care
    Director Provider Network Operations
    Monroe Plan For Medical Care Jun 2018 - Oct 2021
    Pittsford, Ny, Us
    Director Provider Operations (June 2018 – October 2020)(Provider Relations, Provider Contracting, Provider File Maintenance and Provider Network Credentialing)
  • Monroe Plan For Medical Care
    Director Provider Relations
    Monroe Plan For Medical Care Dec 2015 - Jun 2018
    Pittsford, Ny, Us
    • Contracting and network development including VBC and Behavioral Health Network• Responsible for network adequacy across the health plan service regions• Establish and manage the provider service strategy across service regions
  • Monroe Plan For Medical Care
    Manager Of Provider Relations
    Monroe Plan For Medical Care Jan 2008 - Nov 2015
    Pittsford, Ny, Us
    • Responsible for network changes, system migrations and NYSDOH compliance as YourCare Health Plan entered the market as a new HMO• Key role with leadership and strategic planning developing new MCO• Responsible for all professional provider issues, processes, and resolutions according to Monroe Plan policy and procedures• Oversee all physician onboarding, recruiting, contracting, termination and network compliance process and requirements
  • Monroe Plan For Medical Care
    Supervisor Provider Relations
    Monroe Plan For Medical Care 2003 - 2008
    Pittsford, Ny, Us
  • Monroe Plan For Medical Care
    Provider Relations Representative
    Monroe Plan For Medical Care 2000 - 2003
    Pittsford, Ny, Us

Mario Macías Skills

Health Insurance Healthcare Managed Care Medicaid Process Improvement Medicare Insurance Hipaa Hospitals Healthcare Management Provider Relations Data Analysis Leadership Customer Service Team Building Management Strategic Planning Hmo Health Savings Accounts

Frequently Asked Questions about Mario Macías

What company does Mario Macías work for?

Mario Macías works for Excellus Bcbs

What is Mario Macías's role at the current company?

Mario Macías's current role is Director Provider Contracting.

What is Mario Macías's email address?

Mario Macías's email address is mm****@****lan.com

What skills is Mario Macías known for?

Mario Macías has skills like Health Insurance, Healthcare, Managed Care, Medicaid, Process Improvement, Medicare, Insurance, Hipaa, Hospitals, Healthcare Management, Provider Relations, Data Analysis.

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