Responsible for leading national network expansion and provider relations teams, in support of the care continuum and programs designed to bring innovation to our customers and clients.

Responsible for Gulf States. Provider Relations supporting Medicare, Medicaid, and Commercial lines of Business.

Led national provider network expansion strategy to include contracting, provider communications, reporting and analytics in support of the client, and regulatory expectations.

Led day-to-day operations for Medicare Advantage expansion to support growth and ability to meet regulatory and contractual obligations. Provide leadership, direction, and skill development in support of the plan’s Clinically Integrated Network, operations, sales and marketing, and all other staff and vendors. Through collaboration with clinical services, ensure coordination and delivery of care, population health and patient and provider engagement strategies within the benefits design. Develop strategies for the sales & marketing function to develop community-based marketing and Provider co-branding strategies and initiatives.

Accountability leading the contracting functions to include strategic expansion of provider networks, and business development initiatives. Orchestrated turnaround and restructuring of an underperforming care management division. Developed integrated care continuum, quality improvement solutions, and cost reductions. Experience includes finance and revenue cycle, managed care network expansion strategy, program development, provider sales strategy and marketing. Regulatory and compliance, accreditation, credentialing. Network Development, Medical Advisory and Provider Relations. Developed contract management and provider database management to optimize provider networks and an incremental improvement in gross profit margin and program goals. Developed and implemented clinically based programs de-commoditizing services and creating value propositions and branding of proprietary programs. Established sales compensation and commission programs which produced focused, measurable gross margin and sales outcomes.

Developed and branded proprietary PPO, serving managed care customers in 13 contiguous states. Improved network coverage, service access, and quality.

Identified opportunities to measure and improve quality, enhanced efficiency and led sales initiatives maximizing the effective delivery of Comprehensive Outpatient Rehabilitation Facility (CORF) programs and services. Developed and managed PPO healthcare platform, to include Provider CRM, operations platform, marketing initiatives.