Michael Palmer Email & Phone Number

Michigan, United States

Responsible for retention and growth of existing regional managed care clients. Provide oversight to ensure contractual deliverables and service levels are met. Negotiate as appropriate with operational associates to arrive at cost-effective, client friendly solutions to service delivery issues. Establish, build and maintain positive, professional.

• Prepare Managed Care, Trade and Government contracts in close collaboration with Sales, Marketing and Finance to establish agreements with optimal terms and pricing consistent with Ascensia contracting strategies.
• Responsible for the development and maintenance of contract templates that fulfill all requirements of Sales, Marketing, Legal, Finance, and Customer Service Logistics Center.
• Maintain a high customer focus and ensure timely delivery of bids, offers and contracts by coordinating effectively across all internal and external stakeholders. Monitors all workflows and escalates issues as needed.
• Administer the development of internal tracking systems, databases and interfaces to ensure that all operations are compliant to contract requirements.
• Negotiate contract language directly with customers and review with and obtain approval from Legal and all internal stakeholders from other applicable departments.
• Prepare in collaboration with Sale and Finance, customer profiles, contract proposal requests (ROI, financial models, terms, rationale, and recommendations) and retrospective contract performance evaluations.

Troy, Michigan

Manage hospital, hospital system, PHO, and PO contracts with participating provider organizations for network of government programs. Ensure compliance with state and federal regulations for payors of government sponsored programs. Negotiate new contracts and re-negotiate existing ones to positively impact the medical cost ratio and position of Molina.

Greater Detroit Area

Negotiate and maintain contractual relationships (incentive & risk sharing models) with ancillary, physician network (PHO, PA), and hospital providers consistent with corporate strategic initiatives. Coordinate contracting process and workflows while establishing financial reimbursement models for network healthcare providers.Perform financial analysis of.

Assist self insured companies & municipalities in reducing medical costs associated with workers compensation, Medicare Set Asides, and ancillary services through cost containment. Partner with insurance adjusters and third party administrators to reduce client medical costs. Help risk managers and human resource professionals in reaching cost containment.

Conceived and implemented strategic initiatives to increase volume and market share for respiratory therapeutics targeting pulmonology, allergy, asthma and ENT hospital and office based customers. Effectively sought and sold to targeted movable respiratory customers resulting in a top performance. Created plan to launch Omnaris (allergic rhinitis) and.

Promoted Zocor, Fosamax, Singulair, Vioxx, Pepsid and Propecia to primary, specialty and hospital based physicians. Recognized with national awards, awards of excellence and promotions throughout my tenor.  Energetically and pointedly focused my efforts and exhaustively sought sales volume to exceed objectives on established plans. Maintained $20,000.

Coordinated the network of participating providers for CIGNA HealthCare’s Preferred Provider Organization (PPO) and Point of Service (POS) managed care plans. Contracted and negotiated rates of reimbursement for physician, ancillary and hospital network providers. Credentialed and recredentialed participating providers resulting in a more functional.

Masters Of Business Administration

B.S., Psychology

Activities and Societies: Delta Sigma Phi fraternity, Homecoming/Spirit Week ChairmanVolunteered for Listening Ear, a tri-county suicide.