Mike Scheffer

Mike Scheffer Email and Phone Number

Blue Cross and Blue Shield of Kansas @ Blue Cross and Blue Shield of Kansas
Mike Scheffer's Location
Topeka, Kansas, United States, United States
Mike Scheffer's Contact Details
About Mike Scheffer

Healthcare professional with broad experience in Medicare Advantage plan leadership, Network Development/Contracting, Operations, and Sales and Marketing, with national and local health plans, as well as health systems. Value-based and risk contracting in Medicare Advantage, Commercial and Medicaid products.

Mike Scheffer's Current Company Details
Blue Cross and Blue Shield of Kansas

Blue Cross And Blue Shield Of Kansas

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Blue Cross and Blue Shield of Kansas
Mike Scheffer Work Experience Details
  • Blue Cross And Blue Shield Of Kansas
    Associate Vice President Affordability
    Blue Cross And Blue Shield Of Kansas Dec 2023 - Present
    Topeka, Ks, Us
  • Blue Cross And Blue Shield Of Kansas
    Interim Vp Provider Network Management
    Blue Cross And Blue Shield Of Kansas Mar 2024 - Aug 2024
    Topeka, Ks, Us
  • Integris Health
    Director Integris Health Partners + Ma Health Plan
    Integris Health Apr 2021 - Dec 2023
    Oklahoma City, Oklahoma, Us
    Responsible for MA health plan start up and operations. Work with administrative partner to ensure effective policies, procedures and operations are in place. Responsible for driving STARS results, network development, benefits and pricing, marketing and sales, and member satisfaction.
  • Integris Health
    Administrative Director, Payer Strategy
    Integris Health Apr 2019 - Apr 2021
    Oklahoma City, Oklahoma, Us
    Payer contracting and operations leadership responsible for developing and implementing strategies for payer relationships. Value-based contracting leadership. Responsible for managing the Director of Contracting and Director of Operations.
  • Asante
    Director Of Payer Strategy And Contracting
    Asante Jun 2016 - Jan 2019
    Medford, Oregon, Us
    Responsible for the strategic direction of managed care contracting for the Asante system. Responsible for evaluating and leading contract negotiations for value-based agreements for all products.
  • Humana
    Director Of Provider Contracting
    Humana Dec 2013 - May 2016
    Network leadership responsible for Medicare Advantage as well as strengthening commercial strategy, while also focusing on provider engagement through value-based contracting. Began as Hospital Contracting Executive and promoted to Director of Provider Contracting.
  • United Healthcare
    Senior Network Contract Manager
    United Healthcare May 2005 - Nov 2013
    Us
  • Scott And White Health Plan
    Manager, Provider Contracting
    Scott And White Health Plan Jan 2001 - Apr 2005

Mike Scheffer Skills

Network Development Medicare Medicaid Provider Relations Managed Care Hmo Health Policy Healthcare Industry Insurance Hipaa Healthcare Ppo Credentialing Healthcare Consulting Health Insurance Healthcare Management U.s. Health Insurance Portability And Accountability Act

Mike Scheffer Education Details

  • The University Of Kansas
    The University Of Kansas
    Master Of Health Services Administration

Frequently Asked Questions about Mike Scheffer

What company does Mike Scheffer work for?

Mike Scheffer works for Blue Cross And Blue Shield Of Kansas

What is Mike Scheffer's role at the current company?

Mike Scheffer's current role is Blue Cross and Blue Shield of Kansas.

What is Mike Scheffer's email address?

Mike Scheffer's email address is mi****@****hoo.com

What is Mike Scheffer's direct phone number?

Mike Scheffer's direct phone number is +181651*****

What schools did Mike Scheffer attend?

Mike Scheffer attended The University Of Kansas.

What are some of Mike Scheffer's interests?

Mike Scheffer has interest in Aerobics, Kids, Exercise, Investing, Traveling, Electronics, International Traavel, Reading, Fitness, Music.

What skills is Mike Scheffer known for?

Mike Scheffer has skills like Network Development, Medicare, Medicaid, Provider Relations, Managed Care, Hmo, Health Policy, Healthcare Industry, Insurance, Hipaa, Healthcare, Ppo.

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