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Michael I. Kent is an experienced managed health care professional with demonstrated success across the industry, including specialized expertise in contracting, business development, and network management. With a unique combination of both payor and provider experience, strong interpersonal, negotiation and relationship management skills, he has consistently produced value along a proven track record and demonstrated ability to create and manage effective relationships.Michael is currently Director of Managed Care at Keck Medicine of USC in Los Angeles, responsible for leading significant negotiations and collaboration activities with health plans for this leading health system. Previously, he was Senior Contracting Manager at Providence in southern California. Prior to this role, Michael was a Senior Regional Director at Cigna, Director of Payor Contracting for Lifeline Vascular Access, an affiliate of DaVita, Inc., and led hospital and professional contracting activities for HealthCare Partners Medical Group and Childrens Hospital Los Angeles. He is a graduate of both the Health Sector Program at the Questrom School of Management at Boston University, and the Dornsife College of Letters, Arts and Sciences at the University of Southern California.
Abbott
View- Website:
- abbott.com
- Employees:
- 149380
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Manager, Payor RelationsAbbottCalifornia, United States -
Director Of Managed CareKeck Medicine Of Usc Mar 2022 - PresentLos Angeles, Ca, UsProvide strategic direction and leadership through effective negotiation and implementation of various payment models and contracting strategy, cultivation of managed care partnerships and enhancing financial success of provider & hospital network. Ongoing development and expansion of new and existing payer relationships to address pressure on reimbursement levels. Management and creation of various contract language and negotiation strategies and continuous collaboration with payers on new payment models and other managed care business opportunities. Achieved average contract revenue increase over 8% through thirty successfully negotiated rate improvements and six disengagements. -
Senior Contracting ManagerProvidence Health & Services Jun 2015 - Mar 2022Renton, Wa, UsResponsible for significant negotiations with and developing partnership activities between Providence and various health plans, payors and accountable care collaboration ventures.Partner with executive leaders of Clinical Institutes to support and refine contracting approach to payers for specialized value-based bundled payment contracting initiatives.Completed comprehensive evaluation of contract performance with regional and national behavioral health payers and actively renegotiated terms at or above budgeted parameters to support Mental Health Institute growth initiatives. -
Managed Care Consultant, Network DevelopmentGlenridge Healthcare Solutions Oct 2013 - May 2015Development of accountable health care delivery network by creating partnerships between health plan clients and provider organizations to ensure marketability and fulfilment of CMS network adequacy requirements. Manage new market provider network expansion strategy of government-sponsored health care programs (Medicare and Medicaid) across existing and additional service areas with hospitals, primary care, academic and multi-specialty organizations.Successful recruitment of group practices and hospital systems through creation and negotiation of various payment contracting and reimbursement methodologies, resulting in comprehensive provider network. Utilize and leverage various criteria, including interpretation and application of network adequacy standards, market intelligence and reporting to optimize provider network quality.
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Managing Consultant, Provider ContractingHealthcare Partners Apr 2012 - Sep 2013UsManage financial analysis, negotiation, renewal, implementation and documentation of rates, terms and language within agreements, including specialist, primary care, and surgery center providers. Lead relevant discussions with regional leadership including contracting strategy, network development and enhancement goals and optimal contracting operations. Develop, structure, review and negotiate proposals, analyses, contracts and contract amendments between downstream providers and HCPAMG to result in the provision of affordable care within contractual performance goals, including enhanced terms, proper system setup to promote payment accuracy, and correct implementation. Identify and resolve key issues to ensure overall compliance with financial, legal, regulatory, and business performance of current regional contracts in preparation for dual-eligible Medicare and Medicaid managed care demonstration program participation. -
Director Of Payor Contracting, Western U.S.Davita Source Aug 2009 - Aug 2011Denver, Co, UsResponsible for the development, implementation, and management of all payor contracting activities related to managed centers in the western U.S. Created and designed clinically integrated ACO network for participation with major insurers. Advised clients on key elements of contractual performance, compliance and revenue improvement opportunities. Formulated and developed payor contracting strategy on commercial, Medicare Advantage, Medicaid Managed Care, state and federal sponsored business with various reimbursement sources to provide services for and meet needs of health plan members. -
Senior Regional Director, Network DevelopmentCigna Health Care Jun 2006 - Nov 2008UsConduct contract negotiations with medical providers, including medical groups, IPAs, hospitals, and ancillary services. Duties include drafting and implementing contract language and rate parameters, communicating legal requirements and ERISA self-funded business requirements, and developing competitive rate structures to present to contracted parties for commercial lines of self-insured business for Great-West Healthcare, now part of CIGNA -
Manager Of Hospital ContractingHealthcare Partners Feb 2003 - Jun 2006UsDeveloped and refined acute facility contracting infrastructure represented by over $300 million in institutional expenses covering forty individual and system-supported hospital contracts. Accomplishments included: • Acquisition and effective management of several hospital contractual relationships, and enhanced productivity and flexibility of current relationships, via business process redesign and contract management infrastructure development.• Formalized hospital contracting strategy for the company by assessment of contracting opportunity, partnership potential, business requirement and pricing considerations, in conjunction and collaboration with corporate senior management and regional leadership, to achieve and sustain business objectives and long-term viability. Developed business model to sustain both current and future referral patterns to provider entities, -
Manager Of Contracting, Business Development & Managed CareChildrens Hospital Los Angeles Jan 1999 - Feb 2003Los Angeles, Ca, UsManagement of health plan and state government institutional contracts for CHLA, especially in the area of cardiothoracic and liver transplantation. Keynote author of CMAC proposal to State of California to retain and enhance Medi-Cal funding. Collaborated marketing and business development activities with key physician leadership in academic divisions of medical center, including Vaughn Starnes, MD and Rick Selby, MD.
Michael Kent Skills
Michael Kent Education Details
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Questrom School Of Business, Boston UniversityHealth/Health Care Administration/Management -
University Of Southern CaliforniaPsychology
Frequently Asked Questions about Michael Kent
What company does Michael Kent work for?
Michael Kent works for Abbott
What is Michael Kent's role at the current company?
Michael Kent's current role is Manager, Payor Relations.
What is Michael Kent's email address?
Michael Kent's email address is go****@****hoo.com
What schools did Michael Kent attend?
Michael Kent attended Questrom School Of Business, Boston University, University Of Southern California.
What are some of Michael Kent's interests?
Michael Kent has interest in Economic Empowerment, Politics, Economic Development, Cycling, Disaster And Humanitarian Relief, Travel, Health.
What skills is Michael Kent known for?
Michael Kent has skills like Managed Care, Global Business Development, Business Development, Healthcare Management, Medicare, Hospitals, Medicaid, Healthcare Consulting, Health Insurance, Strategic Planning, Contract Negotiation, Process Improvement.
Who are Michael Kent's colleagues?
Michael Kent's colleagues are Fia Sulfiana, Karen Britt, Kenneth Leong Keat Poh, Richard Puleo, Liliana Dominguez Alarcon, Loredana Marcus, Mohammed Alaqel.
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