Michael Kent

Michael Kent Email and Phone Number

Manager, Payor Relations @ Abbott
California, United States
Michael Kent's Location
United States, United States
Michael Kent's Contact Details
About Michael Kent

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.

Michael Kent's Current Company Details
Abbott

Abbott

View
Manager, Payor Relations
California, United States
Website:
abbott.com
Employees:
149380
Michael Kent Work Experience Details
  • Abbott
    Manager, Payor Relations
    Abbott
    California, United States
  • Keck Medicine Of Usc
    Director Of Managed Care
    Keck Medicine Of Usc Mar 2022 - Present
    Los Angeles, Ca, Us
    Provide 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.
  • Providence Health & Services
    Senior Contracting Manager
    Providence Health & Services Jun 2015 - Mar 2022
    Renton, Wa, Us
    Responsible 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.
  • Glenridge Healthcare Solutions
    Managed Care Consultant, Network Development
    Glenridge Healthcare Solutions Oct 2013 - May 2015
    Development 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.
  • Healthcare Partners
    Managing Consultant, Provider Contracting
    Healthcare Partners Apr 2012 - Sep 2013
    Us
    Manage 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.
  • Davita Source
    Director Of Payor Contracting, Western U.S.
    Davita Source Aug 2009 - Aug 2011
    Denver, Co, Us
    Responsible 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.
  • Cigna Health Care
    Senior Regional Director, Network Development
    Cigna Health Care Jun 2006 - Nov 2008
    Us
    Conduct 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
  • Healthcare Partners
    Manager Of Hospital Contracting
    Healthcare Partners Feb 2003 - Jun 2006
    Us
    Developed 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,
  • Childrens Hospital Los Angeles
    Manager Of Contracting, Business Development & Managed Care
    Childrens Hospital Los Angeles Jan 1999 - Feb 2003
    Los Angeles, Ca, Us
    Management 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

Managed Care Global Business Development Business Development Healthcare Management Medicare Hospitals Medicaid Healthcare Consulting Health Insurance Strategic Planning Contract Negotiation Process Improvement Leadership Contract Management Project Management Strategy Healthcare Industry Program Management Healthcare

Michael Kent Education Details

  • Questrom School Of Business, Boston University
    Questrom School Of Business, Boston University
    Health/Health Care Administration/Management
  • University Of Southern California
    University Of Southern California
    Psychology

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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