Nancy Probst Email & Phone Number

Nashville, Tn, Us

Fort Lauderdale, Florida, Us

o Manage all payer relation aspects for regional markets, including contract negotiationso Oversee all financial aspects of negotiations with health planso Sourced own data using various PM systems for managed care negotiationso Creation of Managed Care budget; includes development of template and reporting tools for Finance, Operations, and individual Affiliateso Participate in VBC discussions in various markets with payerso Monitor contract performanceo Attend regular board meetings to report payer negotiation updates and budget updates

Franklin, Tn, Us

Responsible for the development of company pricing strategy and managing the internal processes utilized to productively generate and maintain pricing. This includes the creation of new pricing, updates to existing pricing, development and oversight of quality controls to ensure the accuracy of pricing rules, and the coordination of communication to internal stakeholders.o Assist in developing company future strategy as it relates to pricing and demonstrate the return on investment to support future department growtho Leverage technology to develop monitoring of key metrics associated with pricing performance, efficiency, and effectivenesso Provide stewardship with pricing through subject matter expertise and understanding of various pricing methodologies as well as hand-on assistance with pricing buildso Maintain knowledge of payor trends, policies, and protocols along with general revenue cycle operations to support effective contract pricing activitieso Build strong, lasting relationships with internal departments and senior leadershipo Coach, mentor and develop pricing team through educational opportunities

St. Louis, Mo, Us

• Oversee and collaborate with Director of Finance & Contracting in all financial aspects of negotiations and strategy for BJC HSOs including BJC Medical Group, Behavioral Health, and BJC Home Care Services for contracts totaling over $2.5B in revenueso Direct senior financial analysts in the preparation of the financial negotiation modelso Develop and prepare financial recommendations and ensure financial targets are meto Report financial results to senior hospital and system leadership• Participate and prepare recommendations in key BJC Strategic discussions • Prepare financial projections for Value-Based Alternative Payment Initiatives • Provide direction for contractual financial impact on several system-wide projects: Alternative Payment Models, Revenue Management initiatives, Strategic Pricing, Quality initiatives, Transparency and Pricing Strategy• Oversight of Managed Care budget projections distributed to Corporate Finance• Collaborate with Revenue Management and Hospital Finance teams to resolve operational concerns by working with health plans to implement amendments and recover payments on prior claims• Develop and implement secure process to share certain contract information electronically with key internal stakeholders • Successful hiring, training/onboarding of new employees; assigning and directing work; appraising performance and resolving issues

St. Louis, Mo, Us

• Financial team leader during Managed Care contract negotiations totaling over $2 billion in gross revenueo Managed peers in the development of the financial negotiation model and met designated financial targetso Lead team member in negotiations and strategy discussionso Analyzed large amounts of health plan utilization, built financial models, resolved modeling issues, and communicated negotiation results to senior leadership• Exercised project management skills which included oversight of multiple projects and ensuring tight deadlines met• Financial representative on health plan operations committee• Participated in hiring process; manage training/onboarding of team members• Project Lead for CMS Alternative Payment Model Reconciliationo Prepared files for hospitals to review; provide direction to hospitals to investigate discrepancieso Prepared reports for hospital leadership and file timely reports with CMS• Managed Care Finance Leader of ICD-10 Projecto Provided direction to outside consultant regarding the modeling of the managed care contract datao Work with plans and the consultant on ICD9 to ICD10 mapping of specified services• Finance lead/managed care representative for several system-wide projects: Alternative Payment Models, CDM, Revenue Management initiatives, Pricing Strategy, etc.

St. Louis, Mo, Us

• Responsible for variance analysis and the preparation of physician practice financial statements• Report monthly physician practice results to upper management• Involved with the development of the physician practices’ operating budgets• Responsible for the supervision of the fixed asset system• Prepare quarterly physician compensation models

Major, Accounting

Bs, Mathematics; Business Administration

Education record