Nancy Probst

Nancy Probst Email and Phone Number

Vice President of Managed Care @ Cardiovascular Logistics
Nashville, TN, US
Nancy Probst's Location
Nashville, Tennessee, United States, United States
Nancy Probst's Contact Details
About Nancy Probst

Worked in the Managed Care setting for over 24 years. Expertise in health plan contract negotiations/financial analysis of rate proposals & finance strategy. Experience in leading the development of system-wide pricing strategy, leading teams for other large finance projects in a matrixed environment. Extensive experience in financial analysis/negotiating for hospitals, employed physicians and home care. Specialties: Managed Care, Finance Strategy, Pricing Strategy, Financial Analysis, Negotiation of Contracts, Finance Project Manager, Microsoft Excel, PowerPoint, Word

Nancy Probst's Current Company Details
Cardiovascular Logistics

Cardiovascular Logistics

View
Vice President of Managed Care
Nashville, TN, US
Website:
CVLhealth.com
Employees:
29
Nancy Probst Work Experience Details
  • Cardiovascular Logistics
    Vice President Of Managed Care
    Cardiovascular Logistics
    Nashville, Tn, Us
  • Solaris Health
    Director Of Managed Care Analytics
    Solaris Health Sep 2023 - Present
    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
  • Revecore
    Director Of Contract Pricing
    Revecore Nov 2021 - Apr 2023
    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
  • Bjc Healthcare
    Finance Manager
    Bjc Healthcare Aug 2017 - Nov 2021
    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
  • Bjc Healthcare
    Senior/Managed Care Specialist
    Bjc Healthcare Jan 2002 - Aug 2017
    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.
  • Bjc Healthcare
    Senior Accountant
    Bjc Healthcare Jul 1998 - Jan 2002
    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

Nancy Probst Skills

Managed Care Medicare Hospitals Medicaid Healthcare Healthcare Management Project Management Healthcare Industry Physicians Revenue Cycle Financial Analysis Contract Negotiation Health Insurance Process Improvement Hipaa Business Process Improvement Working With Physicians U.s. Health Insurance Portability And Accountability Act Hmo

Nancy Probst Education Details

  • Southeast Missouri State University
    Southeast Missouri State University
    Accounting
  • Southeast Missouri State University
    Southeast Missouri State University
    Mathematics; Business Administration
  • Bernie High School
    Bernie High School

Frequently Asked Questions about Nancy Probst

What company does Nancy Probst work for?

Nancy Probst works for Cardiovascular Logistics

What is Nancy Probst's role at the current company?

Nancy Probst's current role is Vice President of Managed Care.

What is Nancy Probst's email address?

Nancy Probst's email address is na****@****bal.net

What schools did Nancy Probst attend?

Nancy Probst attended Southeast Missouri State University, Southeast Missouri State University, Bernie High School.

What are some of Nancy Probst's interests?

Nancy Probst has interest in Education.

What skills is Nancy Probst known for?

Nancy Probst has skills like Managed Care, Medicare, Hospitals, Medicaid, Healthcare, Healthcare Management, Project Management, Healthcare Industry, Physicians, Revenue Cycle, Financial Analysis, Contract Negotiation.

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