Patrick Fuchs Email & Phone Number

Portland, Or, Us

Portland, Or, Us

Troy, Michigan, Us

Leading various process and system migration projects on behalf of Centene corporation. Projects include: Migration and reconstruction of technical aspects of provider data culminating in improved operational and reporting processes. Simultaneously managing a project related to improving our practitioner credentialing functionality within the corporation, leading to a more streamlined and efficient credentialing and provider data update process. Position also entails consulting on a wide variety of topics with internal stakeholders related to practitioner data.

Woodland Hills, California, Us

In charge of credentialing intake, contract processing, and data management of 12,000 + provider records including contracting, demographic, and credentialing information. Ensure compliance with corporate standards, service level agreements, and state/federal regulatory requirements. Supervised 20 + personnel in 2 different cities.

Woodland Hills, California, Us

Oversee projects, policies, contract setup activities, and operational issue initiatives to support data maintenance, claims adjudication and key functions of internal department. Direct six personnel, three of whom I hired. Collaborate with credentialing and IT personnel; supervise report generation; conduct performance reviews and deliver ongoing coaching; assist with drafting of BARRs and BSDs.Develop cost/benefit analysis for projects and conduct ad hoc project reporting; design workflow and process models; test and maintain data analysis programs; deliver ongoing training on provider data services procedures; serve as go-to person on projects involving changes to business applications; manage input from internal and external sources. Apply detailed knowledge of Health Net business applications: i.e., provider data management, provider reimbursement, and claims processing. Spearheaded and helped design business priorities for web-based provider tracking system that processes and loads practitioners. Served as functional owner for implementation.  Initiated and oversaw project to convert physical contract files to digital archive; designed scanning system that scanned 6000+ documents between 2011 and 2013. Improved operational reporting efficiency by instituting methodology for measuring provider relationships and setups.

Woodland Hills, California, Us

Directed six provider network coordinators inputting physician contracts into network and maintaining databases. Monitored compliance with registration requests in web portal, oversaw productivity, addressed performance/quality/attendance/deadline issues. Wrote annual reviews.

Helped establish/launch customer assistance group and dealer business center; mentored, coached, scheduled and supervised 22 customer relations managers processing more than 600 calls daily; CRMs support 7500 General Motors dealers. Planned and executed ongoing training; monitored customer service levels; addressed staff issues; enforced policies; maintained documentation. Achieved record high score of 97% in General Motors NPD polled measurement for dealer satisfaction. Sustained that level of success throughout tenure.