Roberta Harper Email & Phone Number

• The primary point of contact between Molina Healthcare and the contracted provider network. Responsible for network management including provider education, communication, satisfaction, issue intake.
• Coordinate JOC, VBC, and Operation meetings; as well as new provider orientations.
• Subject matter expert to internal departments and external groups to help resolve complex issues that may cross departmental lines and involve Senior Leadership as necessary.
• Develops and nurtures relationships with medical, behavioral, and ancillary providers and health homes.

• Drive technology implementation efforts with large health systems. Build and foster relations with Chief Medical Officers, Quality Teams, Provider Advocates, and Contractors to reduce abrasions, ensure success on.
• Coached groups on data and provide an overview of utilization and cost savings based on services being used.
• Tailored and presented PowerPoint decks to internal departments and external groups with varying degrees of knowledge of the interoperability services offered.
• Pulled reports, then interpret and identify opportunities that can be communicated to management and colleagues.

Seattle, WA

• Build and manage relationships with external partners across seven states on the appropriate use of the network, adoption of interoperability technology, self-service adoption, affordability targets, and overall.
• Provided presentations regarding Point of Care Assist and Insights to individual targets and in group webinar settings.
• Provided practice data and collaborates to find ways that we can become better business partners with our provider network.
• Internal contact for Network Engagement Managers in the west region when they have complex issues and need support and knowledge. Including organizing and leading the west region huddle call. Taking any concerns or.
• Contributed to meeting the annual MBO’s and affordability goals through my daily work.

• Provided support and education to hospital-based groups, medical clinics, and Independent Practice Associations. Researched and resolved complex issues surrounding their claim, contracting, and miscellaneous concerns.
• Mentored new hires and acted as a support system for established advocates that needed assistance.
• Organized and lead a weekly huddle for my team to discuss issues or ask for advice on how to handle what they are working on.
• Assisted in organizing town halls and Provider Information Expos. Attended and presented at these events.
• Contributed to meeting the annual MBO’s and affordability goals through daily work.

• Provided support and education to small and medium-size groups. Researched and resolved complex issues surrounding their claim, contracting, and miscellaneous issues.
• Assisted in organizing town halls and Provider Information Expos. Attended and presented at these events.
• Attended larger events like the Rural Healthcare Conference and MGMA as a representative of the company.

Tacoma, WA

Provided support and education to assigned groups and territory. Researched and resolved simple and complex claim and billing issues for Commercial, Medicare, Medicaid, and Tricare plans. Worked on Medicaid projects and reports that were sent to the State of Washington.

Tacoma, WA

• Demonstrated expertise in resolving customer service issues via supervisor calls and escalated live chat/correspondence. Including authorizing claim dispute approvals.
• Assisted in the design and implementation of the auditing system for the correspondence team.
• Developed training tools and provided training sessions for new hires.
• Provided daily performance feedback regarding assignments and accuracy.

Diploma

Education record