Robyn Tanis Email & Phone Number

Responsible for all aspects of contracting, credentialing and payor relationships.

Wayne, New Jersey

Court Appointed Special Advocate for children removed from their homes and placed in foster care. Responsible for meeting with the children assigned and all stakeholders, compiling summaries and reporting recommendations to presiding Judge.

Contract ManagerResponsible for Facility contracts negotiation, account management, financial and unit cost analysis resulting in sustained costs savings while maintaining facility and client satisfaction. • Successfully negotiated numerous new contracts at rates lower than geographic averages resulting in 18% network increase, with substantial cost savings and increased member access.• Identified unique services offered by participating facilities. Analyzed financial implications, weighed beneficial aspects to members, and negotiated favorable rates for services resulting in increased client satisfaction.• Completed 100% of all renegotiations within budget.• Accomplished strategic planning with clinical and medical teams resulting in increased cost savings. Achieved regional profitability exceeding national averages.• Maintained excellent relationships with network facilities during implementation of Medical Action Plans by addressing concerns on a timely basis.

Reviewed and Negotiated contracts resulting in revenue increases substantially greater than cost of living index. Team Lead for Special Projects and Credentialing• Reviewed contracts with all insurers for all full service clients and prioritized negotiations for maximum revenue increases• Successfully negotiated rates and terms with top insurers with increases ranging from 4% to 40%, leading to estimated revenue increases of >9%. Insured current contracts complied with NJ DOBI regulations • Developed templates for Executive summaries and Client Specific reports for end of month reporting so clients were kept up to date with monthly income and trends• Subject Matter Expert for Electronic Health Records, Meaningful Use and eRX. Analyzed data to advise clients on potential income adjustments and enhancements.• Collaborated with Webmaster on client and internal web portal, verifying appropriate access, and report upload and download.• Installed, implemented and trained new clients on database scheduling and billing transmission to insure successful new clients launches• Improved workflow functions in credentialing and scheduling departments to insure timely submission of physician credentials to insurers and facilities

Initiated, planned, executed, monitored and controlled cost saving initiatives and customer transparency projects. Produced and analyzed data to meet business needs. Managed relations with the largest hospital system in NJ and all related physicians and ancillary services

PROJECT MANAGEMENTHeaded project for NJ high performance network resulting 4.1% savings with minimal network disruption.Collaborated with NY market by assembling and coordinating ad hoc team to complete reporting and external responses. Deadlines were met in compliance with the NY Attorney General. Awarded Silver Award for teamwork and collaboration.Rolled out cost and quality transparency measures addressing consumer desire to make better informed choices and decrease their financial risk.Coordinated mailing projects to ensure timely notification of constituents.Preparation and maintenance of files for external audits resulting in 100% audit compliance.Managed annual project for contract coding changes to ensure continued HIPAA complianceNetwork ManagementContracted with providers to maintain network integrity and continued savings. Negotiations included interfacing with med econ dept, reviewing contract language and terms, collaborating with legal dept, and loading contracts into system.Established and maintained accounts via visits, calls and emails.Trained internal and external clients resulting in improved relations, increased e-service transactions and increased efficiency.Produced and analyzed trend analysis for external constituents to improve efficiency; saving time, increasing revenue and saving money internally. Facilitated claims resolution and recovery projects for internal and external constituents increasing satisfaction and cost savings.Collaborated with Medicare Marketing department to develop new programs to market client's services to Medicare population to increase marketability of Medicare products.DATA ANALYSISIdentified escalating cost increases and contracted with targets; decreasing costs in millions annually.Produced and analyzed cost trending reports for Senior Management, Medical Directors. Suggested areas of cost savings and process improvement, resulting in projects with savings in the millions.