Sandy Garson Email & Phone Number

Centennial, Colorado, United States

Denver, Co

Managing projects ensuring the timely development of robust and high-quality provider and facility networks for employer based health plans.

Managed post contractual relationships (including high value cessation of business claim settlements) with 220+ national networks of ancillary providers.Independently managed projects, focusing on the identification of process bottlenecks and inefficiencies through comprehensive analysis, while collaborating with cross-functional teams to lead the development and implementation of innovative solutions aimed at streamlining health plan operations and enhancing performance.

Collaborated with State leadership teams to identify, recruit, and onboard national ancillary providers, ensuring the establishment of 40+ robust and exemplary market networks.Managed projects aimed at growing the health plan’s Colorado footprint by building 2 distinct geographic primary and specialist provider networks in alignment with federal, state, and local adequacy standards and guidelines.

Colorado, United States

Cultivated and maintained professional relationships to provide highly individualized customer service for 7,000+ Colorado statewide providers. Spearheaded complex claims projects that required interpreting and analyzing data and in-depth knowledge of multiple databases and systematic processes.

Denver, Colorado, United States

Worked autonomously in developing efficiency-enhancing workflow/process improvements that facilitated a 100% increase in personnel, heightened responsibilities, and changes in technology and healthcare policies.Integrated digital solutions to modernize billing, collection and personnel scheduling systems, including data entry, posting of payments, timely follow-up of billed claims, denials, account receivables, and distributing invoices.

Bachelor Of Arts - Ba, Psychology & Communications, Graduated Cum Laude

Double Ba