• Liaison between governmental insurance entities, insured members, and contracted practices for all administrative, quality of service, provider care and billing related issues• Investigate legitimacy and ensure timely resolution, performing practice site visits as necessary• Determine which cases need Medical Director involvement and assist with resolution and communication to all key stakeholders• Conduct site visits with practices and members to keep a pulse on activity in major markets• Create meaningful metrics to manage outliers and encourage best performance from provider base• Independently manage and collaborate with analytics software team and data scientist to create meaningful metrics to manage outliers and encourage best performance from provider base• Identify and Interview best performing practices in specialty categories to design robust reporting and analytics• Present data reporting and metrics analysis to medical advisors for additional feedback in preparation for network provider implementation• Deliver performance feedback to moderative or poor performing practices to improve quality outcomes; closely monitor performance post meeting on a quarterly basis• Use data tool and relevant issues to make termination suggestions of underperforming practices to Alliance stakeholders• Use data tool to understand which practices are highest volume and focus additional time in provider relations activities and site visits to strengthen those relationships• Create and present analytic assessments to the Board of Directors on a quarterly basis • Perform onboarding training for practices that join the network

• Monitored and evaluated provider network gaps, source physicians in underserved and rural areas• Managed the application process of the network: ensured balanced growth for existing network in all specialties; fully researched and interviewed applicants; made recommendations to include reimbursement rates to executive leadership• Recommended network additions to Executive Director and informed all risk pool stakeholders• Negotiated, managed and executed all contracts through their full life cycle including approving deviations from standard contract language and identifying trends that require contract updates• Managed re-contracting project for all delegated contracts• Led the Alliance’s first data analytics project• Supervise Trainer; determining specific network provider visits• Managed website redesign project

• One of three-member team who built the second largest Workers’ Compensation network in the state of Texas with over 5000+ direct contracting agreements • Researched each market segment for primary care, specialty care and physical medicine providers• Researched rural health clinics throughout the state and recruited to those hospital owned systems• Cold called practices, ,gained access to key stakeholders, and sold the concept of providing care to public servants and won the business• Determined fee schedule offerings and initiated contracts• Full life cycle contract management and negotiation• Ensured that all processed contracts were executed in a timely manner• Performed duties of Office Manager for a team of six staff members