Manage the hospital and physician contracting, negotiations, reimbursement and financial analysis associated with these activities. Also responsible for hospital and specialist value based programs implemented by the health plan.

Responsible to provide strategic direction for the development and implementation of medical and payment practices and policies for the UPMC Health Plan. Performs the competitive analysis of local marketplace and national landscape intelligence into actionable deliverables that will ensure UPMC Health Plan meets its organizational objectives.Also responsible for the design and operational implementation of bundled payment and other value based strategies for UPMC Health Plan.

Director of eighteen person department that completed all the credentialing and enrollment for Physician Services Division.

Reported directly to the CEO of Hospital Council of Western Pennsylvania and provided all payer related assistance to him as needed by the membership of HCWP.

Responsible for negotiating and analysis of both physician and hospital contracts for the entire system.Managed the system’s $20 million home host insurance plan. Created budget revenue model to greater predict revenues for upcoming year

Responsible for analysis and negotiations of all managed care contracts for the system.

Analyzed and helped with the negotiations of managed care contracts for the entire system.Responsible for the risk contracting business line that generated $40 million of revenue per fiscal year for the health system.

Development and creation of risk pool models that determined profit and loss of member facilities and providers.