Thomas Fitzpatrick Email & Phone Number

Pittsburgh, Pennsylvania, Us

Pittsburgh, Pennsylvania, Us

Ultimately responsible for maintaining positive working relationships with Highmark’s network of providers, including 64 hospitals and over 14,000 physicians in the 29 county service area.Negotiates the reimbursement contracts & rates which Highmark pays these providers.Responsible for payment transformation initiatives including Patient Centered Medical Home, Accountable Care and episodic & bundled payments, as well as risk sharing models.Responsible for contracting and market development of all insurance products including the commercial and Medicare Advantage network.Works in a collaborative manner with “sister” company, Gateway Health Plan, to assist in the development of the family healthcare partners Medicaid program in West Virginia.

Pittsburgh, Pennsylvania, Us

Pittsburgh, Pennsylvania, Us

Responsible for the client management of 117 strategic large group customers, including 34 hospitals in the western Pennsylvania region. This group of customers accounted for over 200,000 members and generated over $400M in revenue annually.Handled all sales, implementation and overall administration of activities related to these clients, primarily health and wellness plans members Actively developed and maintained relationships with clients through a diverse methods of client interaction based on each customers’ needs and areas of focus.Motivated, coached, and developed staff of 26 sales professionals to achieve and exceed retention goals and for overall market profitability for the Strategic Markets division of Highmark.Exceeded all revenue, sales and account retention goals on an annual basis for 2008, 2009, and 2010.

Pittsburgh, Pennsylvania, Us

Ultimately responsible for the client management of over 16,000 small group customers in the 29 counties of Western Pennsylvania and over $750,000,000 in annual premium revenue. Managed 18 trade Association relationships and responsible for a staff of 15 salespeople. Successful sales experience demonstrated the ability to create and develop many long-term client relationships at all levels within the insurance industry. Demonstrated a vast knowledge of Highmark’s products and services as well as a keen understanding of their distribution model, including their Producer Portal. This has enabled the ability to provide excellent leadership and direction to the Small Group Marketing Team.Managed a total operating budget of $6,000,000 and monitored $30,000,000 in external commission payments.