Toni Pelletier Email & Phone Number

Lake Elmo, Mn, Us

Greater Minneapolis-St. Paul Area

- Manage day-to-day functions supporting planned gifts ($1 million+), workplace giving ($300K+), and third-party fundraisers ($20k+), while advocating for the Foundation's mission to promote health equity, advocacy, and education.- Lead and expand the national workplace giving program, increasing community awareness, promoting employee engagement, and financially supporting the Epilepsy Foundation’s mission.- Develop and execute agreements, event promotion, and strategies to enhance third-party fundraisers, advocating for broader participation and community involvement.- Manage national planned giving/legacy gifts program and serve as primary contact with donors, attorneys, and executors.- Utilize Salesforce CRM to administer open estates, prospect donors, manage accounts, and identify opportunities for increased donor engagement.

Minneapolis, Minnesota, United States

- Built and cultivated long-term relationships with payers, health system providers, and medical stakeholders, advocating for strong partnerships that supported organizational goals.- Managed contractual relationships with commercial (PPO, POS, HMO) and government payers to negotiate fair and compliant healthcare agreements that benefited patients and providers.- Collaborated with Compliance and Regulatory departments to identify legislation impacting healthcare administration and advocated for necessary adjustments to ensure adherence to regulations.- Analyzed medical cost and quality outcomes for commercial and government health plans to identify key trends and cost drivers, assess health system performance, and find opportunities for performance improvement. - Conducted investigations into contractual and claim-related complaints, advocating for resolutions that aligned with payer requirements and supported healthcare providers.- Established and negotiated multi-year payer agreements to reduce patient healthcare costs and improve quality outcomes.- Directed Contract Consultants in day-to-day claims issue resolution, policy and procedure changes, and management of other operational challenges between Allina and payers.

Greater Minneapolis-St. Paul Area

- Developed and maintained partnerships with medical facilities, physicians, and ancillary providers, advocating for patient access to high-quality care and network adequacy.- Recruited key facilities and specialist physicians to enhance network adequacy and increase medical product offerings. - Exercised tact, maintained professionalism, and identified solutions with C-suite leadership, consultants, and physicians throughout escalated and sensitive negotiations. - Prepared comprehensive reports summarizing medical reimbursements, contract requirements, network access, and financial impact to improve healthcare delivery.- Collaborated with internal teams, advocating for new initiatives that aligned with business goals, and managed program implementation to ensure successful outcomes.- Adhered to all state regulatory and compliance requirements for both commercial products and government programs.- Earned Lean Six Sigma Yellow Belt certification as part of professional development.

Greater Minneapolis-St. Paul Area

- Built and cultivated long-term relationships with key facilities, physicians, and medical stakeholders, advocating for strong partnerships that supported patient access and healthcare quality across multiple states.- Led joint operations meetings with C-suite leadership to address and resolve contract and claim issues.- Managed and resolved high-level, sensitive, and urgent issues that impacted delivery of patient care. - Partnered with Medical Appeals, Claims, and Legal to facilitate claims reprocessing and address policy issues.- Trained team members on internal systems and advocated for streamlined processes during integration projects such as the Coventry Health acquisition.

Davis, Ca

- Independently managed and expanded the Bay Area MBA Program for 180 professional students, advocating for their needs with faculty and administration to ensure a high-quality educational experience.- Communicated professionally with MBA students, candidates, and faculty, addressing student concerns and resolving sensitive issues with discretion.- Designed, edited, and distributed promotional materials, advocating for program visibility and student engagement in employment opportunities, alumni relations, and networking events.- Administered a complex MBA interview process and assumed responsibility for all logistics and correspondence during recruitment season.- Supervised student assistants within department, delegated workload, and trained them on admissions process.- Served as primary liaison with the San Ramon Valley Conference Center (SRVCC) to handle all on-site logistics for faculty, students, and staff and addressed challenges related to off-site program delivery.

Greater Seattle Area

- Researched, analyzed and negotiated insurance carrier proposals to meet the benefit needs of brokerage clients.- Partnered with brokers and sales representatives to identify and adhere to benefit and budgetary requirements of clients. - Designed comprehensive marketing proposals and generated financial comparisons for client presentations.- Verified accuracy and integrity of insurance carrier contracts, rates and plan designs.Prepared and presented employee benefit materials for member open enrollment meetings and orientations.- Communicated and adhered to health and welfare benefit regulations for multiple plan designs.

Grant Writing Certification

Bachelor Of Arts - Ba, Sociology