Experienced contracting professional with superior skills acquired during lengthy career in health care.
Rate and Language Negotiation
Financial and Operational Analysis
Strategy and Business Development
Drafting Contract Language/Narrative Writing
Staff Management (5 years -5-7 administrators)
Managed Care Contracts Manager, 02/2015
to Current Brookdale Senior Living – Brentwood,
Manage all aspects of health plan contracting for over 200 business units in assigned region including skilled nursing, home health, hospice, and assisted living operations.
Currently responsible for over 80 health plans in 13 states.
Ongoing collaboration with Executive Team and Business Development to focus priorities on areas with highest impact to return on investment.
Evaluate business unit's financial performance; target new health plans and rate renegotiation for existing agreements.
Annually over 45 new business contracts closed and average rate escalation of 15% resulting in increased revenue and profitability.
Work in partnership with corporate departments, field locations and leadership on compliance, credentialing, and reimbursement matters to resolve issues.
Ensure coordination of care across business lines with health plans within market capabilities.
to 02/2015 Gentiva Health Services – Atlanta,
Direct oversight and hands on management of key managed care accounts.
Oversee, train and direct contract administrator staff including: Development and maintenance of staff training material, ongoing assessment of department processes, staff evaluations and quality assurance activities.
Development and ongoing maintenance of both internal department and field operations training manuals regarding contract department functions.
Lead data management/technology initiatives for contract management.
Strong collaboration with billing, finance, regulatory, business development, compliance, risk management and legal.
Represent contracts department in cross departmental company initiatives.
Senior Contracts Administrator, 01/1997
to 01/2011 Gentiva Health Services – Melville,
Mentored department staff on process and procedures; company operations; legal, compliance, licensing and regulatory requirements.
Performed all duties and responsibilities of contract administrator.
Contracts Administrator, 01/1993
to 01/1997 Gentiva Health Services – Melville,
Review, evaluate and negotiate contract terms with local, regional and national managed care payers, government agencies and other clients to ensure compliance to company requirements.
Analyze operational/financial feasibility of contract terms.
Elevate requested variations to standard policy to company leadership as appropriate.
Ensure all non-standard terms and rates have documented approval in accordance with company policy.
Redline customer agreements, draft various standard and non-standard agreements as well as contract amendments/addenda.
Prepare narrative responses to Requests for Proposals and ensure timely and professional submission of the final proposal including any required budgets.
Coordinated contractual billing terms with financial services unit to ensure proper billing.
Strong collaboration with various company departments to assess financial, compliance, legal, regulatory, clinical and liability issues.
Ensure physicians and subcontract vendors meet all required conditions for contracting with organization.
Prepare accurate and complete credentialing applications to achieve customer network status.
to 01/1993 Gentiva Health Services – Melville,
Prepared contract documents based on company approved templates.
Reviewed contract renewals in accordance with company guidelines.
Credentialed and processed contracts for subcontracted vendors and non-revenue accounts.
Completed credentialing applications and develop standardized sales proposals.
Emory University Certificate Programs: 2013
Essentials of Leadership for Managers Emotional Intelligence
Classified - Internal use: