123 Boulevard Dr., Townsville, CA 99999 | 987.654.3210 | firstname.lastname@example.org m
Dynamic professional with 20 years’ experience in healthcare network development/management. Experience in cultivating, maintaining, and driving business relationships and contract management within small and nonprofit organizations. Able to deliver cost savings and revenue growth via continuous improvements and strategic planning. Fuse leadership, financial, and administrative operations skills to minimize risks, protect assets and drive profits. Successfully identify and reverse process, staff, and operational inefficiencies. Skilled in performing comprehensive revenue, expense and competitor analysis. Superb communication, interpersonal and leadership skills; excels in challenging and deadline-driven environments.
Financial analysis Provider relations Legislative analysis Contract negotiations Presentations Editing, proofreading, and research Network management and development Clinical agreements Project management Staff management American sign language Mandarin (conversant)
Senior Contract Analyst – Medtronic February 2014 to July 2014 Select Source International Minneapolis, MN Drafted, negotiated, and finalized clinical agreements, developed budgets, and created documentation. Collaborated effectively with clinical/legal teams and stakeholders. Prepared and analyzed proposals and developed, negotiated, and administered contracts. Evaluated contract data and maintained historical information. Contract Analyst – OptumInsight July 2013 to February 2014 Robert Half Legal Minneapolis, MN Researched and compiled legacy contract information; analyzed agreements from identified business lines. Compared contract reimbursement rates with claims history and presented reports to company leaders. Documented reimbursement data into the database. Created and added document hyperlinks to the new centralized repository. Contract Specialist II May 2012 to May 2013 Care1st Health Plan Monterey Park, CA Performed comprehensive network analyses to identify providers. Identified potential contracting/service improvement opportunities. Negotiated and finalized primary, specialty, and ancillary contracts. Supported contracting initiatives within assigned markets; amended contracts to ensure regulatory compliance. Negotiated Letters of Agreement with non-contracted physicians and ancillary providers. Developed recruitment strategies for targeted providers. Interpreted Division of Financial Responsibility policies and procedures. Contract Manager – MD Care Health Plan July 2011 to March 2012 Medix Staffing Solutions, Inc Irvine, CA Identified contracting opportunities through intensive network analyses. Collaborated with internal departments to determine strategic plans to enhance network operations. Negotiated cost-effective hospital, SNF, and ancillary contracts and letters of agreement/memoranda with healthcare delivery organizations (HDOs). Ensured compliance with current Medical Group/IPA contracts. Coordinated with claims department to ensure contract adherence and claims adjudication. Liaised with configuration department to ensure proper documentation of contract terms. Subject matter expert for contract interpretation, claims adjudication, compliance, and credentialing.