Resumes
Resumes
Director, Ipa And Network Administration
View pageLocation:
4239 Pepper Ave, Yorba Linda, CA 92886
Industry:
Hospital & Health Care
Work:
Pih Health
Director, Ipa and Network Administration
Concertohealth Mar 2015 - Jan 2016
Director, Quality
Anthem, Inc. Jul 2014 - Mar 2015
Director, Program Management, Medicare Strategic Projects
Caremore Health Plan Jul 2012 - Jul 2014
Director, Network Operations
Easy Choice Health Plan Sep 1, 2009 - Jun 2012
Director, Provider Services and Contracting
Director, Ipa and Network Administration
Concertohealth Mar 2015 - Jan 2016
Director, Quality
Anthem, Inc. Jul 2014 - Mar 2015
Director, Program Management, Medicare Strategic Projects
Caremore Health Plan Jul 2012 - Jul 2014
Director, Network Operations
Easy Choice Health Plan Sep 1, 2009 - Jun 2012
Director, Provider Services and Contracting
Education:
University of Southern California 1998 - 2001
Uc San Diego 1994 - 1998
Bachelors, Bachelor of Arts, Bachelor of Science, Biology, Human Development
Uc San Diego 1994 - 1998
Bachelors, Bachelor of Arts, Bachelor of Science, Biology, Human Development
Skills:
Managed Care
Provider Contracting
Payor Contracting
Provider Relations
Contract Negotiation
Project Management
Provider Data Management
Credentialing
Provider Network Development
Business Strategy
Cms Star Ratings
Healthcare Effectiveness Data and Information Set
Data Analysis and Reporting
Capitation
Financial Modeling
Incentive Programs
Business Process Improvement
Program Management
Provider Contracting
Payor Contracting
Provider Relations
Contract Negotiation
Project Management
Provider Data Management
Credentialing
Provider Network Development
Business Strategy
Cms Star Ratings
Healthcare Effectiveness Data and Information Set
Data Analysis and Reporting
Capitation
Financial Modeling
Incentive Programs
Business Process Improvement
Program Management
Languages:
English
District Manager At Blue Shield Of Ca
View pageLocation:
1 Almaden Blvd, San Jose, CA 95113
Industry:
Hospital & Health Care
Work:
Blue Shield of California
District Manager at Blue Shield of Ca
District Manager at Blue Shield of Ca
Education:
Uc San Diego 1994 - 1998