ADA RIVERA
Worcester,MA
Summary
Strategic healthcare professional with experience managing provider contracts, network negotiations, compliance, and operational performance within large healthcare organizations. Proven ability to analyze complex contract terms, mitigate risk, ensure regulatory adherence, and collaborate cross-functionally to support organizational goals. Strong background in healthcare operations, workforce leadership, and process improvement.
Overview
4
4
years of professional experience
Work History
Junior Network Contractor
United Healthcare
Worcester, MA
07.2023 - Current
- Manage and negotiate provider network contracts, ensuring compliance with organizational templates, reimbursement structures, and regulatory standards.
- Perform contract analysis, reporting, and documentation to support network strategy, financial accuracy, and audit readiness.
- Identify contract risks, discrepancies, and operational issues; triage, and escalate complex matters to support timely resolution.
- Collaborate with internal stakeholders, including legal, finance, and provider relations, to support contract lifecycle management.
- Build and maintain strong relationships with healthcare providers, improving understanding of internal processes and contract requirements.
- Support compliance monitoring and risk mitigation across territorial provider agreements.
Regional Director
Norton Healthcare Staffing
05.2022 - 07.2023
- Led regional healthcare operations, overseeing staffing strategy, market expansion, and operational performance.
- Analyzed market trends, service demand, and operational data to identify growth opportunities, and improve service delivery.
- Developed and implemented operational policies, training programs, and performance standards aligned with healthcare regulations.
- Partnered with leadership to recommend strategic initiatives, new service offerings, and process improvements.
- Managed hiring, onboarding, coaching, and performance evaluation of staff to ensure service quality, and regulatory compliance.
- Oversaw departmental planning, budgeting considerations, and operational metrics to meet organizational objectives.
Senior Branch Coordinator
Eastridge Workforce Solutions
09.2021 - 05.2022
- Coordinated HR and operational processes supporting healthcare staffing placements.
- Managed end-to-end onboarding, ensuring compliance with employment eligibility (I-9), documentation, and internal policies.
- Maintained accurate personnel records, and supported audit readiness through proper file management.
- Streamlined timecard and payroll-related processes to improve accuracy and timeliness.
- Conducted candidate screenings to support recruiter decision-making and workforce quality.
Education
Master of Business Administration - Healthcare Management
Fitchburg State University
Fitchburg, MABachelor of Liberal Arts & Science - Healthcare Studies
Salem State University
Salem, MASkills
- Negotiation & Analysis
- Regulatory Compliance
- Risk Identification & Mitigation
- Contract Lifecycle Management
- Healthcare Operations Management
- Cross-Functional Collaboration
- Process Improvement
- Stakeholder & Provider Relations
- Microsoft Office Suite
Languages
- English
- Spanish
Timeline
Junior Network Contractor
United Healthcare
07.2023 - Current
Regional Director
Norton Healthcare Staffing
05.2022 - 07.2023
Senior Branch Coordinator
Eastridge Workforce Solutions
09.2021 - 05.2022
Master of Business Administration - Healthcare Management
Fitchburg State University
Bachelor of Liberal Arts & Science - Healthcare Studies
Salem State University