Ann-Sophie Juste
Columbia,MD
Summary
Strategic Contract Manager known for high productivity and efficient task completion. Possess specialized skills in contract negotiation, risk management, and compliance monitoring. Excel in communication, problem-solving, and leadership, ensuring success in managing complex contracts and fostering strong business relationships.
Overview
11
11
years of professional experience
Work History
Contract Manager
HCA Healthcare (Contracted through Medasource)
09.2024 - Current
- I serve as a contracting subject matter expert for hospital contracting, professional contracting, and ancillary, and behavioral health providers.
- Analyzed financial data related to contracts to ensure the accuracy of payments made and received.
- Managed the renewal process for expiring contracts, including negotiating new terms as needed.
- Collaborated with internal teams to identify potential risks associated with contract terms.
- Guided on contractual matters such as dispute resolution and termination clauses.
- Monitored contractual performance to ensure timely completion of deliverables.
- Audited existing contracts for completeness and accuracy before signing or renewing them.
Senior Project Manager
Molina (contracted through Kornferry)
10.2023 - 07.2025
- Participate in RFP responses & process of state Medicaid program for Kansas, Nebraska, New Mexico, and Georgia.
- Maintained up-to-date records for all current and past projects.
- Evaluated performance metrics for ongoing projects in order to assess progress towards goals.
- Maintain a library of contracts and related documentation (program requirements, letters) etc
- Analyzes price lists and data, write clear conclusions and identify cost containment opportunities.
Senior Consultant
Aetna, CVS Health (contracted through Rose International)
02.2023 - 12.2023
- Participated in provider recruitment efforts during the Medicaid RFP campaign in Georgia and Oklahoma
- Outreached to over 3500+ providers to collect required documents such as LOI, W9, ROS, if they intend to participate in CVS Medicaid network
- Utilize systems such as salesforces to create and manage provider contracts/agreement throughout the contracting lifecycle
- Configure provider data in Aetna database to feed into QNXT claim systems
- Participated in provider data cleanup efforts post RFP campaign to maintain accuracy in Aetna's systems.
Underwriter - Provider Contracting
CareFirst BCBS
06.2022 - 02.2023
- Managed the contracting and relations with medical facilities, including but not limited to: Hospitals, clinics, pharmacies and physicians
- Worked with Network Leads in performing service area analysis and cost analysis to identify network development and network renegotiation opportunities to meet affordability target
- Analyzed and determined in which regions and cities our network of providers must grow
- Coordinated with legal counsel on negotiation and redlining of agreements (direct payment agreements and/or discounts fees and price agreements)
- Analyzes price lists and data, write clear conclusions and identify cost containment opportunities.
Provider Contracting Lead Analyst
Cigna
05.2020 - 04.2022
- Engage in high profile negotiations and assist Contractors with Charge Master, Rate Renewal, and Contract Amendment Submission, as required
- Serve as project lead with conducting analysis to identify root causes and risk management
- Coordination and training of Contractors, Experience Managers, and other stakeholders on Cigna's System
- Work closely with Cigna's Leadership team to ensure program documentation meets all Cigna requirements and state requirements, as necessary.
Provider Relations Representative
Cigna
10.2018 - 05.2020
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues and providing ongoing support
- Performed regular audits of provider contracts to ensure accuracy of data in the system
- Participate and present in major health organization trade shows such as MD AAHAM and MDMGMA
- Manage a Book of Business of over 25 clients including major Health Systems and Large physician groups.
Network Operations Specialist
Cigna Medicare
11.2016 - 10.2018
- Successfully engage and manage a book or business of 100 plus Physicians/Physician Groups in the Maryland and DC market
- Successfully contracted over 70% of my Book of Business in a Cigna Cost saving programs (i.e
- POD, IPA, ACE, P4Q)
- Participate in monthly financial review to present PODS, and Fee-for-Service provider's performance to leadership and respective matrix partners
- Conducted root cause analyses to formulate Corrective Action Plans for Physicians/Physician group not meeting performance expectations
- Identify Network Gap in care to appropriately contract new providers where needed.
Director of Business Development
Autumn Lake Healthcare at Alice Manor
07.2015 - 11.2016
- Optimized profitability by developing pipeline of prospects using various research, referral and sales strategies
- Managed the entire sales cycle process including prospecting, lead generation, qualifying prospects, presenting solutions, negotiating terms and closing deals
- Created and managed a team of sales professionals to generate leads and close deals
- Analyzed market trends and identified new business opportunities in existing and potential markets.
Admissions Coordinator
Envoy of Pikesville
05.2014 - 07.2015
- Managed patient admissions and discharge and referrals to other facilities, home health agencies and hospice based on resident and family needs, preferences and resources
- Developed and implemented strategies to improve the admissions process.
Education
Master of Science in Health Information Technology -
University of Maryland Global Campus
05.2019
Bachelor of Science in Gerontology -
Towson University
05.2014
Skills
- Contract Negotiation
- Project Management
- Network Adequacy
- Sales and market development
- Business process improvement
- Market and competitive analysis
- New network implementation
- Training and mentoring
- Territory and account management
- Client engagement
- Salesforce
- Tableau
- QNXT
Websites
Timeline
Contract Manager
HCA Healthcare (Contracted through Medasource)
09.2024 - Current
Senior Project Manager
Molina (contracted through Kornferry)
10.2023 - 07.2025
Senior Consultant
Aetna, CVS Health (contracted through Rose International)
02.2023 - 12.2023
Underwriter - Provider Contracting
CareFirst BCBS
06.2022 - 02.2023
Provider Contracting Lead Analyst
Cigna
05.2020 - 04.2022
Provider Relations Representative
Cigna
10.2018 - 05.2020
Network Operations Specialist
Cigna Medicare
11.2016 - 10.2018
Director of Business Development
Autumn Lake Healthcare at Alice Manor
07.2015 - 11.2016
Admissions Coordinator
Envoy of Pikesville
05.2014 - 07.2015
Master of Science in Health Information Technology -
University of Maryland Global Campus
Bachelor of Science in Gerontology -
Towson University
Similar Profiles
Deborah BrownDeborah Brown
Business Analyst II at Contracted with Medasource Agency for HCABusiness Analyst II at Contracted with Medasource Agency for HCA
Candice BarfieldCandice Barfield
Consulting Provider Solutions Specialist at HCA HealthcareConsulting Provider Solutions Specialist at HCA Healthcare
Jennifer LucasJennifer Lucas
Unit Secretary at HCA HealthcareUnit Secretary at HCA Healthcare