Work Preference
Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic
Becca Bartoli
Open To Work

Becca Bartoli

West Bend,WI

Work Preference

Job Search Status

Open to work

Work Type

Full Time

Location Preference

Remote

Important To Me

Work-life balanceCompany CulturePersonal development programsHealthcare benefitsWork from home option

Summary

In May 2026, I transitioned from Humana to Evolve Health for a short-term consulting opportunity with a growing provider organization. Following the conclusion of that engagement in August, I am seeking my next professional challenge.

My experience across both the payer and provider sides of healthcare gives me a unique, well-rounded perspective on the industry. Throughout my career, I have been driven by a commitment to serving patients and members with empathy, dedication, and purpose. I am confident that my experience and perspective would make me a valuable addition to your team and welcome the opportunity to discuss how I can contribute.

Overview

10
10
years of professional experience

Work History

Director, Payer Contracting- Short-term Consultant

Evolve Health
06.2026 - 09.2026
  • Negotiated specialty contracts across 60+ locations in Florida and Texas markets for pediatric and multi-specialty services.
  • Relationship Management with over 30 different payers as well as IPA and CIN agreements.
  • Established a role and created credentialing, contracting, and revenue cycle workflow strategies and business trajectories, evolving with the market and federal standards.
  • Refined contract repository to organize and streamline access to contract data.
  • Managed projects focused on revenue growth and reducing audit inquiries, while clarifying regulatory language.
  • Remote - Florida

Provider Contractor Surgical Providers & PDN

Humana
10.2023 - 05.2026
  • Managed 100+ surgical (plastic, general, colo-rectal, oral maxillofacial) and podiatry providers for Central North Florida, ensuring compliance and quality in provider contracts.
  • Participated in Engagement Committee to improve team collaboration and patient satisfaction.
  • Collaborated on project initiative to eliminate dead contracts, generating 200 FTE hours in potential cost savings for each region nationally.
  • Participant of Engagement Committee and Quality Improvement.
  • Remote - Florida

Managed Care Contract Coordinator

Froedtert Health
01.2019 - 10.2023
  • Chief negotiator of 278 single case agreements and letters of agreements.
  • Negotiated with over 30 different payers on transplant, behavioral health, outpatient, pcp, and specialty providers.
  • Led negotiations for single case agreements and letters of agreements, ensuring favorable terms for Froedtert Health.
  • Acting liaison between over 30 managed care insurance payers and Froedtert Health, participating in JOC's regularly.
  • Managed contract repository and cataloged reports based on reimbursement percentages to enhance access to key information.
  • Managed projects surrounding payer-mix, population health strategies, and opening six new surgery centers, according to the priorities set by Froedtert Health CEO, CFO, and VP of Revenue Cycle & Managed Care.

BMT Financial Coordinator

Froedtert Memorial Lutheran Hospital
01.2017 - 01.2019
  • Managed Autologous and Allogeneic Stem Cell Transplant, DLI, Boost, and Car-T Cell Immunotherapy for over 250 patient’s insurance coverage annually while under our clinical team’s care.
  • Worked daily work-queues ( with typically over 50 different claims) to ensure that transplant bundled billing was in compliance with CMS, and commercial payer guidelines.
  • Assisted in integrating Car-T Cell Immunotherapy (worked with ASBMT to create administrative policy) from a financial perspective and analyzed potential workflow reconstruction for the team.
  • Worked as a preceptor to two new employees, was acting manager, as well as covered the majority of the caseload for our department.

Education

Bachelor of Arts & Sciences - Political Science, Public Administration

University of Wisconsin-Green Bay
Green Bay, WI
06.2012

Skills

  • Medical Contract Management
  • Contract Negotiator
  • Data Analytics
  • Microsoft Programs
  • Healthcare Financial Management
  • Strategic planning
  • Relationship building
  • Decision-making
  • Resource management
  • Staff leadership
  • Strategic goals
  • Claims relationship management

Accomplishments

    Through my consultancy with Evolve Health, I designed and implemented:

  • Provider onboarding workflows to reduce late loads, data inaccuracies, and missing information.
  • Revenue Cycle Management workflows to improve processes and serve as a liaison between providers and payers.
  • Strategic business planning aligned with the evolving healthcare landscape, including DHHS, CMS, Medicare, Medicaid, Marketplace, and commercial payer strategies.

Timeline

Director, Payer Contracting- Short-term Consultant

Evolve Health
06.2026 - 09.2026

Provider Contractor Surgical Providers & PDN

Humana
10.2023 - 05.2026

Managed Care Contract Coordinator

Froedtert Health
01.2019 - 10.2023

BMT Financial Coordinator

Froedtert Memorial Lutheran Hospital
01.2017 - 01.2019

Bachelor of Arts & Sciences - Political Science, Public Administration

University of Wisconsin-Green Bay
Becca Bartoli