Belinda Johnson

Facilitates positive and productive interactions between workers, leaders, and physicians representatives. Successful background reaching consensus and smoothing relations to maximize success of negotiations. Articulate and decisive professional with respectful and resourceful approach.

27 years of experience (17 within corporate atmosphere) providing administrative and clerical support. Skilled in Microsoft Suite: Outlook, Excel, Word, PowerPoint, SharePoint and Adobe Acrobat Pro. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Ability to handle multiple projects simultaneously with a high degree of accuracy. Facilitates positive and productive interactions between workers, leaders, and union representatives. Successful background reaching consensus and smoothing relations to maximize success of negotiations. Articulate and decisive professional with respectful and resourceful approach.

• Recruit and develop provider network plan for a set region of providers
• Identify and initiate contact with potential providers needed for network adequacy
• Utilize the Emptoris Contract Management system to create and present both Standard and Non-Standard agreements to providers
• Processed all contract types - hospital, physician groups, clinic (FQHC and RHC) and ancillary contracts and ensure that negotiations result in the and meet the objectives of the company and approximate the States reimbursement to the provider
• Facilitate and provide oversight to Claims Implementation Analyst to assist with the provider set-up and contract configuration to ensure accurate claims adjudication
• Evaluate and monitor providers’ performance standards and financial performance of contracts.
• Assist and track credentialing activities
• Facilitate the organization of provider focus groups
• Coordinate with internal departments and contracted providers to implement and maintain contract compliance
• Program and System Knowledge – Emptoris Contract Management, Portico, Micro-Strategy Reporting, Amisys, Launch Pad, CRM Production, CRM Prospecting, Compliance 360, CAQH, Provider Source, CENPROV
• Ad Hoc Projects