Cory Dubanevich

• Responsible for the full cycle development, negotiation, and execution of contracts with physicians, ancillary and facility providers
• Worked with Project Management team to develop End to End Contracting Workflow
• Assists with development of new markets, establishing robust network within assigned region
• Initiates, follows up, negotiates, obtains, and maintains Health Plan contracts
• Leads the negotiations of national and regional contracting initiatives, including the workflow up to final execution. Interfaces with senior leadership on the execution of complex Health Plan contracting strategies.
• Attended applicable conventions representing the organization networking with physicians and hospital systems at the state, regional, and national level
• Regularly assists other parallel markets on various projects to assist in network optimization initiatives, including closing contracting and credentialing gaps identified by leadership team
• Attended weekly meetings to collaborate with Aetna Better Health of Georgia Network/Contracting team, remaining fully engaged
• Attends meetings at Lead Director's request in his absence to report back on pertinent business strategies/opportunities within our Line of Business
• Consistently works to establish and curate clear communication channels within the team to improve overall collaboration on projects.

• Ventured into new field as business owner offering various services including landscaping, pressure washing, window cleaning, and floor restoration
• Held various accounts at both residential and commercial level, capitalizing on the skillset acquired as a Contracting Manager in the insurance field maintaining continuous growth in my field on a monthly basis
• Managed a portfolio of over 100 storage units at multiple locations, responsible for security, overlocking/delinquencies, auctioning abandoned units, and general maintenance of grounds
• Strengthened company reputation by consistently meeting or exceeding customer expectations in terms of quality products/services offered.
• Established strong customer relationships through excellent communication and attentive service.
• Interacted well with customers to build connections and nurture relationships.
• Managed purchasing, sales, marketing and customer account operations in efficient and timely manner.

• Same position I currently hold at this time with CVS Health. Left temporarily to pursue a personal business venture, but was welcomed back by the same management team whom I currently report to
• Contributed to RFP Medicaid Expansion project in Georgia, responsible for the full cycle development, negotiation, and execution of contracts with physicians, ancillary and facility providers
• Assisted with development of new markets, establishing robust network within assigned region
• Initiated, followed up, negotiated, obtained, and maintained Health Plan contracts
• Lead the negotiations of national and regional contracting initiatives, including the workflow up to final execution. Interfaced with senior leadership on the execution of complex Health Plan contracting strategies.

• Responsible for provider network recruitment in targeted market areas as well as identifying and promoting potential partnerships between providers and Friday Health Plans

• Actively contributed to the development of new markets on a regional and national level

• Responsible for the full cycle development, negotiation, and execution of contracts with physicians, ancillary and facility providers

• Assigned as CRM trainer (Quickbase) and administrator for incoming consultants and employees, under the oversight of Director of Network Development

• Assisted leadership with coordination of external consultants’ day to day functions and responsibilities

• Developed reports under the oversight of leadership to demonstrate current initiatives as related to network adequacy, training, and team performance and productivity

• Assisted in communicating and operationalizing contract terms, amendments, and policy terms.

• Scheduled and attended telephonic meetings with Health Plans nation-wide to present and discuss our unique value proposition.

• Initiated, followed-up, negotiated, obtained, and maintained Health Plan contracts

• Reviewed contract proposals, language, and rate sheets to ensure accuracy, completeness, and compliance with National Seating & Mobility’s standards and guidelines.

• Pro-actively tracked and reported all contracting efforts and strategies to executive leadership

• Led the negotiations of national and regional contracting initiatives, including the workflow up to final execution. Interfaced with senior leadership on the execution of complex Health Plan contracting strategies.

• Ensured that all agreements, amendments, letters of agreement (LOA), and other contract documents were signed by the appropriate parties and provided the executed contract documents to the Health Plan.

• Worked closely with other internal departments on contract related issues, to include but are not limited to, Billing and Collections inquiries or Funding request.

• Supported executive leadership and colleagues with special projects and assumed all other duties and responsibilities as assigned.

• Responsible for developing a strong provider network, recruiting, and retaining network providers, and training/educating providers to ensure compliance with LIBERTY’s policies and procedures

• Established and maintained strong relationships with providers in assigned territory to ensure stable network

• Conducted onsite structural audits, educational trainings, and orientations according established guidelines set forth by AHCA and CMS for new and existing dental locations within assigned territory

• Performed analysis of existing network providers to determine if additional recruitment of providers is necessary to meet access standards

• Researched and analyzed fee schedules within assigned territory to determine cost effectiveness of contracting providers

• Educated, trained, and counseled providers on policies and procedures to ensure compliance as necessary

• Worked with offices to collect necessary contract documents

• Completed monthly activity reports and provided updates on recruitment and retention efforts to executive leadership

• Promoted from Provider Solutions Executive to assist Manager of Contracting and Vice President of Provider Optimization team to establish contracting department

• Worked directly with senior leadership to establish policies and procedures in development of new Contracting Team in order to remain compliant with

CMS, AHCA (State Medicaid), and other relevant stakeholders

• Responsible for full cycle physician recruitment and contracting on behalf of entire network

• Negotiated, developed, and drafted all provider contracts under the oversight of the Vice President of Provider Optimization

• Responsible for establishing relationships with key providers in market need areas for the purpose of contracting and proactive network adequacy

• Collaborated with Vice President of Economics, Leadership of Provider Optimization, and other internal and external stakeholders to ensure market needs were met in order to simultaneously ensure network adequacy and company profitability

During my time as North Florida Provider Solutions Executive:

• Responsible for assisting in the general oversight of our Provider Network in the North Florida Area, Medicaid Regions 1-4

• Traveled to assigned region on a monthly basis to grow key relationships in market, as well as identify opportunities for growth in network deficient areas of our market

• Optimal ability to maintain effective and responsive relationships with both internal and external partners

• Persistent in maximizing expertise in changes and trends related to my assigned market, including the development of a reporting strategy to reestablish relationships with former partners in our network

• Heavily involved in recruiting initiatives, constantly driving growth in my assigned region, while simultaneously remaining focused on all other duties of current role

• Lead retail recruiting initiative, negotiating directly with 4 major national clients negotiating directly with me

• Collaborated regularly and effectively with the Manager of Provider Solutions and Vice President of Provider Solutions to maximize productivity in relation to growth and development of assigned region

• Deescalated issues in both my market, and other regions assigned to other contributors on the team in the absence of VP and Manager of Provider Solutions

• Proficient in developing key relationships in my assigned territory, ensuring all education and follow up is timely and accurate

• Focused key player on the Provider Solutions team, proactively volunteering for any special projects so as to maximize my knowledge of the industry and help iCare Health Solutions focus on attaining Vision at hand for future of organization

• Was responsible for managing all insurance issues with approximately 1,000 patients in 15 clinics across the Tampa Bay, managing between 45 and 50 million in annual revenue at any given time

• Regularly attended leadership seminars around the state and country to hone skills required to remain effective as a member of the Leadership Support Team

• Assisted in opening new clinics around the region by attending marketing events, working with area leadership to recruit optimal patients to transfer to new facility in order to maximize revenue in new locations

• Established a reporting system on behalf of my team to streamline process of informing and educating senior leadership on any retention issues and wins in our region on a weekly basis

• Proactively established and built relationships with all patients, actively analyzing any areas for revenue growth on a monthly basis

• Provided monthly reporting and analysis on key metrics related to patient growth and retention to senior management