Accomplished and strategic Network Development Director with over 20 years of experience leading initiatives in provider contracting, network expansion, and Network recruitment of high performing PCP and Specialist. Proven expertise in building and managing networks. Experience in negotiating complex provider and ancillary contracts. Adept at fostering provider partnerships, resolving escalated issues, and aligning network operations with organizational goals.
Overview
9
9
years of professional experience
Work History
Director, Network Development
AdventHealth Population Health Services Organization
03.2020 - Current
Oversee the development and implementation of contracting and network development activities for the statewide CIN, FHHS, and ACO networks.
Directs and actively participate in PCP and Specialist evaluation.
Supports joint operating structures of payor contracts by providing network development expertise and resolving escalated provider contract issues.
Works directly with network providers to address contract-related concerns, ensuring timely and effective resolution.
Builds provider relationships to advance value-based and fee-for-service initiatives that meet quality, growth, and financial objectives.
Analyzes market and provider dynamics to craft effective contracting strategies tailored to regional and statewide needs.
Collaborates with PHSO teams to support decision-making through reimbursement and cost-saving analyses.
Conducts periodic network analyses to assess coverage, growth, and performance, identifying opportunities for expansion or refinement.
Leads claim trend and market data analysis to inform network design and contract negotiations.
Reviews compensation structures to align with market trends and strategic objectives.
Executes the strategic vision of the PHSO, engaging internal and external stakeholders to enhance network effectiveness.
Represents network development insights in key meetings and committees, contributing to enterprise-wide initiatives.
Assists Executive Director and Vice President in executing high-impact initiatives and long-term strategies.
Network Development Manager
AdventHealth Population Health Services Organization
06.2016 - 03.2019
Contract Negotiation & Management: Lead negotiations on contractual language and reimbursement terms with physicians and ancillary providers, ensuring alignment with network strategy goals.
Strategic Expertise: Continuously deepen knowledge of contracting and negotiation principles to drive favorable outcomes and maintain network adequacy.
Network Analysis & Planning: Maintain a comprehensive understanding of the provider landscape to anticipate future network needs.
Contract Execution & Maintenance: Ensure contracts are executed as intended, clarify terms when needed, and keep language and coding up to date.
Operational Flexibility: Perform additional tasks as assigned to support broader network development initiatives.
Education
Associates - Science
Medgar Evers College
Brooklyn, New York
01.1994
Skills
Network Strategy & Expansion
Provider Contracting & Negotiation
Value-Based & Fee-for-Service Models
Network recruitment of highly performing providers
Claims & Market Trend Analysis
Cross-Functional Collaboration
Provider Relations & Issue Resolution
Strategic Planning & Execution
Data-Driven Decision Making
Timeline
Director, Network Development
AdventHealth Population Health Services Organization
03.2020 - Current
Network Development Manager
AdventHealth Population Health Services Organization
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