Results-driven leader specializing in contract negotiation and strategic planning. Enhanced network performance and facilitated membership growth. Skilled in problem-solving and collaboration, delivering impactful results through effective communication and operational analysis. Committed to optimizing healthcare networks and advancing organizational objectives.
Overview
12
12
years of professional experience
Work History
VP CONTRACTING/ NETWORK DEVELOPMENT
Iteron Systems /Platinum IPA, LLC
Houston
01.2022 - 08.2025
Negotiated various healthcare agreements with providers to ensure favorable terms.
Oversaw mid-size to large provider groups with 10k memberships.
Analyzed operational and financial performance of agreements to identify areas for improvement.
Collaborated with departmental leaders to establish organizational goals, strategic plans, and objectives.
Identified ways to improve efficiency in operations and implemented process changes.
Managed and coordinated multiple projects while ensuring timely completion.
Met deadlines while maintaining high-quality deliverables.
Respond quickly to meet customer needs and resolve problems.
Managed multiple tasks while adapting to changing priorities.
Sr. CONTRACTING/PROVIDER RELATIONS MANAGER
Altus Ace ACO
Houston
04.2016 - 01.2022
Developed and implemented provider relations strategies to optimize network performance, P&Ps
Served as primary contact for external parties on contractual matters, facilitating clear communication and resolution of issues.
Drafted modifications to existing contracts, ensuring alignment with organizational goals and compliance requirements.
Coordinated regular meetings with key personnel in contracting process to enhance collaboration and streamline negotiations.
Provided training sessions on contract management principles and related topics.
Evaluated current network composition and identified opportunities for expansion or contraction.
EXTERNAL PROVIDER OPERATIONAL REP
Memorial Hermann M H M D
Houston
04.2013 - 04.2016
Utilized knowledge of products and services to resolve Providers' issues efficiently and effectively.
Utilized problem-solving skills to identify solutions for difficult provider issues.
Built relationships with physicians through timely responses to requests and inquiries.
Collaborated on HSD tables and submitted exceptions to brokers, facilitating establishment of memberships.
Maintained up-to-date knowledge of company policies and procedures to ensure compliance with regulations.
Managed multiple projects simultaneously, maintaining high performance standards throughout.
Developed collaborative relationships to enhance best practice results
Measured critical providers' analytics and other key metric networks accurately and on time.
Education
Texas Southern University
Houston, TX
01.1990
Skills
Contract negotiation
Contract strategy
Network strategy
Provider management
Value-based care
Value-based agreements
HEDIS/STARs expertise
Membership growth
Strategic planning
Operational analysis
Data-driven decisions
Onboarding presentations
Team leadership
Problem-solving
Organizational skills
Affiliations
Beginner golf player - Tai Chi enthusiast - Volunteer with various charity programs for special needs children
Associate Director, Value Based Contracting & Provider Network Operations Governance & Oversight at OSCAR HEALTHAssociate Director, Value Based Contracting & Provider Network Operations Governance & Oversight at OSCAR HEALTH