Summary
Overview
Work History
Skills
Timeline
Generic

Fairy Nichole Seay

Granbury,TX

Summary

🔹Championed the expansion of the workers compensation PPO network from 1,800 providers exclusively in Middle Tennessee to over 600,000 providers nationwide with a multi product line offering. This significant growth was achieved through direct contracts with more than 200,000 providers, in addition to establishing affiliations with over 108 regional and Statewide and Regional PPO “Best in Class” network partners.

🔹Guided the Network Development teams in successfully contracting 5,000 providers at 100% of Medicare across Little Rock, Raleigh-Durham, and Knoxville. This initiative was completed within a three-month timeframe to facilitate a comprehensive network for Medicare Advantage Plans.

🔹Recognized as Prime Health Services Employee of the Year in 2006.

Overview

17
17
years of professional experience

Work History

Network Development Account Executive

Therapy Direct
1208 Pointe Center Drive Chattanooga TN, 37521
04.2016 - 06.2017

Scheduled therapy referrals within Therapy Direct network to optimize patient access.

Negotiated one-time rates for each referral to ensure cost-effectiveness. Converted one-time rate contracts into long-term agreements when feasible.

Analyzed network to identify areas requiring additional provider coverage.

Regional Director of Network Development

York Risk Services, Inc.
50 Briar Hollow Lane Suite 515 West Houston, TX
09.2010 - 12.2013

Responsible for day-to-day direction, annual reviews, interviewing of incoming contractor candidates.

Analyze PPO network to develop relationships with other key PPO network partners to meet the needs of current and potential clients (i.e. Employers, Payors, TPAs, self-insured, insurance companies).

Negotiate long-term contracts with individual physicians, physician groups, ancillary providers, IPAs and hospitals.

Special focus on Tennessee development for State of Tennessee client.

Vice President of Network Development

Prime Health Services, Inc.
331 Mallory Station Rd, Franklin, TN 37076
12.2002 - 09.2010

Directed project parameters for continued development of national PPO network.

Coordinated contracting activities while analyzing PPO network for strategic customization and expansion.

Delegated projects to Directors and Supervisors aligning staffing requirements for over 45 employees.

Supported recruitment of Prime Health staff through interviews, offer placements, and performance evaluations.

Formulated action plans targeting timely goal achievement and revenue growth.

Implemented comprehensive training programs to elevate staff performance.

Cultivated partnerships with key PPO networks and addressing client needs effectively.

Partnered with Sales and Marketing teams to strengthen new client acquisition efforts.

Sr. Customer & Provider Relations Representative

FOCUS Healthcare Management, Inc.
Franklin, TN
06.2000 - 12.2002

Call center department lead.

Facilitate comprehensive training program of all new department staff and perform company-wide training for all new hires.

Assist co-workers with escalated calls and issues.

Identify industry and service trends via weekly reporting and forward relevant information to Supervisor.

Responsible for coordinating break and lunch schedules to ensure adequate telephone coverage during peak times.

Skills

    Over twenty years of proven success experience in the healthcare industry, with emphasis on the development of a multi-product National Preferred Provider Organization (PPO) Network

    My key strengths encompass a strong focus on achieving goals, a readiness to take on additional responsibilities, and the ability to perform effectively both independently and as part of a team I possess exceptional interpersonal and communication skills, supported by dynamic team-building abilities and a talent for multitasking efficiently Genuine rapport building with all medical providers, insurance companies, vendors, and various levels of management and staff

Timeline

Network Development Account Executive

Therapy Direct
04.2016 - 06.2017

Regional Director of Network Development

York Risk Services, Inc.
09.2010 - 12.2013

Vice President of Network Development

Prime Health Services, Inc.
12.2002 - 09.2010

Sr. Customer & Provider Relations Representative

FOCUS Healthcare Management, Inc.
06.2000 - 12.2002
Fairy Nichole Seay