JAMES STEVEN BUCHER
Chandler,AZ
Summary
I am an organized, efficient, and hard-working professional, eager to discover and implement new ideas in practical settings. As a successful contract negotiator, I have a proven track record with a high close rate in both Medicare Advantage and Medicaid contracts. I excel at building strong relationships and am a skilled communicator, whether working with groups or individuals. My ability to listen and learn enhances my capacity to collaborate effectively. I am highly motivated and adept at directing my talents and skills to achieve set objectives.
Overview
18
18
years of professional experience
Work History
Contracts Consultant
Homestyle Direct
10.2024 - 04.2025
- I am responsible for contracting with Managed Medi-Cal Health Plans, PACE Programs, and Area Agencies on Aging in California to provide Medically Tailored Meals for the plans’ CALAIM programs and Community Supports Divisions. Successful in executing three new contracts within a six month time period.
Director of Payor Relations/Contracts Specialist
Reliable Medical Supply
09.2022 - 07.2024
- I have successfully negotiated managed care contracts in Alabama, California, Florida, North Carolina and Texas with a high success rate in fully executing contracts. Successfully executed contracts with Health Net of California, Anthem Blue Cross, Blue Shield of California, Vaya Health Plan of Alabama, Sunshine Health Plan of Florida and Blue Cross/Blue Shield of Texas. I am skilled at improving low reimbursement practices, driving them to acceptable levels. Additionally, I assist with location relocations and new branch openings and serve as the Key Account Manager for national contracts. I was also responsible for creating and implementing a strategic plan for business development in growing our complex rehab business.
Director of Business Development & Strategic Accounts
Super Care Health
03.2022 - 09.2022
- Supervised a team of nine Hospital Account Liaisons for the Providence Health agreement in Southern California, focusing on driving business growth through hospital discharges. Led negotiations and successfully secured major contracts with key Managed Care organizations in California, including prominent Managed Medi-Cal Health Plans. Demonstrated expertise in relationship management, business development, and contract negotiations to support the growth and success of healthcare operations within the region.
Contracts Manager
Kadence Healthcare
08.2021 - 03.2022
- Led negotiations and successfully secured major contracts with key Managed Care organizations in California, including prominent Managed Medi-Cal Health Plans. Assisted the sales team in business development with those new payors.
Director of Clinical Business Development
National Seating and Mobility
08.2019 - 02.2021
- Responsible for business development for Assistive Technology Professionals (ATPs) in northern California, focusing on problem-solving and providing assistance in contract negotiations. Led negotiations and successfully secured major contracts with key Managed Care organizations in California, including prominent Managed Medi-Cal Health Plans. Assisted the sales team in business development with these new payors.
Director of Business Development
California Home Medical Equipment (C.H.M.E)
11.2017 - 05.2019
- Responsible for business development in northern California and the Central Valley successfully negotiating contracts with Blue Shield of California, United Healthcare and Health Net of California. Successfully negotiated a capitated agreement with Sutter Gould Medical Foundation. Providing guidance to the sales team on business development throughout the Bay Area.
Senior Account Manager
Apria Healthcare
05.2007 - 09.2017
- Successful account manager focusing on all of the 458 medical groups in California to grow the business, problem-solve on delivery, and claim issues. Responsible for Quarterly Business Reviews with our capitated providers, Health Net of California, United Healthcare and Blue Shield of California. Managed day-to-day operations surrounding Respiratory Therapy Equipment. I am skilled at Successfully account managed for Health Net of California and Blue Shield of California. I am successful at improving low reimbursement practices, driving them to profitable levels.
Education
Bachelor of Science - Marketing
University of Phoenix
San Francisco, CA05.2008
Skills
- Strategic Business Development, Relationship building, contract negotiations, leadership, team player, Collaborator and Communicator, and self-motivated Proficient in Microsoft Office Suite and multiple CRMs
Timeline
Contracts Consultant
Homestyle Direct
10.2024 - 04.2025
Director of Payor Relations/Contracts Specialist
Reliable Medical Supply
09.2022 - 07.2024
Director of Business Development & Strategic Accounts
Super Care Health
03.2022 - 09.2022
Contracts Manager
Kadence Healthcare
08.2021 - 03.2022
Director of Clinical Business Development
National Seating and Mobility
08.2019 - 02.2021
Director of Business Development
California Home Medical Equipment (C.H.M.E)
11.2017 - 05.2019
Senior Account Manager
Apria Healthcare
05.2007 - 09.2017
Bachelor of Science - Marketing
University of Phoenix
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