Jess Monson
Sun City,AZ
Summary
Accomplished healthcare contract and project management professional with over a decade of experience in negotiating and executing complex federal and commercial agreements, including TRICARE and VA contracts. Expert in driving operational efficiencies, ensuring regulatory compliance, and leading cross-functional teams in diverse healthcare environments. Proven track record of optimizing contractual outcomes, enhancing provider networks, and fostering strategic stakeholder relationships to deliver measurable cost savings and improved service delivery.
Overview
13
13
years of professional experience
Work History
Senior Direct Contract Manager
TriWest Healthcare Alliance
05.2019 - Current
- Oversaw VA provider network of 20,000+ providers across West Coast regions, ensuring consistent access, compliance, and operational efficiency.
- Negotiated 200+ provider contracts and Memorandums of Understanding, achieving favorable rates and terms that reduced overall reimbursement costs by 12%.
- Led cross-functional planning and monthly strategy meetings, using performance data to identify growth opportunities that drove a 15% increase in contract utilization.
- Strengthened provider relationships through proactive engagement, partnership meetings, and on-site enrollment initiatives, boosting provider retention and satisfaction scores.
- Delivered training and compliance education to providers and internal teams, reducing claims and authorization errors by 20% and streamlining operational workflows.
Business Account Specialist
CenturyLink
05.2017 - 05.2019
- Consistently exceeded revenue targets, averaging 115% to goal monthly, ranking among top performers in the Small Business Group.
- Established subject matter expertise in Fiber and National Products, supporting sales growth and providing technical guidance to colleagues and clients.
- Recognized for accuracy and efficiency in case submissions, reducing rework and accelerating customer order fulfillment timelines.
- Served as primary liaison for contract, financial, and programmatic issues, resolving 95% of cases within SLA and implementing process improvements that reduced repeat issues by 30%.
Provider Relations Specialist
Kern Family
01.2017 - 10.2017
- Ensured compliance with regulatory, accrediting, and membership organizations by processing and auditing provider credentialing and reappointment applications with 100% accuracy.
- Managed multiple hospital grant programs totaling $1M+, overseeing budgets, documentation, and reporting requirements to ensure timely and compliant disbursements.
- Supported cross-departmental initiatives and new projects, providing process oversight and administrative expertise to accelerate implementation timelines.
- Maintained proactive communication with providers and internal stakeholders, improving issue resolution time and strengthening provider satisfaction.
Healthcare Sales Representative
Complete Sleep
05.2012 - 07.2014
- Drove business growth by managing 60+ physician accounts and consistently acquiring 20+ new provider accounts each month.
- Ranked in the top 10% of 195 sales representatives nationwide through consultative selling, relationship management, and account expansion.
- Coordinated insurance benefits and billing for providers and patients, ensuring accurate claims submission and streamlined reimbursement processes.
- Organized and delivered large-scale provider presentations and educational sessions, increasing product adoption and provider engagement.
- Scheduled and managed 70+ patient appointments per physician monthly, ensuring seamless care coordination and operational efficiency.
Education
Bachelor of Science - Management
University of Phoenix
Phoenix, AZ01.2018
Certificate - Italian Language
Scuola Leonardo Da Vinci
Milan01.2005
Skills
- Contract Management:
- Contract Negotiation & Management Regulatory Compliance & Health Plan Operations Healthcare Contract Negotiation & Administration (Federal & Private) TRICARE Contract Management
- Project Management:
- Process Improvement & Project Management Project Planning & Execution Cross-Functional Team Leadership
- Financial Management:
- Budget Oversight & Financial Analysis Budgeting, Forecasting & Cost Control
- Provider Management:
- Provider Network Development Provider Training & Educational Presentations Clinical Operations Oversight (Urgent Care, SNF, LTACH, Dialysis, PT, Hospital Systems)
- Technical Tools:
- CRM & Productivity Tools: Salesforce, MS Office Suite
Acknowledgements
- Awarded Top Performer in the Small Business Group at CenturyLink for consistently exceeding revenue targets, achieving an average of 115% to goal monthly.
- Recognized for driving a 12% reduction in reimbursement costs through strategic negotiation of 200+ provider contracts and Memorandums of Understanding.
- Spearheaded a 15% increase in contract utilization by leading cross-functional planning and strategy meetings centered on performance data analysis.
- Achieved a 20% reduction in claims and authorization errors by delivering targeted training and compliance education to providers and internal teams.
- Maintained 100% accuracy in processing provider credentialing and reappointment applications, ensuring compliance with regulatory and accrediting organizations.
- Ranked in the top 10% of sales representatives nationwide at Complete Sleep through effective consultative selling and relationship management.
Core competencies
- Healthcare Contract Negotiation & Administration (Federal & Private)
- TRICARE Contract Management
- Regulatory Compliance & Risk Mitigation
- Project Planning & Execution
- Cross-Functional Team Leadership
- Vendor & Stakeholder Relationship Management
- Process Optimization & Workflow Improvement
- Budgeting, Forecasting & Cost Control
- Clinical Operations Oversight (Urgent Care, SNF, LTACH, Dialysis, PT)
- Laboratory & Independent Lab Contracting
Timeline
Senior Direct Contract Manager
TriWest Healthcare Alliance
05.2019 - Current
Business Account Specialist
CenturyLink
05.2017 - 05.2019
Provider Relations Specialist
Kern Family
01.2017 - 10.2017
Healthcare Sales Representative
Complete Sleep
05.2012 - 07.2014
Bachelor of Science - Management
University of Phoenix
Certificate - Italian Language
Scuola Leonardo Da Vinci
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