Joseph Lalouti
Justin
Summary
Healthcare professional with a doctorate in healthcare administration specializing in contract management and negotiation. Achieved substantial cost savings through successful negotiation of high-value contracts. Implemented effective contract management systems that enhanced operational efficiency.
Overview
14
14
years of professional experience
Work History
Sr. Contracting Manager
VOANS-Healthcare Services
St. Paul
09.2024 - Current
- Successfully negotiated 30 high value Contracts, realizing an average savings of 20%
- Review, draft, and negotiate contract terms and conditions for major vendors, Health Plans, suppliers, hospitals, and providers while conceptualizing the legal issues within the contract and service agreement to balance business objective and legal risks.
- Identified and resolved challenges with health plans and vendors, focusing on pricing analysis, reimbursement, utilization management, and credentialing coverage.
- Established contract management system that enhanced accessibility and minimized redundancy.
Contract Manager (Temporary Projects)
Guidepoint Consulting
New York
08.2022 - 08.2024
- Developed contract negotiation strategies, achieving $50K in savings over one year
- Reviewed 40+ contracts for compliance with statutory regulations
- Implemented an efficient contract review process, identifying potential risks and issues before signing
- Negotiated 100+ contracts, safeguarding company's interests
- Act as the first point of contact for stakeholders, providers, and hospitals for contract queries.
- TriWest Alliance Imperial Healthcare - FORTUNE 500, multi-state health care organization
Sr. Contract Manager
Molina Healthcare
Long Beach
03.2018 - 08.2022
- Negotiated complex contracts valued at over $10M, leveraging meticulous attention to detail and strategic negotiation skills to drive a 8% savings annually
- Led development of competitive provider and network strategies to support requests for proposals (RFPs) and market entries.
- Accurately tracked contract performance using Key Performance Indicators (KPIs), identifying areas for improvement and cost savings
- Identified and addressed challenges with evolving health plans and vendors, improving service delivery.
- Conducted gap analysis of community-based services providers to identify network deficiencies in underserved areas, collaborating with senior leadership to develop Memorandums of Understanding for long-term supportive services for insureds and enrollers statewide (Exchange, Medicare, Medical-Medicaid, MMP, and Medicare Advantage, PACE)
Provider services manager
Molina Healthcare
Long Beach
09.2012 - 03.2018
- Coordinated contracting solicitation and enrollment efforts with Provider Contracting and Network Operations
- Partnered with practice staff and act as a single point of contact to field and resolve physician/practice questions/issues regarding fee schedules, referral simplification, patient population confirmations and other ad hoc network projects by coordinating across Steward teams to ensure task completion and/or resolution
- Facilitated communication with other teams to manage Provider Relations issues promptly and efficiently
- Assisted physicians in maintaining current contact and practice information in Steward provider database, enhancing patient access to providers through web-based tools
- Monitored production levels to identify trends and implement adjustments in the territory.
Education
DOCTORATE - HEALTHCARE ADMINISTRATION
UNIVERSITY OF VIRGINIA
LYNCHBURG, VA08-2022
MBA & MHA - HEALTHCARE ADMINISTRATION
UNIVERSITY OF ARIZONA GLOBAL CAMPUS
CHANDLER, AZ05-2013
BS - HEALTHCARE ADMINISTRATION
TEXAS SOUTHERN UNIVERSITY
HOUSTON, TX05-2005
Skills
- Data analysis techniques
- Contract negotiation strategies
- Business decision making
- Project strategy
- Healthcare standards knowledge
- Compliance regulations knowledge
- Data analysis techniques
- Salesforce proficiency
- Microsoft Office training
- Analytical problem solving
- Verbal and written communication
- Compliance regulations knowledge
Affiliations
ACHE- American College of Healthcare Executives
Community Service
Susan G. Komen Cure for Cancer- Houston Food Bank, Sister networking
Education And Trainings
- UNIVERSITY OF VIRGINIA, LYNCHBURG, VA, DOCTORATE IN HEALTHCARE ADMINISTRATION, 08/27/22
- UNIVERSITY OF ARIZONA GLOBAL CAMPUS, CHANDLER, AZ, MBA & MHA in Healthcare Administration, 05/13
- TEXAS SOUTHERN UNIVERSITY, HOUSTON, TX, BS in Healthcare Administration, 05/05
Timeline
Sr. Contracting Manager
VOANS-Healthcare Services
09.2024 - Current
Contract Manager (Temporary Projects)
Guidepoint Consulting
08.2022 - 08.2024
Sr. Contract Manager
Molina Healthcare
03.2018 - 08.2022
Provider services manager
Molina Healthcare
09.2012 - 03.2018
DOCTORATE - HEALTHCARE ADMINISTRATION
UNIVERSITY OF VIRGINIA
MBA & MHA - HEALTHCARE ADMINISTRATION
UNIVERSITY OF ARIZONA GLOBAL CAMPUS
BS - HEALTHCARE ADMINISTRATION
TEXAS SOUTHERN UNIVERSITY