Kacey Crotta
Harwinton,CT
Summary
With a proven track record of achieving quality, affordability, sustainability, and growth, I bring extensive experience and verifiable success to any organization. As an encouraging manager and analytical problem-solver, I possess a natural talent for team building, leadership, and motivation. My excellent customer relations aptitude and strong relationship-building skills contribute to fostering positive connections with clients. Utilizing independent decision-making skills and sound judgment, I consistently make impactful contributions to the overall success of the company. Additionally, dedicated to applying training, monitoring, and morale-building abilities to enhance employee engagement and boost performance across the board. Experienced with strategic planning and project management. Utilizes leadership skills to drive team performance and operational excellence. Track record of delivering high-impact results through innovative problem-solving and effective communication. Offering blend of strong leadership and organizational skills, eager to learn and develop in dynamic environment. Contributes ability to quickly grasp industry-specific knowledge and adapt to new challenges, combined with proficiency in project management and strategic planning.
Overview
17
17
years of professional experience
Work History
Director, Network Strategy & Contracting
Optum
09.2020 - Current
- Leading network management initiatives related to provider contracting for skilled nursing and physician activities in multiple complex markets.
- Discover and foster solutions for business needs
- Negotiate and maintain facility contracts for 850+ Skilled Nursing Facilities
- Collaborate to maintain internal and external relationships to support growth, retention and new business.
- Monitor and balance budgets across multiple lines of business
- Create business strategies through multi-faceted approaches
- Coach and lead cross functionally
- Analyze performance trends and financial impact of business and partnerships
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Secured key partnerships that contributed to the company''s overall growth strategy and market reach.
Associate Director, Network Contracting
UnitedHealthcare
11.2018 - 09.2020
- Lead a team of contractors responsible for value-based contracting with a pay for performance strategy
- Manage key accounts in the New York Accountable Care Organization portfolio
- Implement and support local initiatives through contract strategies and account management efforts
- Monitor and report on value-based trends and make recommendations to improve, modify and/or refine strategies
- Develop and implement policy and procedures for interdepartmental use
- Development and maintenance of value-based reporting utilized for reporting to state entities
- Development of contracting strategies for complex physician groups and health systems
- Prioritized tasks and allocated resources appropriately to keep teams focused and productive.
- Managed cross-functional teams for multiple large-scale projects, successfully completing each on time and within budget constraints.
- Mentored junior staff members, providing guidance on professional development opportunities and career progression paths within the company.
- Leveraged data and analytics to make informed decisions and drive business improvements.
Director, Network Contracting
ConnectiCare
09.2017 - 11.2018
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
- Negotiated favorable contracts with vendors for reduced costs and improved service quality.
- Leveraged data analytics insights for informed decision-making in critical areas such as sales forecasting, budgeting, or personnel management.
- Improved team morale and productivity by implementing comprehensive professional development program.
Sr Network Contract Manager
UnitedHealthcare
12.2014 - 09.2017
- Developed strong relationships with clients and vendors, fostering mutually beneficial partnerships.
- Coordinated regular contract reviews to identify areas for improvement or renegotiation opportunities.
- Improved efficiency of contract management processes through the implementation of a centralized database system.
- Achieved successful contract negotiations by thoroughly reviewing and analyzing proposals, agreements, and terms.
- Monitored contracts' performance to detect non-compliance with terms and deficient returns and organize proactive resolutions.
- Successfully managed high volumes of contracts simultaneously while meeting tight deadlines and ensuring accuracy.
- Proactively identified potential contractual issues, addressing them before they escalated into more significant problems.
- Interpreted contact terms and coordinated solutions to resolve disputes between clients and service providers.
- Contributed to strategic planning initiatives by providing insights on current contractual commitments.
- Collaborated with cross-functional teams to develop comprehensive contract strategies aligned with company objectives.
- Streamlined contract administration by implementing effective tracking tools and reporting systems.
Manager, Provider Reimbursement
United Healthcare
06.2008 - 12.2014
- Managed and motivated employees to be productive and engaged in work.
- Create and manage reimbursement for over 30,000 providers.
- Accomplished multiple tasks within established timeframes.
- Maximized performance by monitoring daily activities and mentoring team members.
- Cross-trained existing employees to maximize team agility and performance.
- Controlled costs to keep business operating within budget and increase profits.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
- Mentored junior team members for career advancement, fostering a pipeline of future leaders within the organization.
- Boosted employee morale and reduced turnover through development and implementation of comprehensive rewards and recognition program.
- Defined clear targets and objectives and communicated to other team members.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
Education
SOUTHERN CONNECTICUT STATE UNIVERSITY
05.2001
Skills
- Relationship building
- Strategic planning
- Verbal and written communication
- Decision-making
- People management
- Operations management
- Project management
- Strategies and goals
- Budget management
- Change management
- Issues resolution
- Negotiation
Timeline
Director, Network Strategy & Contracting
Optum
09.2020 - Current
Associate Director, Network Contracting
UnitedHealthcare
11.2018 - 09.2020
Director, Network Contracting
ConnectiCare
09.2017 - 11.2018
Sr Network Contract Manager
UnitedHealthcare
12.2014 - 09.2017
Manager, Provider Reimbursement
United Healthcare
06.2008 - 12.2014
SOUTHERN CONNECTICUT STATE UNIVERSITY
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