Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Keith Aiello

Morganville,NJ

Summary

Dynamic leader with extensive experience in operations management and contract negotiation. Successfully spearheaded innovative provider engagement strategies, resulting in enhanced network performance and operational efficiencies. Demonstrates strengths in critical thinking and mentoring, driving organizational success through strategic planning and process improvement.

Overview

24
24
years of professional experience

Work History

Vice President Provider Experience and Engagement

United Healthcare
, PA,DE And Mid-Atlantic
09.2022 - Current
  • Oversaw Provider Account Management teams across six Mid-Atlantic markets.
  • Developed intricate operational strategies for key health systems.
  • Enhanced engagement strategies across diverse provider networks and business verticals.
  • Implemented leadership-driven initiatives to enhance blue-chip network performance.
  • Implemented effective outreach approaches to strengthen provider-community connections.
  • Executed comprehensive program analysis to increase operational efficiency among key provider partners.

Vice President Network Mgt. and Payment Innovation

Optum
, National
09.2019 - 08.2022
  • Facilitated improvements in overall network efficiency for diverse client bases.
  • Directed vendor relationships for high-profile clients, achieving streamlined processes.
  • Streamlined revenue optimization by supporting development of tailored provider network solutions.

Vice President, Provider Network, OptumServe

Optum
, National
10.2017 - 09.2019
  • Directed a team of network specialists to enhance network development projects, provider relations, and provider operations.
  • Developed optimized strategies leveraging subject matter insights for comprehensive RFP solutions.
  • Established and cultivated robust network support teams to accommodate new client operations.
  • Implemented process improvements tailored to the requirements of multiple government agencies.

VP, Network Programs and Operational Solutions

United Healthcare, UHG
, National
12.2011 - 10.2017
  • Directed national team in provider outreach initiatives, education and strategic implementations.
  • Conducted comprehensive instructional sessions for both internal teams and external providers focusing on UHC programs.
  • Directed execution of complex, layered project plans.
  • Delivered executive-level reporting to support data-driven decisions at the national scale.
  • Developed comprehensive network programs from inception to delivery.

Assistant Vice President, Physician Contracting

New York Life Insurance Co
New York, NY
08.2010 - 12.2011
  • Negotiated and built contracts with high-value physician groups, IPAs, and hospital-based providers.
  • Monitored and analyzed provider trends to inform strategic adjustments.
  • Oversaw direct staff to ensure effective operations.
  • Directed re-base of 2011 market-standard fee schedule.
  • Managed special recruitment initiatives for the 2010-2011 cycle.

Cooperate Director, Network

United Healthcare Group
, National
02.2005 - 08.2010
  • Managed projects for Medicaid sites, addressing both implementation and ongoing service challenges.
  • Delivered corporate support to multiple Medicaid sites nationwide in areas such as contracting, service resolution, training and education.
  • Served as main contact for network issues between local Medicaid sites and UnitedHealth Group business partners.
  • Executed role as Network Market lead in Hawaii and Tennessee, coordinating staffing for new sites.
  • Supported Medicaid purchase order process for ancillary services.
  • Led Medicaid discussions in national network meetings.
  • Managed service recovery operations for Tier 1 providers to repair trust and reduce escalation
  • Applied contractual knowledge to address case-specific challenges
  • Fostered inter-departmental networking to streamline resolution paths for SSA team.
  • Conducted rate negotiations for both in-network and out-of-network providers.
  • Ensured successful execution of Network Radiology Management contracts.

Provider Relations Manager, NY/NJ

United Healthcare
New York, NY
04.2003 - 02.2005
  • Oversaw daily tasks and operations for commercial and government programs with a team of 15 staff.
  • Generated comprehensive reports and performed network data analysis.
  • Managed contracting for hospital-based and high-dollar providers out-of-network.
  • Led network project for Radiology program in NJ and Americhoice, NY.
  • Managed network infrastructure projects supporting the NJ Oncology program.
  • Conducted settlement negotiations involving various agreements.

Provider Relations Representative

QualCare
Piscataway, NJ
05.2001 - 04.2003
  • Troubleshooting calls from in-network and out-of-network providers.
  • Reporting and database upkeep.
  • Claims research and resolution.
  • Various projects, as assigned by the Director.
  • Contracting and OON network negotiation.
  • Site Visits and Orientations.

Education

X-Ray Technology License in NY And NJ - Radiologic Technology

Hudson Area School Of Radiologic Technology
Bayonne, NJ
06-1998

Skills

  • Verbal and written communication
  • Critical thinking
  • Operations management
  • Contract negotiation
  • Process improvement
  • Training and mentoring
  • Policy and procedure development
  • Strategic planning
  • Results-driven

References

References available upon request.

Timeline

Vice President Provider Experience and Engagement

United Healthcare
09.2022 - Current

Vice President Network Mgt. and Payment Innovation

Optum
09.2019 - 08.2022

Vice President, Provider Network, OptumServe

Optum
10.2017 - 09.2019

VP, Network Programs and Operational Solutions

United Healthcare, UHG
12.2011 - 10.2017

Assistant Vice President, Physician Contracting

New York Life Insurance Co
08.2010 - 12.2011

Cooperate Director, Network

United Healthcare Group
02.2005 - 08.2010

Provider Relations Manager, NY/NJ

United Healthcare
04.2003 - 02.2005

Provider Relations Representative

QualCare
05.2001 - 04.2003

X-Ray Technology License in NY And NJ - Radiologic Technology

Hudson Area School Of Radiologic Technology

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