Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kip Howard

Azle,TX

Summary

Knowledgeable Payment Integrity professional with proven history of leading high-performing teams and executing strategic initiatives that drive organizational growth. Successfully directed cross-functional projects that resulted in significant process improvements and operational efficiencies. Demonstrated leadership and communication skills in fostering collaborative environments and delivering impactful results. Extensive vendor management and contract negotiation experience. Certified CSRP through the National Association of Subrogation Professionals.

Overview

15
15
years of professional experience

Work History

Director, Payment Integrity

Evolent
02.2020 - Current
  • 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.
  • Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
  • Primarily responsible for subrogation/workers' compensation program, end-to-end coordination of benefits, credit balance program, provider rolling balance collections.
  • Manage multiple vendor partnerships, CAQH, Gainwell/HMS, Optum, Trend Health Partners, GB Collects, Claris Health (Pareo platform)

Manager, Payment Integrity & Vendor Recovery

CareFirst Blue Cross Blue Shield
07.2017 - 02.2020
  • Strengthened vendor relationships by maintaining open communication and promptly addressing any concerns or issues.
  • Implemented an efficient vendor management system that streamlined operations and reduced administrative workload.
  • Negotiated favorable contracts with suppliers, resulting in cost savings for the company without sacrificing quality.
  • Implemented new subrogation program in 2019.
  • Responsible for coordination of benefits (proactive identification and overpayment recovery), subrogation program, credit balance program, internal data mining and clinical auditing (DRG, re-admission, IBR, Etc)

Manager, Payment Integrity, Provider Audit

Independence Blue Cross
03.2014 - 07.2017
  • Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
  • Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
  • Negotiated favorable terms with suppliers, cutting operational costs while maintaining quality of service.
  • Managed subrogation program, managed coordination of benefits identification and overpayment recovery, managed DME/Home Health vendor process, managed internal data mining program
  • Worked with Market to sell payment integrity services to self funded groups, this was a means of EBITA revenue

Manager, Customer Financials Services

Highmark Blue Cross Blue Shield
07.2010 - 02.2014
  • Managed and motivated employees to be productive and engaged in work.
  • 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.
  • Oversaw inventory management, optimizing stock levels, and reducing waste.
  • Achieved significant cost savings by renegotiating contracts with key vendors, without compromising service quality.
  • Managed internal subrogation program using the Socrates subrogation platform
  • Managed all overpayment recovery payment integrity services via vendor support

Education

High School Diploma -

Grand Prairie High School
Grand Prairie Texas
05.1985

Northlake College
Irving Texas

Skills

  • Fostering collaborative partnerships
  • Strategic planning
  • Verbal and written communication
  • Decision-making
  • People management
  • Budget management
  • Change management
  • Program management
  • Contract negotiation
  • Legal and regulatory compliance
  • Vendor relationship management

Timeline

Director, Payment Integrity

Evolent
02.2020 - Current

Manager, Payment Integrity & Vendor Recovery

CareFirst Blue Cross Blue Shield
07.2017 - 02.2020

Manager, Payment Integrity, Provider Audit

Independence Blue Cross
03.2014 - 07.2017

Manager, Customer Financials Services

Highmark Blue Cross Blue Shield
07.2010 - 02.2014

High School Diploma -

Grand Prairie High School

Northlake College

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