Summary
Overview
Work History
Education
Skills
Awards
Timeline
Generic

Megan O'Brien

Anoka,MN

Summary

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

Overview

8
8
years of professional experience

Work History

Director of Provider Network

Carelon
10.2020 - Current

Job Overview

  • Reduced budgetary expenditures by effectively negotiating contracts for more advantageous terms.

Responsibilities

  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
  • Streamlined contract negotiation process by utilizing effective communication and negotiation skills
  • Manage conflict during provider negotiations
  • Reviewed existing contracts for loopholes or inconsistencies followed by suggesting appropriate revisions that safeguarded the organization''s interests.
  • Create a value-based program and implement with key providers
  • Strategically work to keep down cost while maintaining quality


Provider Contract Executive

Humana
10.2017 - 10.2020

Job Overview

  • Managed complex multi-million-dollar contracts from conception through execution, consistently meeting or exceeding client expectations.

Responsibilities

  • Enhanced company reputation through diligent management of high-value contracts, resulting in strong relationships with key stakeholders.
  • Developed customized contracts tailored to specific client requirements, ensuring satisfaction and compliance.
  • Implemented troubleshooting, root cause analysis and issue resolution.


Contract Account Manager

Fairview
05.2016 - 10.2017

Job Overview

  • Negotiated contract terms with clients, securing favorable agreements for both parties.

Responsibilities

  • Gather all business terms for new/renegotiated physician contracts
  • Develop Fair Market Value by reviewing survey data and using specific calculations depending on specialty and contract type
  • Manage the invoice process to insure all providers are being paid according to their contract upcoming contracts, rates and any issues
  • Manage the invoice process to insure all providers are being paid according to their contract
  • Increased client satisfaction by building strong relationships and addressing their needs promptly.

Education

Bachelors of Science Health Care Administration -

University of Phoenix
05.2015

Skills

  • Strategic Planning
  • Verbal and written communication
  • People Management
  • Operations Management
  • Creativity and Innovation
  • Strategies and goals
  • Organizational Development
  • Budget Management
  • Contract and Vendor Management
  • Contract Negotiation
  • Contract Management

Awards

08/01/12, Spot Award for creating a network under difficult circumstance

Timeline

Director of Provider Network

Carelon
10.2020 - Current

Provider Contract Executive

Humana
10.2017 - 10.2020

Contract Account Manager

Fairview
05.2016 - 10.2017

Bachelors of Science Health Care Administration -

University of Phoenix
Megan O'Brien