Summary
Overview
Work History
Education
Skills
Volunteer Experience
References
Timeline
Generic

Paul G. Saucier

Pinehurst,NC

Summary

Seasoned Contract Specialist with robust experience in contract negotiation, development, and management. Possess strong analytical skills and understanding of contractual language and regulations. Notable for streamlining processes to increase efficiency and reduce costs; contributed significantly to improving business practices in previous roles. Known for maintaining high level of professionalism and integrity while managing multiple projects simultaneously.

Overview

33
33
years of professional experience

Work History

Contract Specialist

First Carolina Care
02.2022 - Current
  • Proactively identified and recruited individual physicians, large physician groups, ancillary providers, and facilities to expand FCC’s Commercial and Medicare Advantage networks, contributing to network growth
  • Spearhead network expansion initiatives in new counties
  • Conducted contract negotiations, securing agreements on behalf of FCC that aligned with organizational goals and financial targets
  • Managed and maintained provider contract databases, ensuring timely updates and accuracy of contract terms for seamless claims processing
  • Resolved provider contract discrepancies and facilitated contract amendments to optimize provider relationship
  • Successfully negotiated Single Case Agreements to facilitate patients access to necessary care, resulting in a over $800,000.00 reduction in cost

REAL ESTATE BROKER

, North Carolina
06.2020 - 02.2022
  • I am a licensed Real Estate Agent In North Carolina
  • I sold and bought real estate, by negotiating and guiding my clients through the process

Closings Agent

PGS Closings
05.2002 - 06.2020
  • I have conducted thousands of residential real estate closings for several high-producing title companies in Maine
  • I certify that all the documentation needed to complete the transaction is available and properly executed
  • I explain to clients what the documents represent and answer any questions that they may have
  • These real estate transactions represent several million dollars of property value annually

Provider Network Specialist

Sierra Military Health
06.2000 - 05.2002
  • Conducted educational meetings and seminars for providers, in large groups or individual settings
  • Negotiated physician, ancillary and hospital contracts to build our network of providers
  • Accurately conduct site reviews to NCQA guidelines and obtain and review documentation to meet and complete credentialing criteria
  • Primary liaison between entities

Provider Network Representative

Cigna
02.1997 - 06.2000
  • I oriented new providers to CIGNA policies and procedures in individual and large group meetings
  • Negotiated physician, ancillary and hospital contracts
  • I troubleshoot and resolve provider concerns promptly and efficiently
  • Recruited/Credentialed quality healthcare providers

Liability Recovery Specialist

Cigna
09.1994 - 02.1997
  • Conducted negotiated mutually agreeable settlements between CIGNA and other liability companies and legal counsel to reach a settlement agreement
  • Investigated medical claims for optimal recoveries from other carriers

Mail Specialist/Team leader

Cigna
06.1992 - 09.1994
  • Managed mailroom for a 200-employee company, ensuring team members contribute towards the company goals for members, providers and optimal client satisfaction
  • Negotiate contracts with multiple mail and parcel vendors
  • Ensure team meet established productivity standards, supervise direct reports

Education

A.S. - Business Administration

Southern New Hampshire University

75-hour Appraisal Training Course -

McKissock

Real Estate License -

State of North Carolina

Skills

  • Contract negotiation
  • Provider recruitment
  • Database management
  • Contract compliance
  • Cost reduction
  • Risk assessment
  • Skilled negotiator
  • Contract administration
  • Document control
  • Supplier relationship
  • Interpersonal communication
  • Problem resolution
  • Operational efficiency
  • Cost efficiency
  • Strong vendor relations
  • Contract terms negotiation
  • Professional relationship building
  • Microsoft Word
  • Computer skills
  • Task prioritization
  • Strong written and verbal communication skills

Volunteer Experience

  • Essentials of Managed Care
  • Total Quality Management Project Team Lead
  • Customer Advisory Committee, U.S. Postal Service, Co-Chair

References

References available upon request.

Timeline

Contract Specialist

First Carolina Care
02.2022 - Current

REAL ESTATE BROKER

06.2020 - 02.2022

Closings Agent

PGS Closings
05.2002 - 06.2020

Provider Network Specialist

Sierra Military Health
06.2000 - 05.2002

Provider Network Representative

Cigna
02.1997 - 06.2000

Liability Recovery Specialist

Cigna
09.1994 - 02.1997

Mail Specialist/Team leader

Cigna
06.1992 - 09.1994

A.S. - Business Administration

Southern New Hampshire University

75-hour Appraisal Training Course -

McKissock

Real Estate License -

State of North Carolina
Paul G. Saucier