ROBERT DOZIER
MANCHACA,TX
Summary
Senior Consultant and experienced professional in all aspects of contract management, business, consulting, project management and employee management. Effective negotiator. Accomplished Consultant drives organizational improvements through leveraging expertise in research and system enhancement. Well-versed in collaborating with employees and leaders to resolve control and procedural problems negatively affecting business operations. Dedicated to cost, process and resource optimization. Top 5 Clifton Strengths are: Communication; Positivity; Self-Assurance; Woo; Strategic
Overview
33
33
years of professional experience
1
1
Certification
Work History
Vendor Performance Management SLA Analyst
Texas Department Of Transportation TxDOT
12.2022 - Current
- Oversee Vendor Service Level Agreements
- Compiled research data and gave professional presentations highlighting finds and recommended optimizations.
- Organize and Facilitate Vendor Compliance meetings
- Restructured procedures through coordination with compliance director to create and execute projects.
- Evaluated diverse organizational systems to identify workflow, communication, and resource utilization issues.
- Evaluated current processes to develop improvement plans.
Manager
ACCENTURE, LLP
01.2016 - 01.2022
- Contract Manager Lead
- Kaiser Permanente
- Capital Group
- Diebold Nixdorf
- Texas Health and Human Services, Medicaid
- Texas Department of Transportation TxDOT
- Texas Department, , Retirement System, BC/BS of AZ
- Marketplace/Amazon
Market Consultant / Healthcare Advocate Consultant
OPTUM, UNITED HEALTH GROUP
01.2015 - 01.2016
- In central Texas for Aetna, Humana, United
- Worked independently and part of a team, traveled across assigned territory to meet with providers to discuss tools and programs focused on improving the quality of care for Medicare and Medicaid Members
- Educated healthcare providers on how to improve Risk Adjustment Factor (RAF) scores, which measure their patient health status
- Provided training to provider groups on Medicare Advantage, quality measures (HEDIS).
Contract Manager
FIRST CARE HEALTH PLANS
01.2013 - 01.2015
- Established and maintained strong business relationships with healthcare provider network
- Developed provider network (Physicians, hospitals, ancillary facilities)
- Evaluated and negotiated contracts in compliance with Federal, State, and client standards
- Negotiated Single Case Agreement or Memorandums of Understanding relating to high dollar claims
- Completed rate analysis using historical claims data to determine the impact of contracting key groups
- Renegotiate key groups, and develop a strategy and implementation plan
Contract Manager
BEACON HEALTH STRATEGIES
01.2012 - 01.2013
- Managed contract process through negotiations, language reviews, utilized contract management tools
- Developed behavioral health provider network (Physicians, hospitals, ancillary facilities) to ensure adequate and complete network of providers and specialties were available for employer health groups
- Administer complex negotiations of managed care reimbursement and language for government and commercial products for contracts.
HUMANA TEXAS COMMUNITY CARE
01.2007 - 01.2012
- Provider Relations Representative
- Subject matter expert in network operations for Medicare Advantage Plan
- Managed Central Texas contracting of Medicare Advantage Provider Network
- Provided daily direction and guidance to existing local Physician Business Managers and acted as the subject matter expert for the Austin, Texas market.
Credentialing Manager
Superior Health Plan
01.2006 - 01.2007
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Established team priorities, maintained schedules and monitored performance
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty
Provider Relations Manager
Centene, Superior Health Services
01.2001 - 01.2006
- Researched and resolved disputes, billing discrepancies and claims efficiently to maintain customer satisfaction, boosting satisfaction ratings 100%.
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
Cavalry Scout Instructor
Texas Army National Guard
01.2003 - 01.2005
- Directed platoon tactical movements, platoon security operations and platoon route and zone reconnaissance.
- Engaged enemy forces while tracking enemy movements.
- Operated wheeled and tracked vehicles and communications equipment.
Forward Observer
Texas Army National Guard
01.1997 - 01.2003
- Conducted risk assessments for artillery and missile operations to avoid harm to personnel and equipment.
- Coordinated with other military units and agencies to support operations and align with mission.
- Assisted with real-time intelligence collection by conducting field reconnaissance operations.
- Efficiently oriented and fired weaponry to smoothly eliminate enemy positions, vessels, and personnel.
19D Cavalry Scout
US Army
01.1991 - 01.1997
- Developed, resourced and executed squad's various strength and training strategies to improve mission readiness in tactical fields.
- Operated wheeled and tracked vehicles and communications equipment.
- Supervised security of $100M worth of highly sensitive equipment.
- Prepared mission equipment for deployment and secured vehicles prior to transport.
Education
MBA -
University of Phoenix
Bachelor of Science - Management Health Care
Park University
Skills
- Leadership Communication
- Client Data Protection
- Train Staff and Clients
- Employee Performance Driver
- Project Management
- Contract Management
- Vendor/Client Management
Accomplishments
- IACCM – International Association for Contract and Commercial Management
- Accenture Suicide Awareness and Prevention Workshop Facilitator/Trainer, North America
- Certified Provider Credentialing Specialist, National Association of Medical Staff Services
- Certified Professional Medical Services Management, National Association of Medical Staff Services
- American Hockey League, Off-Ice Official
Certification
IACCM CCM Advanced Practitioner
American Hockey League Off-Ice Official
Certified Military Instructor
Timeline
Vendor Performance Management SLA Analyst
Texas Department Of Transportation TxDOT
12.2022 - Current
Manager
ACCENTURE, LLP
01.2016 - 01.2022
Market Consultant / Healthcare Advocate Consultant
OPTUM, UNITED HEALTH GROUP
01.2015 - 01.2016
Contract Manager
FIRST CARE HEALTH PLANS
01.2013 - 01.2015
Contract Manager
BEACON HEALTH STRATEGIES
01.2012 - 01.2013
HUMANA TEXAS COMMUNITY CARE
01.2007 - 01.2012
Credentialing Manager
Superior Health Plan
01.2006 - 01.2007
Cavalry Scout Instructor
Texas Army National Guard
01.2003 - 01.2005
Provider Relations Manager
Centene, Superior Health Services
01.2001 - 01.2006
Forward Observer
Texas Army National Guard
01.1997 - 01.2003
19D Cavalry Scout
US Army
01.1991 - 01.1997
MBA -
University of Phoenix
Bachelor of Science - Management Health Care
Park University