Savanna M. Engineer
Fresno,CA
Summary
Accomplished provider relationship manager skilled in enhancing network performance and quality outcomes. Led initiatives that improved HEDIS measure scores and operational compliance while collaborating with internal teams and providers. Dedicated to fostering effective partnerships and driving quality care through strategic oversight and leadership.
Overview
21
21
years of professional experience
Work History
Provider Relationship Manager
Anthem Blue Cross
Fresno, CA
11.2014 - 11.2025
- Led provider network operations across Medi-Cal and Medicare lines of business, ensuring adherence to regulatory standards, strengthening IPA partnerships, and improving access, financial integrity, and quality outcomes. Managed concurrent compliance-driven initiatives and served as a strategic liaison between providers, IPAs, and internal teams to resolve operational issues, support contracting, and advance quality performance.
- Led Health Education contract pilot and expansion efforts by editing contract language to include ICD-10, CPT, and HCPCS codes and reimbursement structures; analysis showed improvements in care delivery and HEDIS measures, resulting in program expansion into surrounding counties and addition of oral health services. Served as Provider Relations lead for a new FQHC-implemented IPA in Central California, second contract of its type in California, ramping up Medi-Cal operations, leading weekly operational meetings, supporting shared-risk readiness, and expanding partnership into a Medicare contract at lower costs.
- Cultivated and managed provider partnerships across Managed Medi-Cal networks, supporting provider engagement, contract compliance, and operational effectiveness. Served as a strategic liaison between providers and internal teams, advising on policy changes, quality initiatives, grievance resolution, and network expansion. Led provider-focused projects to improve quality of care, regulatory alignment, and HEDIS performance.
- Built provider partnerships and led operational meetings, enhancing alignment, communication, and performance across IPAs, medical groups, and internal stakeholders.
- Led a cost-of-care initiative, managing Core County fee-for-service conversions and engaging providers to contract with a medical group.
- Drove HEDIS diabetic measure improvement by partnering with providers to improve quality metrics and performance outcomes.
- Led retinal camera pilot program in safety-net clinics to enhance access to diabetic eye exams, contributing to improved provider performance incentives and HEDIS diabetic measure scores, and expansion to additional clinics.
- Resolved a complex member grievance by reviewing provider contract terms, enforcing billing obligations, and securing full claim reimbursement for a member who had been incorrectly charged.
- Led full-scale Capitation Leakage claims review for shared-risk medical groups by identifying improperly paid claims and analyzing ICD-10, CPT, and HCPCS codes, resulting in improved payment accuracy and recovery outcomes.
- Established and supported a dedicated DOFR team and partnered closely with IPAs to drive successful claim recoveries and strengthen shared-risk collaboration.
- Led and supported Corrective Action Plans to address provider compliance gaps and operational issues, ensuring alignment with regulatory and contractual requirements.
- Compiled and validated provider demographic data for the State rebid process.
- Co-developed and supported RN-led Facility Site Reviews (FSRs) by partnering with Quality nurses, creating procedures, coordinating communication, preparing audit documentation, and activating MediCal site codes upon approval.
- Reviewed overarching provider agreements and Division of Financial Responsibility (DOFR) categories, contributing to revised agreement language and updated DOFR structures aligned with operational and financial requirements.
- Contributed to State rebid outcome by supporting network expansion efforts, including addition of Kern County.
Medical Assistant / Surgery Scheduler
Dr. Robert Buckenberger
Fresno, CA
01.2012 - 11.2014
- Roomed patients, obtained medical histories, and prepared EMR charts for provider visits.
- Coordinated surgery scheduling and documentation, ensuring seamless communication with surgical facilities.
- Posted EOBs, collected patient payments, and performed insurance verification.
- Managed accounts receivable follow-up and billing support, enhancing revenue cycle efficiency.
- Recorded vital signs, fitted orthotics, ordered medical supplies, and confirmed upcoming appointments.
- Assisted with instrument sterilization, autoclaving, x-ray development, and processing billing and referrals to streamline operations.
HEDIS Temporary Specialist
Anthem Blue Cross
Fresno, CA
04.2011 - 06.2011
- Organized and filed medical records to support quality reporting initiatives.
- Coordinated with provider offices to secure necessary medical documentation.
- Managed member inquiries and resolved issues efficiently.
- Collaborated with cross-functional teams to enhance service delivery.
- Developed training materials for new staff and ongoing education.
Healthcare Administration Extern
Kanwar T. Mahal, M.D.
Fresno, CA
02.2011 - 03.2011
- Completed 180 hours of hands-on administrative training in a medical office setting.
- Facilitated billing, accounts receivable follow-up, and claims processing to support revenue cycle management.
- Posted payments and contacted insurance carriers to resolve claim issues.
- Supported patients with account inquiries and scheduling needs, enhancing patient experience and satisfaction.
- Coordinated phone operations, filing systems, collections support, and appointment scheduling for optimal office workflow.
Medical Assistant
Charles M. Curry, M.D.
Fresno, CA
04.2006 - 05.2008
- Roomed patients, recorded vital signs, and documented comprehensive medical histories to support accurate diagnoses.
- Administered injections, interpreted urinalysis results, and prepared sterile trays for efficient procedure execution.
- Assisted with minor procedures and educated patients on medication to enhance understanding and adherence.
- Managed phones, referrals, scheduling, insurance verification, and chart preparation.
Medical Assistant Extern
West Coast Dermatology
Fresno, CA
07.2004 - 09.2004
- Completed 160 hours of clinical externship training, gaining hands-on experience in patient care and clinical procedures.
- Roomed patients and documented medical histories while assisting with biopsies and minor dermatological procedures to ensure smooth workflow.
- Supported clinic operations by coordinating scheduling, managing referrals, providing phone support, performing data entry, preparing sterile trays, and executing suture removal.
Education
Associate of Science - Health Care Administration
San Joaquin Valley College
Fresno, CAMedical Assistant Certification -
Galen College of Medical and Dental Assistants
Fresno, CASkills
Medical & Clinical Skills:
Patient registration and intake
Vital signs and patient assessments
Injections, venipuncture, and EKG Catheterization and urinalysis
Suture removal and sterile tray setup
Minor procedure assistance
Emergency response support
Eye and ear irrigation
Casting application and removal
Technical Systems:
Salesforce
WGS
IRU (Issue resolution unit)
Phoenix
InterAct
Electronic Medical Record (EMR) systems: Epic EHR, NextGen, Athena, Cerner,
Administrative & Billing Skills:
Insurance billing and verification
CPT / ICD-9-CM coding
Medical charting and data entry
Appointment scheduling and referrals
Accounts receivable follow-up
Claims research and resolution
EOB posting
Microsoft Word and Excel
Medical Manager / Medisoft
Communication & Office Skills:
Multi-line phone systems
Customer service and conflict resolution
Provider education and support
Strong written and verbal communication
Timeline
Provider Relationship Manager
Anthem Blue Cross
11.2014 - 11.2025
Medical Assistant / Surgery Scheduler
Dr. Robert Buckenberger
01.2012 - 11.2014
HEDIS Temporary Specialist
Anthem Blue Cross
04.2011 - 06.2011
Healthcare Administration Extern
Kanwar T. Mahal, M.D.
02.2011 - 03.2011
Medical Assistant
Charles M. Curry, M.D.
04.2006 - 05.2008
Medical Assistant Extern
West Coast Dermatology
07.2004 - 09.2004
Associate of Science - Health Care Administration
San Joaquin Valley College
Medical Assistant Certification -
Galen College of Medical and Dental Assistants