Stacey L Marvi
Las Vegas,NV
Summary
Seeking a challenging role in managed care contracting where I can leverage my 15 years of experience in contract negotiation, financial analysis, and strategic planning to drive revenue growth and achieve optimal outcomes for the organization. Built, cultivated and sustained relationships that supported market strategies.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Contract Specialist II
Molina Healthcare
10.2021 - 12.2023
- Successfully contracted with diverse primary care providers while ensuring comprehensive network coverage.
- Negotiated Medicare, Medicaid and Marketplace agreements meeting regulatory requirements.
- Credentialed and contracted over 1500 providers, maintaining meticulous attention to detail to ensure accurate and up-to-date provider information.
- Collaborated with internal teams, including clinical, finance, and operations, to streamline contracting processes and ensure compliance with industry standards.
Managed Care Contract Analyst
Optum, UnitedHealth Group
09.2021 - 09.2022
- Supported ongoing contract maximization with network providers using best practices including capitation and case rates.
- Worked collaboratively on the development of region-wide contracting strategy aligned with plan interests.
- Managed contracts ensuring compliance with company commitments and regulatory obligations.
Population Health Informatics
Ami Network
09.2020 - 09.2021
- Led the design, development, execution dissemination and interpretation of clinical and pop health analyses, metrics and reported using clinical, member, financial and administrative data to identify, develop and/or monitored actionable opportunities or improving healthcare outcomes and clinical quality and costs care, efficiently and effectively managing projects to successful completion.
- Served as strategic business consultant to internal and external stakeholders as demonstrated by providing subject matter expertise, and by anticipating and actively proposing, designing and executing analyses.
- Identified gaps in care from network practices and collaborated with leadership to execute activities to fill those gaps utilized and monitored health portals which housed CAHPS/HOS analytics to drive quality, loyalty and growth and reported those metrics to the clinical performance team, patient experience and provider performance team.
Population Health Informatics
Dignity Health Medical
09.2017 - 10.2020
- Articulated and presented data, information and ideas in a clear and concise manner and effectively facilitated meetings at population health and clinical informatics organizational level.
- Appropriately delegated and demonstrated achievable measurable results and developed action plans for improvement of data received. Developed and implemented measures for quality improvement, cost and complication reduction, and the implementation of evidence-based programs. Incorporated the use of evidence based practice and appreciative inquiry into programs development and improvement activities for health plan.
Network Development Manager
Cano Health Care- AZ, NV, NM
10.2019 - 09.2020
- Negotiated/Executed physician/provider contracts in accordance with company standards in order to maintain and enhance provider networks, while meeting and exceeding accessibility, quality and financial goals for DCE payment model for upcoming year. Established the plans network management strategic vision to pursue providers in NM, AZ and NV.
- Developed and implemented a value based program that incentivized and rewarded quality by leading the health plan in network design to support the growth and performance objectives of the health plan.
- Built and developed strong relationships with the provider community to ensure that contractual relationships lead to meaningful and effective partnerships that balanced the best interests of the organizations members, providers and the states healthcare community.
Managed Care Contract Specialist
Amerigroup Medicaid
08.2013 - 09.2017
- Sourced and qualified providers who interdependently sought us out for capitated mutually beneficial pricing and agreements and finalized those contracts.
- Worked collaboratively with administrative staff in negotiation, correspondence, documentation and compliance checks for managed care contracts. Verified submitted documents for completeness and compliance with company policies, addressing discrepancies and collaborating to troubleshoot where necessary.
Managed Care Contract Manager
Bravo Health
06.2009 - 07.2013
- Identified network gaps and recruited providers based on network need. Sourced and qualified providers who interdependently sought us out for mutually beneficial pricing and agreements and finalized those contracts. (Medicare)
- Sourced and qualified providers who interdependently sought us out for capitated mutually beneficial pricing and agreements and finalized those contracts.
- Worked collaboratively with administrative staff in negotiation, correspondence, documentation and compliance checks for managed care contracts. Verified submitted documents for completeness and compliance with company policies, addressing discrepancies and collaborating to troubleshoot where necessary.
Network Relations Consultant
Coventry Health Care
04.2007 - 05.2009
- Maintained effective and lasting vendor relationships within the healthplan network.
- Adhered to network provider updates
- Managed and maintained assigned territory
Education
Bachelor of Arts - Psychology
University of New Mexico
Albuquerque, NM05.1995
Skills
Data Analysis
Financial Analysis
Provider Contract and Credentialing Processes
Fee Schedule Methodology
Regulatory Requirements Compliance
Value Based Agreements execution
Strategic business relationships building
Project based work management
Expertise in contract negotiation and risk sharing arrangements
Ability to navigate complex value based care
Effective communicator
Certification
- Health Insurance License
- Life Insurance License
Languages
Italian
Native or Bilingual
Persian
Native or Bilingual
Timeline
Contract Specialist II
Molina Healthcare
10.2021 - 12.2023
Managed Care Contract Analyst
Optum, UnitedHealth Group
09.2021 - 09.2022
Population Health Informatics
Ami Network
09.2020 - 09.2021
Network Development Manager
Cano Health Care- AZ, NV, NM
10.2019 - 09.2020
Population Health Informatics
Dignity Health Medical
09.2017 - 10.2020
Managed Care Contract Specialist
Amerigroup Medicaid
08.2013 - 09.2017
Managed Care Contract Manager
Bravo Health
06.2009 - 07.2013
Network Relations Consultant
Coventry Health Care
04.2007 - 05.2009
Bachelor of Arts - Psychology
University of New Mexico
Similar Profiles
Mayra GarciaMayra Garcia
Claims Auditor at Bright Healthcare Plan & Molina Healthcare PlanClaims Auditor at Bright Healthcare Plan & Molina Healthcare Plan
Katrevia CarrKatrevia Carr
Healthcare Customer Service Representative at Molina HealthcareHealthcare Customer Service Representative at Molina Healthcare
Reagan BisaillonReagan Bisaillon
Case Manager Supervisor at Molina HealthcareCase Manager Supervisor at Molina Healthcare
Eduardo MunozEduardo Munoz
Case Manager at Molina HealthcareCase Manager at Molina Healthcare
HEATHER WEBSTERHEATHER WEBSTER
Digital Media Supervisor at Ocean Media, Inc.Digital Media Supervisor at Ocean Media, Inc.