Vivian F. Scott
Dallas
Summary
Healthcare leader with comprehensive expertise in contract negotiation and strategic partnerships, delivering substantial cost savings while strengthening provider relationships.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Director II Provider Relationship Acct. Mgmnt.
Elevance Health/Amerigroup Community Care
Georgia-Atlanta
05.2011 - 05.2024
- Oversaw continuous evaluation of local-market care delivery model to optimize performance.
- Identified opportunities to enhance market provider account management expertise and overall provider experience.
- Delivered competitive cost-of-care trends, improving affordability of Medicaid health plan product.
- Collaborated with peers to develop new provider networks and monitor Medicaid facility reimbursement schedules.
- Aligned contracting decisions with medical and case management strategies, integrating quality metrics into processes.
- Ensured compliance with regulatory and accreditation standards at local and federal levels.
- Mentored, trained, and evaluated approximately 30 associates, fostering team development and performance improvement.
- Championed digital connectivity initiatives with providers to streamline healthcare payment processes.
Director Provider Contracting
CIGNA Healthcare of Georgia, Inc.
Atlanta
10.2005 - 04.2011
- Supported Total Medical Cost Initiatives for GA/AL, surpassing $11.4M savings target by $500K in 2009.
- Managed laboratory Total Medical Cost Initiatives, achieving $2.4M local target spend by June 2010.
- Executed 11 of 63 non-participating hospitals and assisted with 86 Ambulatory Surgery Centers within six months in 2008.
- Contributed to $1.8M savings in 2009 through enforcement of Hospital Charge-master policies.
- Renegotiated contracts in a 30-county territory, resulting in $300K savings over a six-month period.
- Evaluated market trends for competitive positioning and network development.
- Developed and maintained effective relationships with internal partners and external customers.
- Monitored healthcare marketplace to identify trends for cost-saving opportunities and alternate delivery models.
Senior Contract Manager
Blue Cross Blue Shield of Georgia
Albany
08.1998 - 10.2005
- Managed a 29 county territory with over $90M total facility spend. Responsible for contract negotiations, network and relationship management, Provider Services and Education.
- Conducted financial analysis for development of professional and facility reimbursement updates.
- Supported Sales by conducting education on network access to employers.
Medical Staff Coordinator/ Medical Staff Governance & Quality
HCA Palmyra Medical Centers
Albany
07.1994 - 08.1998
- Streamlined medical staff credentialing activities to enhance compliance and efficiency.
- Organized speakers and continuing education programs for medical staff development.
- Facilitated education, credentials, and performance improvement initiatives within the organization.
Education
Bachelor of Science - Marketing Management
Albany State University
Albany, GASkills
- Contract negotiation and analysis
- Strategic partnership development
- Value-based contracting expertise
- Relationship management
- Healthcare market knowledge
- Market analysis
Certification
- Lean Six Sigma Green Belt
Timeline
Director II Provider Relationship Acct. Mgmnt.
Elevance Health/Amerigroup Community Care
05.2011 - 05.2024
Director Provider Contracting
CIGNA Healthcare of Georgia, Inc.
10.2005 - 04.2011
Senior Contract Manager
Blue Cross Blue Shield of Georgia
08.1998 - 10.2005
Medical Staff Coordinator/ Medical Staff Governance & Quality
HCA Palmyra Medical Centers
07.1994 - 08.1998
Bachelor of Science - Marketing Management
Albany State University
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