Summary
Overview
Work History
Education
Skills
Other Skills And Certifications
Timeline
Generic

William Stauffer

Rye,NY

Summary

Process oriented Healthcare Operations leader with over 10 years of Payer Partnership, Benefit Administration, Revenue Cycle, and Provider Contracting experience. Currently manages a team of 19 individuals responsible for our Enterprise Revenue Cycle operations and Payer/TPA integration processes to support over 100 clients.

Overview

11
11
years of professional experience

Work History

Senior Director, Enterprise Revenue Cycle

Kindbody
06.2023 - Current
  • Oversee a team of 4 managers and 15 individual contributors across billing, accounts receivable and implementation functions
  • Achieved departmental goals by improving Kindbody's Account Receivable position and refined processes for collecting payment from carriers/TPAs and members
  • Lead all Payer/TPA integrations for Kindbody clients and Payer/TPA Partnership opportunities
  • Continue to support broader client sales and implementation.

Director, Enterprise Revenue Cycle

Kindbody
06.2022 - 06.2023
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth
  • Implemented a successful claim and benefit administration system launch
  • Handled complex and high touch client escalations
  • Continued to lead and provide managerial support for all Payer/TPA integrations
  • Assisted with client sales during finalist meetings and implementation

Carrier Integrations Manager

Kindbody
04.2021 - 06.2022
  • Developed strong relationships with Payer/TPA partners for our shared clients
  • Collaborated with the Payers/TPAs to set up an integrated claims submission process for our shared clients
  • Led the development of Kindbody's network disruption analysis and transition of care process
  • Instituted formal operating procedures for our Accounts Receivable to collect outstanding claim balances with Payers/TPAs

Network Relations Manager

Aetna, a CVS Health Company
12.2019 - 04.2021
  • Primary resource for large health systems and provider groups in Metro NY
  • Led contract negotiations for group, ancillary and individual contracts
  • Assisted with large health system contract renewals
  • Onboarded new employees with training and new hire documentation.

Network Relations Consultant

Aetna, a CVS Health Company
10.2017 - 12.2019
  • Led settlement negotiations for savings of $2.4M
  • Responsible for day-to-day operations (credentialing, claims, contract issues, etc.)
  • Recruited and contracted non-participating providers.

Senior Strategic Proposal Consultant

Aetna, a CVS Health Company
08.2015 - 10.2017
  • Contributed to the sale and retention of several Aetna National Account customers
  • Streamlined internal RFP processes to enhance team efficiency
  • Assisted in developing Aetna's consumer segmentation capabilities which allowed for increased understanding of how to engage members based on demographic, behavioral, and utilization data
  • Mentored junior consultants, fostering professional growth and building strong team dynamics

Strategic Proposal Consultant

Aetna, a CVS Health Company
07.2013 - 08.2015
  • Organized and led the development of proposal strategies for all Aetna lines of business
  • Project managed the RFP process with sales, underwriting and sales support team members
  • Facilitated the proposal response process and meet all requested deadlines
  • Drafted and led workflow improvement initiatives

Education

B.S. in Business Administration/ Marketing -

Marist College
01.2013

Skills

  • Operations Management
  • Cross-functional Collaboration
  • Data Analytics
  • Key Performance Indicators
  • Financial Analysis
  • Contract Management
  • Collaborative Leadership

Other Skills And Certifications

  • Six Sigma Certification: Yellow Belt
  • Proficiency in Microsoft Word, Excel and PowerPoint
  • Advanced in Excel (VLOOKUP, Pivot Tables, etc.)

Timeline

Senior Director, Enterprise Revenue Cycle

Kindbody
06.2023 - Current

Director, Enterprise Revenue Cycle

Kindbody
06.2022 - 06.2023

Carrier Integrations Manager

Kindbody
04.2021 - 06.2022

Network Relations Manager

Aetna, a CVS Health Company
12.2019 - 04.2021

Network Relations Consultant

Aetna, a CVS Health Company
10.2017 - 12.2019

Senior Strategic Proposal Consultant

Aetna, a CVS Health Company
08.2015 - 10.2017

Strategic Proposal Consultant

Aetna, a CVS Health Company
07.2013 - 08.2015

B.S. in Business Administration/ Marketing -

Marist College

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William Stauffer