Yvette Hinojosa
Lubbock,TX
Summary
I partner with health systems, provider groups, and networks to design and negotiate payer agreements across Commercial, Medicare, Medicaid, value-based care, and Workers’ Compensation. I bring a comprehensive grasp of fee-for-service, bundled payments, capitation, shared savings, and other risk-based reimbursement models, and I understand their downstream operational and financial impacts. A strong negotiator and communicator with demonstrated project-management capabilities, I deliver actionable recommendations that reduce risk, optimize revenue, and strengthen provider-payer alignment.
Overview
31
31
years of professional experience
Work History
Sr. Director Contract Strategy
The Occunet Company
Amarillo, Texas
07.2022 - Current
- Developed national network across multiple service lines in distinct metropolitan statistical area markets.
- Established strategy for MSA markets through provider and facility planning and prioritization.
- Oversaw complex contract proposals from inception to completion, including analysis and forecasting.
- Secured competitive rates aligned with evolving financial goals and organizational needs.
- Created comprehensive reimbursement strategies to enhance market position and introduce new models.
Director, Business Services
UMC Physicians
Lubbock, Texas
01.2000 - 07.2022
- Negotiated payer contracts with emphasis on shared savings, boosting revenue by 25% in four years.
Managed oversight of Physician ACO and CIN contracting, optimizing care coordination efforts.
Created value-based strategies for population health across 30 clinics, increasing revenue over five years.
Assessed contract performance metrics to quantify profit margins effectively.
Implemented quality-focused performance improvement initiatives, achieving sustained high-performance recognition.
Built robust credentialing policies and procedures, overseeing compliance for all staff and committees.
Directed implementation of delegated credentialing per MA plans and CMS standards.
Spearheaded managed care strategies resulting in multimillion-dollar growth across ten years.
Sr. Network Representative
BCBSTX
Lubbock, Texas
11.1994 - 12.2000
- Facilitated development of PPO and HMO networks through physician contract negotiations in Lubbock and surrounding nine counties.
Maintained a 98% satisfaction rate by conducting regular PCP and SCP visits each month.
Employed advanced mitigation techniques to resolve provider issues involving claims, contracts, credentialing, and enrollment.
Secured renewal of multi-year strategic partnerships in the local market.
Reviewed provider contract terms, ensuring beneficial agreements through negotiation.
Developed monthly orientation programs and educational seminars for both providers and staff.
Education
Bachelor of Arts - Public Relations
Texas Tech University
Lubbock, TXSkills
- Contract negotiation
- Reimbursement strategy
- Provider management
- Network development
- Value-based care
- Performance improvement
- Team leadership
- Strategic planning
- Effective communication
- Problem solving
- Collaborative leadership
- Practice operations management
Timeline
Sr. Director Contract Strategy
The Occunet Company
07.2022 - Current
Director, Business Services
UMC Physicians
01.2000 - 07.2022
Sr. Network Representative
BCBSTX
11.1994 - 12.2000
Bachelor of Arts - Public Relations
Texas Tech University
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