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Skills

  • Operational improvement
  • Customized Service Solutions
  • Organization
  • CRM implementation and optimization
  • Team leadership and development
  • Portfolio Management
  • Key accounts and territory management
  • Provider relationship management
  • Supervision
  • Client Feedback Analysis

Work Experiences

  • Dealt with internal and customer-related issues and influenced strategic decisions every day.
  • Kept an eye on supplier operations to ensure quality, on-time delivery, and compliance with contract specifications.
  • Completed detailed opening, closing, and shift change functions in order to maintain operational standards each day.
  • Was in charge of automating office operations, managing client correspondence, and keeping track of records.
  • Coordinated and improved delivery of $6 of SAP in one year through streamlined.
  • Reviewed employee performance and provided constructive feedback to help them improve their weaknesses every several months.
  • Studied existing procedures and policies to provide optimal leadership to employees and process operations when filling in for absent managers.
  • Implemented process strategies to improve customer service and foster a positive, engaging environment for everyone.
  • Increased sales volume by coordinating classes and workshops for major retailers and independent partners.
  • Created and implemented promotional strategies to help the company succeed while staying within budget.

Summaries

  • Mentor who is adept at motivating and challenging team members to meet and exceed company goals.
  • Stepping into roles and making positive changes quickly to drive company success is a plus.
  • ServiceNow and Jira experts with exceptional interpersonal skills.
  • Provider Relations Manager and team leader with 16 years of experience in category settings.
  • Framework, program, and procedure are all available.
  • Student pursuing a Miscellaneous degree who is eager to contribute developed knowledge in the role of Provider Relations Manager.
  • Expert in category with a strong aptitude for spearheaded and streamlined.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Employee engagement, customer relationship management (CRM), time management, and conflict resolution are among the skillsets of this meticulous team builder.
  • Strategic thinker with expertise in vendor management.

Accomplishments

  • Drove project management in transitioning providers to digital platforms, achieving 25% adoption within category.
  • Implemented a targeted recruitment strategy in Portland, resulting in a 29% growth in the provider network over system.
  • Utilized insights from data analytics tools to reduce claims denials by 21%, improving provider payouts within system.
  • Introduced data-driven processes for contract negotiations, resulting in network expansion by 12 providers in Denver.
  • Monitored and managed contract renewals, achieving a 45% contract retention rate across process.
  • Teamed with Marketing to launch digital recruitment strategies, leading to an increase of 28% in new provider sign-ups within metric.
  • Collaborated with business intelligence teams to gather insights on provider metrics, reducing claims rejections by 41%.
  • Strengthened claims management processes, achieving a 20% reduction in dispute resolution time by enhancing collaboration between internal teams.
  • Spearheaded the transition to value-based care models, increasing provider engagement by 79% in 2020.
  • Led provider onboarding initiatives, launching educational webinars that contributed to 37% improvement in provider compliance with state regulations.

Affiliations

  • Active participant in the National Association of Provider Relations Professionals (NAPRP), collaborating on industry-standard communication improvements
  • Certified Lean Healthcare Professional since 2021, with a focus on streamlining provider administrative work
  • Certified in Healthcare Lean Six Sigma Green Belt, focusing on process improvement for provider systems
  • Attended the Provider Recruitment and Retention Strategies Conference in 2024, gaining insights into expanding provider networks
  • Mentored junior professionals through the Provider Relations Mentoring Program organized by procedure, helping improve communication skills
  • Completed a Leadership Course with the Association for Healthcare Administrative Professionals (AHCAP) in 2016, enhancing provider-management skills
  • Certified Health Care Negotiator by the Certified Health Care Negotiation Institute (CHCNI) as of 2020
  • Certified Professional in Healthcare Quality (CPHQ) as of 2021, focusing on improving provider performance and quality metrics
  • Member of the Professional Association of Health Care Office Management (PAHCOM), focusing on operational improvements for provider offices
  • Certified with the American Board of Managed Care Specialists (ABMCS) in 2023, with a focus on improving payor-provider relationships

Certifications

  • Certified Healthcare Administrative Professional (cHAP)
  • Association for Project Management (APM)
  • Project Management Professional (PMP)
  • Certified Contract Manager (CCM)
  • Certified Negotiation Expert (CNE) - Healthcare Contracts
  • Certified Professional in Accountable Care (CPEA)
  • Certified Healthcare Financial Professional (CHFP)
  • Project Management Professional (PMP) with Healthcare Focus
  • Salesforce
  • Apple Certified Associate (ACA)

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