Managed Care Contractor\ Business Development - Healthcare Resume Sear
Managed Care Contractor\ Business Development - Healthcare Resume Sear
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Managed Care Contractor\ Business Development Resume


Desired Industry: Healthcare SpiderID: 70704
Desired Job Location: Nashville, Tennessee Date Posted: 11/8/2013
Type of Position: Contractor Availability Date: 11/18/2013
Desired Wage:
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: Yes, 25-50%
Highest Degree Attained: Bachelors Willing to Relocate: Undecided


Objective:
To work projects across the United States developing relationships between doctors and insurance companies


Experience:
Network Development Consultant building Medicaid, Medicare, Commercial and Work Comp Networks.
Project- Consultant for ACO Development- GA 8/13 to present
Project- Consultant for Health Benefit Exchange– NY 8/13 to 10/13
Project- Consultant for Kentucky Medicaid Expansion- 5/13 to 7/13
Project- Consultant for urgent care network project- 1/13 to 8/13
Project- Assist provider group in Florida in renegotiation of their managed care contracts- 1/13 to 5/13
Project- Consultant for Medicare Advantage (dual eligible) network expansion in Arkansas- 1/13 to 5/13
Project- Research and develop paper on Healthcare Exchanges in Georgia- 1/13 to 2/13
Project- Develop talking points for contractors concerning Healthcare Exchanges- 12/12 to 1/13
Project- Develop contracting implementation plan for hospitals in South Carolina and Indiana- 11/12 to 12/12
Project- Consultant for Medicaid network expansion in Florida- 4/12 to 11/12
Project- Consultant for Behavioral Health national network expansion- 2/12 to 3/12
Project- Consultant for MFLAC proposed national network expansion- 1/12 to 2/12
Project- Consultant for Behavioral Health national network expansion- 10/11 to 12/11
Project- Consultant for Workers Compensation network expansion- 9/11 to 11/11
Project- Staffing Recruiter for Medicaid expansion project in Kentucky- 7/11 to 8/11
Project- Consultant for Medicaid network expansion in Ohio- 5/11 to 8/11
Project- Consultant for Medicaid network expansion for RFP in Texas- 12/10 to 5/11
Project- Recruiter for Government contracts and managed care projects- 6/10 to 12/10
Project- Consultant for Medicaid\ Medicare network expansion for southeastern states- 1/09 to 5/09
Project- Commercial Network Development Consultant in Georgia- 9/08 to 2/09
Project- IPS Network Development and Operational Consultant- 3/08 to 12/08


Education:
BA Trevecca Nashville TN 37013


Candidate Contact Information:
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