Jason Negron

Managed Care Professional | Provider Network Strategy | SQL | Finance Graduate

Fayetteville, North Carolina Metropolitan Area

About

10 years in Managed Care Provider Contracting and Negotiations SQL Finance Degree

Experience

  • Provider Contracting Specialist at Jefferson Health Plans
    Nov 2023 - Present · 2 yrs 8 mos

  • WellCare Health Plans (Hybrid)
    • Contract Negotiator
      Apr 2021 - Nov 2023 · 2 yrs 8 mos

      • Facilitate successful negotiations and constructing complex financial rate structures. • Perform financial analysis to measure the financial risk of agreed upon rates in contracts. • Prepare contract proposals, contract terms and conditions and make document modifications. • Manage assigned contracts throughout lifecycle, identifying need for and implementing amendments, renewals, terminations, and other necessary contractual actions. • Communicate regularly with clients to understand needs, evaluate current contracts, and sustain relationships.

    • Provider Operations Coordinator
      Jun 2016 - Apr 2021 · 4 yrs 11 mos

      • Created new contracts for oncoming medical providers. • Provided support in resolving claims and payment issues. • Implemented troubleshooting, root cause analysis and issue resolution for health system. • Provided project management and data analysis support.

  • Administrative Assistant at Orlando Housing Authority of Florida
    May 2015 - Jun 2016 · 1 yr 2 mos

    • Scheduled office meetings and client appointments for staff teams. • Executed record filing system to improve document organization and management. • Developed and updated spreadsheets and databases to track tenant information. • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.

  • Sports Editor at Florida Sporting News
    May 2015 - May 2016 · 1 yr 1 mo

    • Supervised a group of sports writers to meet tight deadlines for submitting articles • Worked with NFL Alumni group to run fundraisers • Conducted interviews for potential new writers • Wrote AP style articles • Performed marketing tasks to acquire new advertisers

  • Journalism Intern at Florida Collegiate Summer League
    May 2014 - Aug 2015 · 1 yr 4 mos

    • Followed and covered baseball team at all games • Wrote nightly AP Style articles on team's performance • Conducted player and coach interviews