Memphis, Tennessee, United States
Goal oriented and high energy executive offering 30 years of diverse, multidisciplinary leadership expertise and mentoring in Healthcare Management/Managed Care Innovation and Value Based Contracting environments. Creating and executing contracting strategies and complex delivery systems that drive business goals. Established planning, payor relations, organizational leadership; executed excellent negotiation and Cost Containment skills. Data analytics and market innovation. Pioneered an expertise in Commercial, Federal Marketplace Exchange, Medicaid and Medicare network development/education/legislation; established rapport with executives, high–level decision makers and the competitive payor community. An enthusiastic team leader.
Maintain a competitive network for our Commercial, Medicare Advantage and Marketplace Exchange members in West Tennessee and Mississippi. Providing a comprehensive network to consumers and executing on Humana's consumer-focused business strategy demands constant negotiation with a variety of provider constituencies and continual re-prioritization of corporate and consumer needs. Strategically engage the hospital provider community, IPA's and PHO's, as well as, negotiate contracts that are favorable to Humana’s business, opening doors for Humana's continuing penetration of the marketplace. Ensure that our networks are competitive within the industry by helping facilitate Sales’ ability to penetrate new business opportunities.