Connections Health SolutionsProvider Network Manager
Oct. 2021 - Feb. 2023Phoenix, Arizona, United States• Establish, manage, and maintain processes and systems to provide routine services to members, including contract management and credentialing.
• Create and implement NOC standards, procedures, and processes for KPIs.
• Develop and implement provider network management strategies and contracts for the organization.
• Supervised a team of 3-4 employees under my direct leadership, with training and development for successful credentialing policies and networking with all major insurance companies along with Medicaid and Medicare.
• Implement and monitor supervision of new credentialing software. • Create policies and procedures for successful steps in networking and credentialing
• Collaborative efforts with the billing, contracting, and denial managers on daily policies
• Assist with planning and development in new regions and create effective strategies, policies, and procedures
• Project manager for many new services and policies assigned by the Director of Revenue Cycle Management
• Build and maintain positive relationships with vendors and internal personnel.