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Yyyyyy x. yyyyyy      0000 xxxxxx xxxx , xxxx , xxxxx 00000



Career Objective                                                                                            

Results-driven leader eager to apply dynamic business development, account management, customer service, and communication skills toward actively supporting the employer in optimizing sales and profits.


Ø  Offer experience in contracts analysis, negotiation and management, with comprehensive account management and client relations background.

Ø  Effectively define, develop and implement targeted action plans to maximize operational productivity, efficiency and profitability.

Ø  Proactive leader who successfully trains/develops, mentors and leads top-performing teams committed to providing superior service.

Ø  Exceptional ability to research and evaluate industry trends and competitor products and use findings toward designing and executing innovative strategies to boost company leveraging in a saturated market.

Ø  Dynamic communication, presentation, relationship building and problem-solving abilities.

Ø  Excel at interacting with broad populations including senior management and staff as well as clients and external contractors.


Professional Experience                                                                               

Self-Employed                                                                                                  2007-Present
Independent Contractor

  Conduct comprehensive review and analysis of finances in order to prepare projections.

  Steer contractual financial performance for consulting firms, applying sharp financial acumen.


Kaiser Permanente - Oakland, CA                                                                       2004-2006  

Contracts Manager

  Contributed dynamic communication skills in successfully negotiating physician, hospital, ancillary contracts & letters of agreement for membership of 4 hospitals and 2 service areas worth over $25 million in annual payments.

  Conducted comprehensive financial and operational analysis of new physician, hospital and ancillary contracts, demonstrating exceptional detail orientation and analytical abilities in achieving operational goals and timelines.

  Proactively built and established key relationships and liaised effectively with medical professionals and hospital leaders regarding medical services expansion or internalization.


Alameda Alliance For Health - Alameda, CA                                                        2002-2004

Contract Analyst

  Relied upon to lend industry expertise in steering the negotiation of physician, hospital, ancillary and miscellaneous vendor contracts & letters of agreement.

  Applied sharp business talents in project managing the implementation of unique contracting and physician credentialing software.

  Proficiently researched and analyzed Provider Network access and demographics in order to identify and implement targeted strategies instrumental to boosting performance and productivity.


Maxicare - Alameda, CA                                                                                    2000-2002

Senior Regional Network Manager

  Maintained full accountability for the financial monitoring and oversight of Northern California IPA/medical groups.

  Charged with IPA/medical group, hospital and ancillary contract negotiations for the entire Northern California Region, further illustrating advanced communication and interpersonal relation skills.

  Appointed to serve on the statewide contracts committee.


Blue Shield of California - San Francisco, CA                                                     1996-1998, 1999-2000

Managed Care Finance Supervisor (1999-2000)

  Exhibited solid leadership qualities in supervising a team of 8 analysts ensuring consistently and high quality of departmental output.


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Blue Shield of California - San Francisco, CA                                                     1996-1998, 1999-2000

Managed Care Finance Supervisor (1999-2000)


  Steered the timely and accurate monthly delivery of over $30 million in prepayment to IPA/medical groups statewide.

  Resourcefully created and proofed monthly reporting of departmental activities and payments to senior management.

  Actively mentored, motivated and trained new analysts, playing a solid role in supporting the development of top-performing team members.

  Accurately calculated department s 200+ financial settlements annually, with strong focus on optimizing productivity, efficiency and quality.

HMO Coordinator, Provider Relations (1996-1998)

  Designed, developed and implemented policies and procedures for contract compliance auditing and managed quarterly and annual contract compliance audits of medical groups, emphasizing quality, credentialing and finance.

  Served as primary liaison between payor and medical group in order to provide direct service in a conduit and timely manner to resolution of issues.


Pacificare of California - San Francisco, CA                                                       1998-1999

Senior Provider Relations Coordinator

  Demonstrated superior leadership skills in effectively training, mentoring and directing a top-performing support team.

  Tasked with the CMA and DOC compliance of IPA/medical groups in the regional area.

  Thoroughly reviewed, interpreted and analyzed IPA/medical group and hospital contracts.


Prior Experience


Prudential Health Care - San Mateo, CA                                                              1994-1996

Provider Relations Representative


Education & Professional Training                                                            

Bachelor of Arts in History - California Polytechnic State University (San Luis Obispo, CA), 1994


Technical Skills                                                                                              

Microsoft Office (Access, Excel, Power Point & Word)





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