Managed Care Executive Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

To obtain a position as Managed Care Executive with an established company in where I can enhance my skills and help the company to grow.

Highlights of Qualifications:

  • Extensive experience in Pharmaceutical industry
  • Good expertise in oncology supportive care and pain
  • Proficient in MS Office suite
  • Amazing leadership skills with strong business and analytical acumen
  • Strong sales and contract negotiations skills
  • Ability to work effectively with cross-functional team members from clinical & legal

Professional Experience:

Managed Care Executive

Edward Hospital & Health Services,Arlington, VA

August 2007 – Present

  • Maintained and updated regional managed care clients relationship.
  • Overseen and to ensured achievement of contractual deliverables and service levels.
  • Developed Managed Care positioning and strategic execution in the Divisions.
  • Educated customer and up sold products and maximized business volume from new accounts.
  • Monitored communications with payers in the area.

Managed Care Executive

Phoenix Children’s Hospital, Arlington, VA

May 2004- July 2007

  • Reviewed and analyzed contract rates and language.
  • Evaluated and handled new contract proposals from payers.
  • Prepare detailed reimbursement analysis.
  • Conducted and completed due diligence for acquisitions.
  • Adhered to company contracts with hospitals for medical directorships, stipends, unit management for payor contracting.
  • Assessed the value and pros and cons of participation in IPAs, PHOs, and other physician organizations.

Education

Bachelor’s Degree in Health Care Mgt

North Central Texas College, Gainesville, TX