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Manager Medical, Contract Management

Location:
Washington, DC
Posted:
June 19, 2020

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Resume:

Todd L. Landis addxrm@r.postjobfree.com 206-***-****

**** ******* ***** ** #***, Washington DC 20008

Professional Summary

Leadership experience with 20-plus years in contract negotiation and business development with the largest regional healthcare providers across the nation. Daily immersion in new and innovative healthcare reimbursement methodologies, regulatory oversight, and data-informed resolutions. Management of key strategic contractual relationships with a focus on long-term retention and achievement of operational and fiscal performance goals. This experience-- combined with dedication, loyalty, and a sense of humor-- sparks and sustains my ability to thrive in a mission- driven organization while making significant contributions towards the organization’s goals. Experience

UnitedHealthcare, Washington, DC Jan 2012 - Oct 2019 Manager, Network Contracting

• Responsible for direct management and contract negotiations with largest provider groups in market, with yearly medical costs exceeding $1 billion.

• Introduced and implemented innovative performance-based payment arrangements within key provider contracts to align goals and performance metrics.

• Supervised professional contracting and provider relations staff, with responsibility for hiring, compensation, and biannual performance reviews for each team member.

• SME for Medicare products, which included assessing quarterly CMS access standards and develop and implement remediation strategies to close gaps.

• Managed Salesforce database to create provider profiles, communications between parties, and historical contracts.

• Completed UnitedHealthcare's Advanced Contracting Program, an 8-month invitation- only program led by senior leadership to enhance contracting and relationship skills. Avalere Health, Washington, DC Mar 2010 - Dec 2011 Manager

• Ensured optimal reimbursement through tactical recommendations to clients on coverage, coding, and payment challenges.

• Advised clients on federal healthcare reform efforts and their impact on reimbursement.

• SME on hospital and provider contracting issues for the Reimbursement Practice to inform various, cross-firm strategic projects.

• Lead multi-disciplinary project teams in the creation of deliverables for a diverse set of clients, including pharmaceutical and medical device manufacturers, health plans and provider associations.

Starbucks Coffee, Seattle, WA May 2005 - Oct 2007

Licensing and Contracts Manager

• Negotiated licensing contracts with companies in North America to establish Starbucks stores, including Target, Safeway, Kroger, Starwood, and Marriott.

• Partnered with legal, finance, sales, and risk management to establish and strengthen relationships with licensees, evaluate and establish deal terms for contracts. 2

Aetna, Inc., Seattle, WA Jan 1999 - Jan 2005

Senior Network Manager

• Negotiated payer/provider contracts with large multi-specialty physician and hospital with responsibility for financial and operations provisions of relationships. Relationships included University of Washington Physicians and Hospitals, Providence Hospitals and Children's Hospital and Regional Medical Center.

• Supervised professional contracting team providing leadership and mentoring assistance.

• Developed yearly medical cost budgets exceeding $1 billion for Washington and Alaska markets based on actual and projected utilization trends. Activities

Compass DC 2011 - 2012

Deputy Project Leader Project: The Women's Collective

• Project managed a team of eight volunteers to develop and enhance The Women's Collective Board of Directors to improve its effectiveness.

• Compass DG provides pro bono consulting services to nonprofits whose work benefits the greater Washington community.

• Compass DC recruits, trains and supports teams of volunteers, mainly MBAs from top business schools, who provide the consulting services.

• The Women's Collective is a nonprofit organization that provides care management and prevention services at no charge to women and their families living with, or at-risk for HIV/AIDS and STIs.

Whitman-Walker Health 2011 - 2013

HIV Tester and Counselor

• Provided HIV testing, prevention education and counseling to clients at mobile locations throughout the greater Washington community.

Human Rights Campaign 2002 - 2010

National Board of Governors

• Active board member, with oversight for leadership of Seattle Steering Committee, including fundraising goals and planned events for each fiscal year.

• 2005 - 2009 co-chair for Dinner Gala, responsible for creating annual fundraiser for 1,000- plus guests and yearly revenues in excess of $400.000. Education

Master of Business Administration

• Atkinson Graduate School of Management

Willamette University, Salem, OR

Bachelor of Arts

• Willamette University, Salem, OR

Major: Political Science



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