Manager Management

Ann Marie DaSilva

*** ********** ****** **********, ** 08872 732-***-****

**********@*********.***

h ttp://www.linkedin.com/in/anndasilva

Healthcare industry professional with extensive provider relations, client relations, account management experience.

Relationship manager with natural collaborative style, specialized at managing diverse healthcare clients and

relationships. Expert communicator, highly-skilled at driving client satisfaction, retention and growing revenue. Performance

driven, versatile. Passionate about improving the delivery of healthcare.

Specialties:

• Client Relationship Management • Healthcare Account Management • Healthcare EDI Technology & Services

• Payer/Provider/Patient Relations • Contract Negotiation & Management • Vendor/Channel Partner Management

• Client Advocacy • Managed Health Care & Health Insurance • Client Business Development

Healthfirst, New York, NY

Contractor, Ancillary Services 2010-present

Recruit, negotiate and contract ancillary providers for managed Medicaid and Medicare health plan networks.

• Develop and implement provider network recruitment outreach strategies. Manage provider negotiation and

contracting. Support application review, credentialing, and network participation processes.

• Manage and build positive relationships with ancillary providers and practice managers. Provide policy procedure

education training. Address provider inquiries and issues: claims submission, product knowledge, program

participation, contract requirements, member/patient concerns.

• Monitor provider network quality and performance through office site visits, report generation, gap analysis,

healthcare surveys.

PROFESSIONAL EXPERIENCE

Emdeon, Nashville, TN 1992-2010

Sr. Client Account Manager, Payer Services

National Account Manager, Client Executive, Regional Account Manager, Managed Care Business Analyst, Payer Technical Analyst

Managed, strengthened and grew the day to day client relationship with national and regional commercial payers, group

health plans, specialty healthcare organizations, PPOs and TPAs. Effectively assisted clients in increasing eHealthcare

provider services, reduce healthcare administrative costs and improve the healthcare provider-patient encounter.

• Fostered mutual trust partnerships with clients. Grew quality client relationships and client retention levels

consistently by understanding clients’ professional and institutional provider eHealth business growth objectives.

• Acted as client ambassador, establishing a single point of accountability for clients.

• Marketed and expanded clients’ utilization of eHealth services through strategic planning, resulted in new

business development opportunities and increased revenue.

• Advocated for client on service delivery, contract compliance, products, marketing strategies, fostering positive

client partnerships and addressing improvement in eHealth services.

• Trained and educated Client Service, Implementation, Channel Partner and Growth Services as subject matter

expert on account services, marketing programs, provider-patient eHealth products; promoting account growth

and advancing client relationship.

• Increased relationship account ratings on client surveys consistently from Average to Excellent on client

expectation, quality of client interaction and problem resolution metrics.

• Managed team of client liaisons delivering account management services to payers. S killfully motivated team to

enhance client relationships and increase revenue. Consistently exceeded performance goals.

• Implemented clients’ eHealth marketing programs and outreach initiatives to accelerate eHealth services growth.

Resulted in sponsored growth program participation, 30% volume increase in services and improved provider

education.

• High-level escalation for client concerns on services, billing reimbursement, implementation, audit and compliance

reporting, ensuring successful resolution outcomes were attained and client satisfaction achieved.

• Facilitated client eHealth ANSI EDI project implementations providing ongoing project management functions,

collaborated with key client business and technical teams, attained increased product growth and utilization.

• Improved the delivery of eHealth and communication between health plans, vendors, providers and patients, by

successfully supporting the deployment of eHealth services: claims, encounters, eligibility, referrals, claims status,

eligibility rosters, COB, ERAs and EFTs.

EDUCATION & Training St. Louis University, St Louis, MO •

• HIPAA Standard Transactions and Code Sets

Business Relationship Management • CRM & Facilitator Training

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