ANGELA LEWIS
***** *. ******* ***. *****, FL ****3
813-***-**** E-mail: ***********@*****.***
Detail-oriented, exceptionally persuasive, creative professional with strong negotiation and communication skills. Solid academic background combined with substantial knowledge of sales, business, and corporate culture dynamics. Team player; multi-tasker; work well under deadlines without sacrificing quality. Expertise in full contracting cycle. Understand importance of building loyal business relationships including steady follow up to enhance provider recruitment. Extensive National network recruitment experience, 48 states. Computer expertise: Salesforce, Office, Excel, PowerPoint, Access, Quicken, QuickBooks, custom databases and financial programs. Bilingual Spanish. EDUCATION
UNIVERSITY OF SOUTH FLORIDA, Tampa, FL Bachelor of Arts, Business Administration Recipient: Florida Gold Seal Scholarship EXPERIENCE
CVS/AETNA – HEALTHCARE SUPPORT, Tampa, FL
Managed Care Company
National Network Value Based Manager 4/2016 - Present Manage a Medicaid, Medicare and Commercial network. Initiate, negotiate and execute physician, ancillary and hospital agreements. Serve the success of the network partners through ongoing education, training, and administrative support. Analyze provider geographical reports, resolve any gap deficiency areas to complete territory and routinely assess network quality. Monitor provider documentation compliance for credentialing.
• Recruit national providers for specific state projects
• Support the Credentialing and Provider Relations departments on all contracting efforts
• Ensure strong follow up communications to timely close the contracting cycle WEST FLORIDA HEALTH NETWORK, Tampa, FL
Clinically Integrated Network for Tampa General and Florida Hospitals Regional Provider Network Developer 2/2015 – 1/2016 Recruited local providers to achieve standard geographic coverage requirements, contracted with high-priority providers to improve patient satisfaction and cost containment, Identified and tracked EMR vendors for all contracted providers, Developed policies and procedures for the startup company, Determined marketing promotional items, Hosted webinars, provider site visits and town hall meetings.
• Contracted Primary Care Physicians, Specialists, Ambulatory Surgery Centers, Laboratories, Behavioral Health, Skilled Nursing Facilities, Home Health and DME’s
• Recruited Hospital Nominated Providers
• Sold Membership Fee
NETWORK SYNERGY GROUP, Tampa, FL
Healthcare Management Company
National Provider Network Developer 10/2011 - 2/2015 Recruited providers to achieve standard geographic coverage requirements, contracted high-priority providers to improve client satisfaction and increase retro revenues, secured profitable agreements, Communicated client nomination statuses to Sales and Client Services Department, assisted in client implementations and sales efforts, traveled as needed. Completed monthly department reports. Coordinated and attended conferences and trade shows. Participated in writing articles for their external newsletter.
• Ensured strong rate negotiations
• Provider contracting for both the Condition Rate and Visit Rate Programs
• Recruitment of Client Nominations and Missed Retro Providers National Provider Network Negotiations Specialist, Single Case Agreements (LOA’s) 10/2008 - 10/2011 Promoted NSG through clear communication of the treatment philosophy and reimbursement methodology. Analyzed existing build out states to identify geographic areas that lack sufficient network coverage and then initiate recruitment with prospective providers in those areas. Presented NSG’s therapy management program expectations to potential providers and answered questions regarding both the Condition Rate and Visit Rate Programs. Received and investigated all provider letters of interest and ensured timely response to providers. Managed Follow- Ups for NDE's on out of network providers. Hosted nationwide webinars.
• Supported Scheduling Department on all GAP and Fast Track referrals through recruitments and negotiations
• Routinely followed up on all GAP providers to secure NSG provider contracts
• Assisted the Network Development and Provider Relations Departments with special projects