Chris Bennett

*** ******** ***** ***

Greenville, SC 29615

803-***-****

addppx@r.postjobfree.com

OBJECTIVE Knowledgeable and well versed professional with over twenty-six years of healthcare and employee benefits experience looking for opportunities in the areas of managed care contracting, physician/provider relations and/or employee benefit design and administration.

EDUCATION Bachelor of Science in Business Administration, Management, August 1993, University of South Carolina, Columbia, South Carolina.

EXPERIENCE Community Design Executive, Quince Health, a division of Quantros, Greenville, South Carolina, March 2020 to June 2020

(Company closed due to COVID-19)

Develop and implement medical neighborhood designs and strategies to predictably deliver targeted results for the network.

Responsible for executing medical homes and the medical neighborhood communities through negotiation and contracting with targeted hospitals and providers.

Leverage data from Quantros to support healthcare provider organization presentations.

Create and maintain a superior health care experience for members with provider organizations.

Senior Hospital Contract Manager, United Healthcare, Greenville, South Carolina, September 2019 to March 2020

Develop and maintain a commercial and Medicare hospital and ancillary facility network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management.

Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards and other key process controls.

Establish and maintain strong business relationships with hospital or ancillary providers, and ensure the network composition includes an appropriate distribution of provider specialties.

Manager, Provider Relations, Prisma Health Upstate Network, Greenville, South Carolina, June 2018 to September 2019

Responsible for the overall network development and provider alignment activities for Prisma Health Upstate Network, a clinically integrated network of hospitals, physicians and other healthcare providers across thirteen counties in the upstate of South Carolina.

Direct all provider relations activities and services to establish and maintain positive relationships with network participants and to ensure financial success and quality outcomes.

Manage the provider relations staff to ensure overall knowledge of network contracts, lines of business and education and cooperation of network participants and administrative staff.

Lead and participate in committees to develop and implement procedures that support the network's strategic initiatives and compliance.

Senior Benefits Analyst, Benefits Strategy & Compliance, SCANA Corporation, Cayce, South Carolina, May 2005 to May 2018

Responsible for benefits strategy, planning, design and implementation of SCANA’s self-funded active and retiree medical, pharmacy, dental, vision, life insurance and disability plans.

Analyze data internally and from multiple vendors to keep track of benefits cost and cost drivers and provide monthly, quarterly and annual reports on trend and overall total cost to the plan, along with recommendations on cost containment strategies.

Subject matter expert and lead on ACA implementation and compliance, including 1095-C and 1094-C reporting requirements.

Responsible for all benefit contract renewals, new contract negotiations and vendor implementations.

Coordinate and manage annual employee open enrollment.

Provider Network Development Manager, Health Care Savings, Columbia, South Carolina, June 2002 to April 2005

Responsible for establishing and maintaining the Health Care Savings PPO network for the South Carolina market through the recruitment, contracting and servicing of hospitals, physicians and ancillary providers.

Through contract negotiations, analyze reimbursement proposals from providers and, based on claims data and market conditions, compare and model the financial impact it has on the PPO.

Maintain strong working relationships with hospital administrators and physicians, including their staff, through workshops involving plan participation, proper coding of claims and addressing issues related to the provider’s contract and the PPO.

Provider Contract Specialist, Coventry Health Care of the Carolinas, Chapel Hill, North Carolina, November 2001 to May 2002

Performed network analysis of eastern North Carolina and the Raleigh/Durham market in order to establish and maintain an effective provider network for the HMO.

Recruited, negotiated reimbursement terms, and contracted with hospitals, PHO’s, IPA’s, physician groups and individual providers who met established selection criteria for the HMO.

Performed ongoing contract renegotiations with hospitals and physician groups in order to receive competitive terms and reimbursement rates.

Provider Relations Representative, Blue Cross Blue Shield of South Carolina, Columbia, South Carolina, September 1996 to November 2001.

Negotiated reimbursement rates and contracted with hospitals, physicians and ancillary providers for Preferred Blue and HMO Blue.

Established and maintained relationships with physicians, including their staff, by acting as liaison between BCBS of SC and their practice and making on site visits to discuss issues and concerns they may have had as contracted providers.

Conducted educational workshops and seminars for physicians and ancillary providers, and their office staff, on contract terms and requirements, proper coding of claims and electronic claims submission, employee benefits and authorization processes.

Provider Relations Coordinator, Roper St. Francis Hospital / Care Alliance Medical Services Organization, Charleston, South Carolina, April 1995 to September 1996.

Enlisted the participation of physicians for membership into Palmetto Physician Association; an independent practice association (IPA) of over 600 physicians associated with the hospitals of Roper and Bon Secours St. Francis.

In conjunction with the Director of Contracting, negotiated PPO and HMO full risk contracts for the IPA.

Worked closely with PPO/HMO contracted provider relations staff to ensure smooth transition of contract terms and plan specifics to association.

Provider Relations Representative, Companion HealthCare, BCBS of SC, Columbia, South Carolina, September 1993 to March 1995

Recruited primary care physicians, specialists and ancillary providers, under capitation or fee-for-service contracts, to adequately service the HMO.

Conducted educational workshops for providers and their office staff on Companion HealthCare benefits, procedures and reimbursement methodologies.

Conducted group meetings with providers to review utilization and referral patterns and to relay required contract provisions.

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