ISABEL C. SZURLEY

(Cell) 860-***-**** adha9n@r.postjobfree.com

SUMMARY

Results driven professional with extensive experience in value based provider network development, health plan sales, managed care operations and pharmaceutical sales. Skilled at growing and developing fledgling and start up organizations. Adept at developing and implementing policies, guidelines and procedures. Proficient at analyzing data, exceeding metrics (i.e., risk adjustment) and effectively managing budgets to achieve return on investment. Customer centric and known for cultivating strong relationships with stakeholders. Known for fostering a culture of good will, teamwork and accountability within my team. Bilingual: English/Spanish.

NETWORK DEVELOPMENT EXPERIENCE

PROHEALTH PHYSICIANS/OPTUM CARE, Farmington, CT 2017 - 2020 Manager, Network Contracting; (2019 – 2020)

Responsible for identifying and developing a network of providers according to CMS adequacy guidelines. Negotiate contracts and manage a value based IPA provider network participating in Anthem, ConnectiCare and United Healthcare Medicare Advantage plans. Oversee the Network Contracting business unit and manage a team of liaisons managing provider rosters and contract amendments to ensure service agreements are updated and current. Lead quarterly JOCs (Joint Operating Committee) meetings with key provider groups. Oversaw provider Site Surveys to ensure practices operate within set standards. Maintained SNF/HHA data and disseminated to clinical staff. Managed PMPM Capitation/Care Coordination monthly payments. Actively and routinely work to build and maintain ProHealth Physicians’ referral network to mirror the IPA network. A PAL volunteer (Peer Assimilation Leader) within the organization. Assumed much of the Network Development Director’s responsibilities when he left and the position was eliminated. Liaison, Network Contracting; (2017 – 2019)

Responsible for developing, maintaining and servicing high quality healthcare providers within assigned territory. Initiated contract negotiations with provider groups to join the IPA. Additional responsibilities included onboarding, training and servicing assigned provider groups. Engaged in value based risk adjustment utilizing Care Manager, Argon and quality initiatives (STARS) utilizing Cozeva to improve overall patient outcomes and lower costs. Attended and participated in broker conventions as well as CME/HCC seminars attended by network providers. Developed strong working relationships with provider community and their staff.

PHARMACEUTICALS EXPERIENCE

• Successfully launched marketing campaigns and grew market share for a number of pharmaceutical products and disease states for which I underwent rigorous training. This included cardiovascular, IBS (irritable bowel syndrome), asthma & allergy and schizophrenia as well as herpes and osteoporosis.

• Conducted promotional programs such as symposiums, speaker programs and lunch-n-learns as well as brand team initiatives for an array of products.

• Provided health care providers with the most current information pertaining to products and their approved indications.

• Ricipient of multiple awards.

TEVA PHARMACEUTICALS, Horsham, PA 2011 - 2017

NOVARTIS PHARMACEUTICALS, East Hanover, NJ 1999 – 2011 860-***-**** ISABEL C. SZURLEY adha9n@r.postjobfree.com MANAGED CARE EXPERIENCE

AETNA, Hartford, CT 1992 – 1999

Account Executive, Sales; (1995 – 1999)

• Sold HMO, POS and PPO health plans as well as life and dental insurance to employer groups of 1- 100 lives through CBIA (Connecticut Business & Industry Association).

• Built strong customer relationships with the broker community and employer groups (i.e., company owners and benefits administrators).

• Worked closely with underwriting department running new business quotes as well as drawing up proposals/contracts.

• Conducted enrollment meetings often utilizing bilingual skills when explaining plan benefits to employees with language barriers.

Account Manager, Sales; (1992 – 1995)

• Managed existing book of business through consultative services to the client (i.e., brokers and employer groups).

• Proactively worked with clients and underwriting during renewal process to maintain or improve plan of benefits programs and increase ancillary products.

• Built strong working relationships with clients to meet and exceed retention goals.

• Conducted open enrollment meetings.

EDUCATION

• MBA, Marketing, POST UNIVERSITY, Waterbury, CT

• BS, Management, POST UNIVERSITY, Waterbury, CT

• Preceptorships under the following physicians:

§ William Petit, MD, Endocrinologist, Joslin Diabetes Center, New Britain, CT

§ Ricardo Cordido, MD, Cardiologist, Yale-New Haven Health, New Haven, CT CERTIFICATION

• ICD-9-CM & CPT-4 medical claims coding; Briarwood College, Southington, CT

• Life & Health licensed broker

VOLUNTEER WORK

• Loaves and Fishes soup kitchen, Hartford, CT

• Tutored for West Middle School, Hartford, CT

• Flower Committee, Congregational Church, Burlington, CT

• Habitat for Humanity, Hartford, CT

• Red Cross, Farmington, CT; blood donor, disaster relief for 911 and Hurricane Katrina

• Susan G. Komen Walk for the Cure; Hartford, CT; employer sponsored booths

• Alzheimer’s Association, Hartford, CT; employer sponsored booths ORGANIZATIONS

• Holly Scanlan Foundation; Board of Directors 2015 – Present

• Evergreen; Home Owner’s Association Board of Directors 2017 – 2019 ADDITIONAL SKILLS

• Fluent in Spanish, Word, Excel, PowerPoint and Salesforce SOCIAL NETWORKS:

• Facebook

• Instagram

• LinkedIn

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