Behavioral Health Contract Specialist
Resume:
James Sray *** Meadowview Drive
********@*****.*** Canonsburg, PA 15317
Efficient, reliable, professional with 5+ years in an administrative role seeking new opportunity to utilize my recently acquired MBA (2022)
Professional Experience
Contract Specialist, UPMC-Community Care Behavioral Health — May 2018 to June 2024
● Develops and manages thousands of providers throughout the course of their insurance contracts with UPMC, including adding initial providers in-network, as well as reestablishing providers with existing contracts
● Evaluated as “most productive employee” in the department
● Consistently follows and improves standards to comply with internal audits
● Communicates with UPMC providers regarding their insurance contracts to ensure they fully fulfill existing contracts
● Negotiates and manages service rates for UPMC products
● Manages and coordinates Single-Case Agreements for out-of-network providers across the PA-OH-WV area
● Regularly utilizes Adobe Sign, Microsoft Excel and Access as part of daily responsibilities Onboarding Specialist, UPMC Graduate Medical Education — January 2018-May 2018
● Managed Foreign Post-Doctorate Students transitioning into positions within UPMC
● Collaborated with the physician’s home state/government in order to properly collect requisite paperwork in a timely manner so physicians could establish residency in the Graduate Medical Education program
● Developed and established relationships with perspective physicians in order to facilitate their VISAs and further their residencies and fellowships Estates & Trusts and Immigration Dept. Paralegal, Cohen & Grigsby, P.C. — March 2013- December 2017
● Established and administered individual client estates, participated in financial planning including individual trusts, and the distribution of securities & assets
● Administered individual tax returns, inheritance tax returns, final estate tax returns and quarterly estate tax returns
● Utilized Lackner software to administer estates, as well as ProSystems CCHG tax software to complete and file tax returns
● Interacted with clients dealing with a variety of issues regarding distribution of assets & closing of individual estates
● Initiated probate estates with regional Registries including Allegheny, Washington, Westmoreland & Greensburg counties
● Involved in the establishment & implementation of H1-B visas for eligible clients based heavily in education, technology, medical & mechanical industries Assistant Office Manager, South Hills OB/GYN — January 2012- December 2013
● Coordinated and organized Electronic Health Records to collect, sort and process patient records with corresponding insurance companies, Medicaid, and Health & Human Services.
● Organized day-to-day operations for two Physicians on a patient-by- patient basis
● Managed payroll for 15 professional employees
Assistant Sales Manager, MCC International, Inc. — April 2011- December 2011
● Responsible for purchasing of raw materials for the production of non-ferrous steel
● Worked with numerous suppliers in various material bid opportunities
● Negotiated several long-term sales contracts with existing clientele
● Computer Program Analyst - June 2009 –Sept. 2009
● Responsible for development of new electronic ticketing system which integrated the sale of product line
● Participated in implementation of company’s first website Education
Waynesburg University — Master of Business Administration- Healthcare Management (Aug. 2020- Aug. 2022) – 3.97 GPA
Ohio State University (Sept. 2005 – June 2009) – Political Science and German Volunteer Work
● Buoniconti Fund to Cure Paralysis
● Knights of Columbus Member, Holy Child
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