Contract Manager Account

Cheryl Sims

*********@*****.*** Work from Home/Remote,, US 410-***-****

PROFESSIONAL SUMMARY

Accomplished and results driven Contract Manager with extensive experience in negotiating and structuring diverse contracts within the healthcare industry. Proven track record of spearheading innovative strategies to drive company growth and enhance market presence. Strategic thinker adept at formulating and executing contracting strategies to optimize partnerships and drive revenue. Skilled in collaborating cross-functionally to streamline workflows and expedite contract integration process. WORK HISTORY

Contract Manager at Contract And Free Lance

2018-01-01 - 2022-12-31(5 Year(s))

with Florida based physicians to build a physician network catering to Health Exchange patients. National Contract Mgr at AMERITOX, LLC.

2008-01-01 - 2018-01-01(10 Year(s))

National Independent Clinical Laboratory providing diagnostic testing services for pain prescription patients.

Prepare, negotiate, and manage contracts, agreements, and pricing proposals for Ameritox services with Insurance carriers, TPA s, clinics, and employer groups. Maintain Credentialing and Re-credentialing Documents for submission to Insurance Companies, and Government Payors.

Maintain Contract Files

Account Manager for Federal Government contracts.

Team Manager at CAREFIRST BLUE CROSS BLUE SHIELD

2004-01-01 - 2008-01-01(4 Year(s))

Supervised 10 mid-level trainers and business analysts with an ongoing operations and training function, but also tasked to handle ad hoc tactical projects as needed in response to customer requests.

Led cross-functional project team involved in the analysis of unpaid claims resulting in a saving to the company of over 300,000.

Developed measurement tools to ensure team met productivity and training goals. Developed staff training modules to enhance effectiveness of training to physician community. Network Manager at EVERCARE (Subsidiary of United Health Group, Inc.) 2002-01-01 - 2004-01-01(2 Year(s))

Projectized Medicare Division with task of implementing new case management methodology in Skilled Nursing Facilities to support new member enrollment. Managed team of 3 mid-level professionals tasked with supporting new business. Contributed as Senior Project Member of Planning Team that accomplished the roll-out of I 5 new Facilities in the State of Maryland supporting the Medicare population. Developed work breakdown task activity sequencing and task duration that supported the roll-out of new facilities, budget development, risk analysis and development of risk response. Director Network Development and Physician Relations at BON SECOURS BALTIMORE HEALTH SYSTEMS, INC.

1998-01-01 - 2000-12-31(3 Year(s))

Responsible for measuring Health system performance results in managing multi-million dollar Managed Care Contracts. Supervised team of 5 professionals. Worked as physician liaison to ensure Medical Faculty maintained compliance with 5 million contract using performance benchmarks developed by Health Care System. Manager, Provider Relations at TOTAL HEALTH CARE INC., Medicaid HMO 1993-01-01 - 1998-01-01(5 Year(s))

Responsible for provider relationships for Community Health Center and Health Maintenance Organization serving Medicaid population.

Developed New Business unit procedures to support physician staff recruitment, contracts, payor systems, budget, goals and objectives.

EDUCATION

University of Maryland -

Graduated 2000-01-01

Health Care Administration

Howard University -

Graduated 1975-01-01

BA, Political Science

SKILLS

negotiation, 15 years

relationship building, 15 years

strategic planning, 15 years

business administration, 15 years

team building, 15 years

presentations, 15 years

value (economy), 15 years

business acumen, 15 years

LANGUAGES

English, Business Fluent

CERTIFICATIONS

Project Management Professional (PMP) not active

ABOUT ME

I have a drivers license

I have management experience: 1 years

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