10 managed care contracting experts

Experience: Director, Managed Care Contracting · Houston Methodist

Director, Managed Care Contracting at Houston Methodist since September 2021. Former Vice President, Contracting and Development at Wellcare Medicare (2014–2017) and Director of Managed Care at Tenet Healthcare (2001–2007). The profile cites over 20 years of experience in contract negotiation and managed care operations for hospitals, insurance payers and an IPA physician organization.

Experience: Director - Payor Contracting and Analytics · Huntsville Hospital

Former Director - Payor Contracting and Analytics at Huntsville Hospital (2015–2023) and Executive Director - Payor Contracting and Analytics there since October 2023. Other listed roles include Network Contracting Manager at Cigna-HealthSpring (2012–2015) and Contract Manager, Managed Markets at Aptalis Pharma (2009–2012).

Experience: Sr. Director Of Managed Care Contracting · Inova Health

Sr. Director Of Managed Care Contracting at Inova Health since April 2022 and former Director Of Managed Care Contracting at NorthShore University HealthSystem (2018–2022). Payer-side roles include Director of Contracting at Humana (2014–2017) and Contract Negotiator at Aetna, a CVS Health Company (2007–2012). The profile cites experience negotiating commercial and government agreements.

Experience: Director, Managed Care Contracting · University Hospitals

Director, Managed Care Contracting at University Hospitals since March 2007. Former Director Contracting and Provider Relations at QualChoice Inc (2001–2007) and Vice President Provider Networks at Ohio Health Choice (1996–2001). The listing shows only these three work rows, so it does not cover the rest of the career history.

Experience: Director, Managed Care Contracting · Oregon Health & Science University

Director, Managed Care Contracting at Oregon Health & Science University since September 2018. Other listed roles include Senior Director, Managed Care at Adventist Health (2018), Sr. Contract Manager at Northwest Permanente, PC (2014–2018) and Director, Provider Contracting at Cigna Healthcare (2013–2014). The profile lists reimbursement methodologies and contract negotiation among its skills.

Experience: Director of Managed Care Contracting · BayCare Health System

Director of Managed Care Contracting at BayCare Health System since December 2012 and former Manager, Health System Managed Care Contracting at BayCare Health System (2007–2012). The listing shows only these two work rows, both at BayCare Health System, so it does not cover the rest of the career history.

Experience: Director, Managed Care · Memorial Healthcare System

Former Director, Managed Care at Memorial Healthcare System (2015–2018), a role the profile describes as negotiating complex managed care agreements with large national payors for all facilities, ancillaries and professional services of the healthcare system. AVP, Managed Care at Lifepoint Health® since March 2022, and former Manager, Managed Care at Swedish Covenant Hospital (2010–2015).

Experience: Senior Director, Managed Care Hospital Contracting · Mount Sinai Health System

Former Senior Director, Managed Care Hospital Contracting (2015–2022) and Director Managed Care Department (2010–2014) at Mount Sinai Health System. Vice President, Network Contracting - UHN South East Division at UnitedHealth Group since November 2022. Other listed roles include Ass. Director Hospital & Physician s Contracting at Continuum Health Partners (2009–2010).

Experience: Vice President of Payer Strategy & Managed Care Contracting · UCHealth

Vice President of Payer Strategy & Managed Care Contracting at UCHealth since August 2022. Former Senior Director, Payer Strategies & Ancillary Contracting (2021–2022) and Director, Physician & Ancillary Contracting (2016–2021) at UCHealth. The profile describes helping large, integrated health systems build sustainable payer strategies and says the role leads payer strategy.

Experience: Director of Managed Care Contracting · University of Miami Health System

Director of Managed Care Contracting at University of Miami Health System since February 2019. Former Manager Contracting and Provider Relations at Miami Children's Health System (2004–2019) and Contracting Representative at Vista of South Florida Health Plan (2002–2004). The profile describes delivering targeted contracts aligned with strategic corporate objectives.