Alex Rosendo
Healthcare Network Operations and Strategy | Business Development | Value-Based Care
- Role
- Network Provider Representative (Value-based Care) at ChenMed
- Location
- Tampa, FL, US
- LinkedIn followers
- 500 followers
About Alex Rosendo
High energy healthcare leader with a passion for improving quality outcomes of vulnerable populations in underserved areas. I am a problem-solver and forward thinker at my core. I enjoy building relationships and collaborating with different stakeholders to create alignment on shared goals. My healthcare interests and experience includes improving operational inefficiencies, strategic initiatives, medical cost reduction, physician/employee/health plan client relations, and project management/consulting.
Experience
Network Provider Representative (Value-based Care)
May 2023 — Present · Tampa, FL, US
Responsible for building a Coordinated Provider List (CPL) network of external specialty care for multiple area markets;creating and managing partnership relations with payers, physician practices, large medical groups, and hospitals toreduce medical costs and improve quality outcomes for high-risk Medicare Advantage patients• Align and educate provider partners on the organization’s full-risk value-based care model to create streamlined processes• Collaborate with internal care teams and center operations leadership to review best practices and identify opportunities toimprove and support initiatives within referrals including training, workflows, productivity, leakage and consult tracking• Track and analyze financial data to identify drivers for Part A, B, D PMPM and specialty capitated costs and compare YoYperformance at the enterprise, market, and center levels• Lead regular meetings with external physician specialists and center leadership to review cost data and feedback on overallCPL performance to strengthen partnership and achieve shared goals• Manage payer partner communications to ensure compliance and network performance for contracted agreements• Responsible for the tracking, invoicing and timely payment of hospital admission services for local hospitalist groups
Education
University of Florida
Bachelor of Business Administration - Management
University of Florida
Master of Health Administration
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