Alex Echevarria
Senior Manager, Provider Network Performance (Value-base Care) @Centene Corporation
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WORK HISTORY
Senior Manager, Provider Network Performance (Value-base Care) @Centene Corporation
Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface, or transform data to support a complete business need around contracting analytics and modeling applications.• Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes• Develop enhanced analytic and reporting capabilities and tools to monitor and evaluate financial impact of changes in unit cost and cost of care• Provide analytic support for network performance, unit cost trends, network profiling, evaluation, and contract modeling for current and future business• Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones• Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools• Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders• Oversee, monitor and measure unit cost trends and network improvement opportunities• Support existing application solutions, identify and develop technical enhancements to improve outcomes
EDUCATION
Bloomfield Tech
Computer Programming
SKILLS
ABOUT ALEX ECHEVARRIA
I am a results-driven healthcare leader with more than 26 years of experience across provider relations, network contracting, pricing strategy, Value-base care, PBM operations, and Health IT. I have led large, cross-functional teams, negotiated complex provider agreements, resolved escalated provider issues, and driven enterprise initiatives across Medicare, Medicaid, Commercial, and PBM environments.Throughout my career with UnitedHealth Group, Optum, McKesson, Centene, and NJ-HITEC, I have partnered closely with executive leadership, clinical teams, operations, legal, and technology stakeholders to deliver measurable improvements in cost, quality, and provider engagement.My leadership style emphasizes accountability, data-driven decision-making, and team development. I am highly effective in matrixed organizations and thrive in environments that require strategic thinking, clear communication, and continuous improvement.Core Expertise• Provider Relations & Network Contracting• Pricing Strategy & Financial Analysis• PBM & Pharmacy Network Operations• Account & Executive Stakeholder Management• Team Leadership, Coaching & Development• Process Improvement (Agile & Scrum)• Regulatory Compliance (Medicare & Medicaid) Open to Manager, Senior Manager, and Director-level opportunities in Provider Relations, Network Management, and Healthcare Strategy.
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