Ann-Marie Gil Haggard
Director of Network Operations @Optum
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WORK HISTORY
Director of Network Operations @Optum
Ontario, CA, US
Manage, supervise and direct activities to facilitate financial performance of the provider network. Including develop / implement budgets and market planning, registration of health plan and provider contracts, computation and distribution of monthly capitation payments, adjudication and payment of fee for service claims, processing fee for service referrals and hospital precertification requests. Provide support to Utilization Management / Quality Assurance process; provide management information to group providers. Direct supervision of network development, contracting, credentialing, health education, provider relations, and support participating physician and ancillary providers. Executive Director of Network Operations, Optum Care Network Citrus Valley, Optum Care Network Corona, Optum Care Network Development.(Legacy NAMM)
EDUCATION
Azusa Pacific University
Psychology
ABOUT ANN-MARIE GIL HAGGARD
Responsible for network growth and development, physician recruitment and contract negotiations. Monitor operational, fiscal performance and contractual compliance. Specializing in Exclusive Contracting.
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