Bonnie Eng-Suess

Experience

1. Director, Managed Care

   McKesson

   Nov 2022 — Present

   Responsible for payer contracting and negotiations of third-party payer strategies for assigned practices within The US Oncology Network. Directs the execution of all managed care initiatives and strategies that will maximize opportunities with third-party payers and provider partners including hospitals and PCP networks and employers. Develops and executes in conjunction with members of assigned practices and the US Oncology Network on practice strategic planning and both long and short-term goals to position practices optimally within the third-party payer environment and local hospital/provider market. Prepares budget and advises senior management both within the US Oncology Network and practice leadership on all matters concerning net revenues in the areas of Commercial Managed Care, Medicaid, and Medicare. Develops and maintains payer relationships and advocates for the community-based oncology agenda with payers locally, identifying opportunities for enhanced relationships, reimbursement, referrals, and a growing market presence. Overall, responsible for directing all contract negotiations and strategies to support revenue growth for assigned practices. Operationally executes strategies and negotiations to support alternative payment models with a focus on including novel payment models such as value-based reimbursement methodologies (i.e, case rate development, integrated networks, contract capitation, the total cost of care initiatives, and shared savings models) and has a firm grasp on the analytics/practice impacts that support such payment models. Serves as “expert” advisor to assigned practices regarding maximizing revenue from managed care products and Medicare and Medicaid programs. Develops and makes recommendations regarding changes needed to enhance and optimize physician income and overall practice revenues.

Education

• University of Southern California

  MHA

  1997 — 1999

• University of La Verne

  Bachelor of Arts - BA

  1989 — 1993

Skills

• Practice Management
• Hmo
• Provider Relations
• Healthcare Management
• Quality Improvement
• Disease Management
• Hospitals
• Customer Service
• Medicare
• Home Care
• Medical Terminology
• Public Health
• Emr
• Utilization Management
• Management
• Managed Care
• Credentialing
• Leadership
• Physicians