Brandy Roatsey
Director, Contracting and Compliance @Kaiser Permanente Georgia
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WORK HISTORY
Director, Contracting and Compliance @Kaiser Permanente Georgia
Atlanta, GA, US
Director, Contracting and Compliance, September 2024-PresentSenior Manager, Contracting and Compliance, November 2019-September 2024Manager, Provider Contracting and Compliance, March 2017-November 2019• Legal and regulatory research, analysis, support and oversight based on Federal and Georgia laws, including Medicare and the Affordable Care Act.• Compliance oversight and reporting. • NCQA mock audit coordination and preparation committee.• Network adequacy reporting and growth strategy consultant, formulating solutions to remedy 90% of adequacy gaps.• Worked with the financial analyst to create fee schedules based on Medicare fee schedules and other industry resources.• Crafted numerous communications for internal and external stakeholders including a quarterly newsletter, termination notices, contract and amendment letters, and general correspondence.• Updated and created relevant, detailed policies, procedures, and workflows to maximize department efficiency and coordinate processes across the organization.• General contract negotiation and language consultant.• Created detailed provider education presentations, reference guides, and materials.• Collaborated with other departments to produce a comprehensive provider manual.
EDUCATION
Georgia State University - J. Mack Robinson College of Business
Master of Business Administration (MBA) & Master of Health Administration (MHA), Business Administration and Management, General
Virginia Tech
B.S., Biology w/ an emphasis in Chemistry
Appalachian School of Law
J.D., Law, & Alternative Dispute Resolution
SKILLS
ABOUT BRANDY ROATSEY
Director, Contracting and Compliance
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