Brian Smock

About Brian Smock

Professional ProfileAccomplished leader with proven ability to manage complex tasks and deliver excellent results. Ability to think strategically, develop appropriate action plans, and execute to conclusion. Government and commercial specialty managed care experience.Specialties: Areas of expertise• Complex behavioral health & developmental disability service management• Contract negotiation • Credentialing• NCQA• Provider relations• Staff development• Project management • Claims/ technical provider set up• Management of budgets• Network capacity and accessibility analysis (Geo access)• Relationship management • Organizational improvement

Experience

1. Vice President Payer Relations & Strategy

   Pyramid Healthcare, Inc.

   Apr 2022 — Present

   Executive leader responsible for initiatives to create innovative and transformative payer strategies,relationships, and agreements. As a key member of the management team, the VP of Payer Relations and Strategy will drive Pyramid Health’s next generation revenue models, help improve outcomes and lower costs by using contract models with value-based incentives and payment structures, build andsustain high-value networks and create collaborative partnerships with payers and providers.

Education

• Wheaton College

  M.A., Clinical Psychology

• Evangel University

  B.S., Psychology

  1984 — 1988

Skills

• Network Development
• Managed Care
• Clinical Research
• Psychotherapy
• Medicare
• Medicaid
• Crisis Intervention
• Healthcare
• Project Management
• Leadership
• Mental Health
• Hipaa
• Health Policy
• Disease Management
• Behavioral Health
• Ncqa
• Claim
• Healthcare Management
• Social Services
• Case Managment
• Relationship Management
• Quality Improvement
• Budgets
• Utilization Management
• Healthcare Industry
• Staff Development
• Healthcare Information Technology
• Mental Health Counseling
• Credentialing
• Healthcare Consulting
• Performance Improvement
• Treatment
• Contract Negotiation
• Provider Relations