Brian Smullin

About Brian Smullin

Hello, I\'m an exceptionally experienced managed care executive with a track record of managing big health care companies to operational performance, financial modeling and analysis, managed care contracting, underpayment recovery, revenue cycle management, and credentialing activities.I have demonstrated leadership skills to manage internal and external consultants in the creation of provider networks across growth markets. I have possess exceptional proficiency in locating and resolving contractual challenges, both internal and external. I am skilled at ensuring that daily leadership and management of the health plan market or product operations reflects the company\'s purpose, vision, and core values and that these operations are effective and compliant. I have a strong reputation for creating the department\'s strategic vision, objectives, policies, and processes as well as my capacity to create, carry out, and uphold production and quality standards for the Contracting department.Some of the key skills include:• Value-Based Contracting• Strategic Planning• Performance Improvement• Network Development• Financial Analysis & Planning• Contract Negotiation• Technology Integration• Quality Assurance• Healthcare AdministrationShould you have any further questions regarding my professional experience or skills, feel free to connect with me via phone or email. I always enjoy making new acquaintances.

Experience

1. Director of Managed Care Contracting and Systems

   BJC Health

   Jan 2025 — Present · St Louis, MO, US

Education

• University of Phoenix

  Bachelor of Science (BS), Business Administration and Management, General

  2001 — 2004

• University of Phoenix

  Master of Business Administration (MBA), Health/Health Care Administration/Management

  2004 — 2007

Skills

• Managed Care Contracting
• Leadership
• Contract Negotiation
• Emr
• Revenue Cycle
• Medicare
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Healthcare
• Process Improvement
• Healthcare Consulting
• Financial Modeling
• Healthcare Information Technology
• Electronic Medical Record (Emr)
• Working with Physicians
• Managed Care
• Healthcare Management
• Business Process Improvement
• Aco Contracting
• Physician Relations
• Hospitals
• Financial Analysis
• Contract Analysis
• Insurance Denials Management
• Underpayment Recovery
• Hipaa
• Healthcare Information Technology (Hit)
• Physicians