Donna Marshall

About Donna Marshall

Accomplished leader with over 25 years of professional experience in the healthcare / managed care industry. Proven ability to develop successful relationships with the professional and provider community at various levels and disciplines. Proficient in end to end process management from recruiting contracting prospects to negotiations including value based arrangements, total cost of care shared risk contracting, pay for performance quality initiatives, contract compliance, credentialing, enrollment and contract program or account implementation with a focus on exceptional customer service, operational efficiencies, automation and process flow management. Comprehensive knowledge of national, regional and local managed care payors, providers and networks and various reimbursement models and methodologies. Effective team leader, communicator, relationship manager, dynamic presenter, and project manager with excellent problem solving skills and ability to implement operational & system enhancement and cultivate strategic vision.

Experience

1. Director Community & State Network Programs & Strategy

   UnitedHealth Group

   Jan 2017 — Present · Warwick, RI, US

Education

• Brown University

  Frontiers In Health Care Conference

• Providence College

  Health Policy Mgmt. Forum - Pay For Performance, Quality Improvement

• Harvard Law School

  Harvard Law School Building Negotiations Skills Course

• Johnson & Wales University

  Masters of Science, Business Administration

• Westfield State University

  Bachelors of Science, Business Management / Finance

Skills

• Project Implementation
• Health Insurance
• Managed Care
• Medicaid Managed Care
• Provider Enrollment
• Ehr
• Contract Management
• Insurance Payer Networks
• Medicare Advantage
• Accountable Care Organizations
• Cross-Functional Team Leadership
• Electronic Medical Record (Emr)
• Strategy
• Medicare/Medicaid Reimbursement
• Policy
• Program Implementation
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Project Management
• Insurance
• Account Management
• Primary Care Physicians
• Hospitals
• Training
• Quality Measures
• Relationship Building
• Team Building
• Management
• Business Process Improvement
• Customer Service
• Healthcare
• Contract Negotiation
• Provider Relations
• Ancillary Providers
• Leadership
• Population Health Management