Heather Hodges
Executive Healthcare Leader
- Role
- Director of Contracting at Prospect Health
- Location
- Riverside, CA, US
- LinkedIn followers
- 500 followers
About Heather Hodges
Healthcare executive leader leveraging advanced level experience with a strong track record of driving performance, delivering positive EBITDA, developing high performing teams. Significant experience with network management within large, multiple and diverse groups, managed care operations, Medicare Risk Adjustment, Medicare Advantage, Strategic Planning to include execution and deliverables, executing business strategy while working to improve performance and revenue. Other skills include: Process Improvement Market Expansion and Risk AnalysisFinancial Analysis Corporate strategy, Managed Care operations managementSelf Starter, Driven, consistent, adaptable, intuitive, convictedCommunicates complex platforms well to all skill levels Highly skilled in provider engagement, member engagement, provider relations, provider network management, innovative approaches to drive performance, quality outcomes meet targets.
Experience
Director of Contracting
Aug 2023 — Present · Orange, CA, US
Oversight and maintenance of building assigned networks of PCPs, Specialists and Ancillary providers. Provide guidance and support in identifying network needs and support in establishing full networks for assigned members in multiple geographies.
Education
Stanford University
Executive Business Leader Program, School of Business
Skills
- Managed Care
- Healthcare
- Ehr
- Medicare
- Emr
- Team Building
- Healthcare Consulting
- Hmo
- Provider Relations
- Utilization Management
- Icd-9
- Physicians
- Physician Relations
- Practice Management
- Network Development
- Revenue Cycle
- Quality Improvement
- Strategic Planning
- Hipaa
- Claim
- Medical Billing
- Healthcare Management
- Healthcare Information Technology
- Credentialing
- Medicaid
- Cpt
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