Joann Alanis

Experience

1. Senior Manager Network Operations

   CareAllies

   Sep 2016 — Present · Houston, TX, US

   Facilitate monthly board meetings with stakeholders (Physicians) to review the LLC’s financial and utilization performance. Manage a team of Provider Relations Representatives who are responsible for maintaining relationships with a network of physicians and office staff personnel including office staff education, conflict resolution and monthly physician office visits. Monitor and analyze medical cost/utilization trends monthly to identify potential risks that impact financial goals. Create action plans around medical specialties to appropriately control cost and utilization. Implement cost control, utilization, and government required action items by educating key physician leadership, hospital executives and other medical administrators on new initiatives, contracts, and vendors. Foster and maintain relationships with key physician leadership to procure financially viable contracts with professional and ancillary medical professionals. Work closely with marketing department to increase health plan membership levels within specific geographic areas.

Education

• University of Houston

  BA

Skills

• Star
• Provider Relations
• Medicare
• Managed Care
• Network Development
• Hipaa
• Healthcare Management
• Healthcare
• Hmo
• Insurance
• Medicaid
• Health Insurance
• Healthcare Information Technology
• Healthcare Industry
• Leadership
• Healthcare Consulting
• Physicians
• Process Improvement
• Hospitals
• Management