Kent Baker

About Kent Baker

25 Years of corporate management in managed healthcare including Behavioral Health, Medicaid & Medicare Programs. Recognized as one of the industry\'s top experts in GeoAccess (now Quest Analytics)utilization. Healthcare Provider Network Architecture expert, Database Administrator, SalesForce.com Designer/Administrator, and Project Manager in a wide variety of business applications. Specialties: Healthcare Provider Network Research, Architecture, and Development; Provider Network Optimization; SalesForce.com Senior System Administrator; GeoAccess/QuestAnalytics Expert

Experience

1. Provider Network Performance Manager

   Anthem, Inc

   May 2003 — Present

   ANTHEM Inc, NETWORK DEVELOPMENT 05/2003 - Present Provider Network Performance Manager (2/13)Provider Network Analyst (3/10)Associate Vice President, Application Management & Support, Healthcare Delivery Systems (4/08)Director, Provider Reporting & Technology (5/2003)- Staff Management- Senior Systems Administrator of SalesForce.com- Managed multiple projects- Deeply involved in the comprehension, construction, review, and delivery of over 70 different RFP/RFI projects in over 35 states- Participated on the M&A team assisting with due diligence on four different events- Ownership of CMS deliverables and narratives for Medicare Expansion efforts- Worked in conjunction with Procurement to create RFI’s and solicit bids from vendors- Functioned as liaison/negotiator with multiple state agency stakeholders in various situations- Business owner for entire company’s usage of GeoAccess applications- Primary/Core lead for training & implementation of SalesForce tool throughout the company’s multiple health plan locations- Business Owner of provider network research and development for new market data managementDirector, Provider Reporting and Technology (05/03 – 3/08)Oversight of corporate-level department- Report analysis & programming using Crystal Info from several different source systems- Designed Implemented and Administered SalesForce.com- Designed, built, implemented and served as System Administrator of custom application using SalesForce.com\'s CRM tool- System administrator of Competitive Analysis Project using Strenuus.com- Full ownership of all GeoAccess Adequacy reporting- Responsible for creating and maintaining Policy and Procedures as corporate standard- Responsible for analyses for M&A due diligence efforts- Provider Network Architect for new market buildsEnvironment: GeoAccess, Crystal Decisions/Crystal Enterprise, Access, Ingenix, Oracle, SalesForce

Education

• Ozark Christian College

  General Studies

  1986 — 1987

• Randford University

  MBA

  2010 — 2018

• University of Central Missouri

  Bachelor of Science, Business Administration

  1987 — 1989

• Sheffield State University

  Doctor of Philosophy - PhD, Data Management

  2019 — 2022

Skills

• Healthcare Industry
• Insurance
• Microsoft Sql Server
• Cross-Functional Team Leadership
• Healthcare Consulting
• Network Development
• Customer Relations
• Healthcare Information Technology (Hit)
• Pharmacy
• Healthcare Management
• Hipaa
• Leadership
• Access
• Process Improvement
• Data Analysis
• Crystal Reports
• Business Analysis
• Pharmacy Benefit Management
• Customer Service
• Team Building
• Management
• Visio
• Program Management
• Analysis
• Medicaid
• Medicare/Medicaid Reimbursement
• Healthcare
• Provider Contracting
• Healthcare Information Technology
• Health Insurance
• Managed Care
• Behavioral Health
• Policy
• Health Information Exchange
• Problem Solving
• Health Information Management
• Project Management
• Analytics
• Ehr
• Medicare