Kevin N.

About Kevin N.

Senior Negotiator in the settlement of non-par professional and hospital medical claims. Responsible for repricing of confidential/employee claims and in high level officers of corporations. Provided excellence in prospective and retrospective claim insight to various departments. Consistently was the top negotiator and exceeded or rated the highest in medical savings. Motivated and led a highly productive team for successful negotiations. Responsible for opening, staffing and development of new divisions. Established new provider and hospital networks throughout the United States and on a worldwide level. Establish business cadence (weekly, monthly, quarterly business reviews) to ensure performance objectives results are met and/or exceeded or evolve existing business cadence to drive higher levels of performance. Make sure the right balanced score card is in place for the businesses and ensure we have the best possible metrics in place to manage the businesses on an ongoing basis; while creating an environment of predicable modeled and actual results. Led direct & indirect cost containment efforts; assure service to internal and external customers is effective, timely and accurate; identify and execute new opportunities for increases in inefficiencies and performance metrics.

Experience

1. Cost Containment Coordinator

   Medcal

   Mar 2016 — Present · US

   Established Transplantation Agreements for Physician and Hospital contracts nationwide. Responsible for repricing high cost hospital and physician claims. Lead in all negotiation\'s for out-of-country claims involving various exchange rates. Created single patient agreements and long-term contractual arrangements with hospital and physicians. Responsible for creation of per-diems for hospitals and fixed price agreements with Centers of Excellence in transplantation services nationwide. Proactively built strong, senior executive relationships with clients in finance, and medical management. Viewed as a trusted partner by clients and vendors thru credibility and reliability. Responsible for repricing of employee or confidential claims.

Education

• Siena College

  BA Finance, International Finance, Cum Lada

  1992 — 1996

• Colonie Central High School

  Regents Honors Degree, Business

  1982 — 1984