Kim Kline
Director of Network Performance @Blue Cross and Blue Shield of Minnesota
Signup · Get unlimited contacts
WORK HISTORY
Director of Network Performance @Blue Cross and Blue Shield of Minnesota
PROFESSIONAL WORK BLUE CROSS and BLUE SHIELD OF MINNESOTA, EAGAN, MN DIRECTOR, NETWORK PERFORMANCE, PROVIDER RELATIONS (2021-current) MANAGER,(20••••21)Discount Optimization, Market Competitiveness and Network Innovation Experience (2018-Current) Effectively leading a cross-functional team of subject matter experts to successfully submit and certify a multi-billion dollar commercial book of business for UDS national consultant use in Discount and PMPM evaluations, a critical financial attribute to sell national business. Guiding the deployment of federal mandated price transparency machine readable files (MRF) and consumption of competitor MRFs to develop market cost positions used in provider negotiation strategies, discount and affordability of care improvement strategies. Successfully leading the network innovation team through regulatory filing requirements for network adequacy, network design strategies and compliance solution vendor implementation. Demonstrating thought leadership to launch our enterprise’s first specialty ETG reporting solution and application to our enterprise’s first network tiering initiative. Directing the effort to build our internal evaluation, validation and application of the Blue National Physician Performance Dataset, measuring cost, quality and appropriateness across our provider network and business uses. Consistently offering creative writing and innovative solutions for employer group RFPs. Representing BCBSMN at external committees on leading edge work and supporting thought leadership at a national level. Establishing productive working relationships with multiple external vendors to deliver on our Northstar Goals, ranging from Press Ganey, BlueHealthIntelligence and external consultants to enGen claims platform
EDUCATION
University of WI Eau Claire
Bachelor's degree, Accounting & Finance
SKILLS
ABOUT KIM KLINE
Director of Network Performance at Blue Cross and Blue Shield of Minnesota
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.