Mark D. Bevelander
Director, Provider Network Management @Blue Cross & Blue Shield of Rhode Island
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WORK HISTORY
Director, Provider Network Management @Blue Cross & Blue Shield of Rhode Island
EDUCATION
Johnson & Wales University
Bachelor of Business Administration (BBA), Business, Management, Marketing, and Related Support Services
SKILLS
ABOUT MARK D. BEVELANDER
Over 30 years health insurance provider network management experience with a focus on negotiating, maintaining and managing complex healthcare provider contracts that include alternative payment models where applicable. Trend Management Experience: Identify areas of opportunities for trend rightsizing and quality improvement. Implemented effective programs to address trends where appropriate in collaboration with network providers. National Contracting Experience: Active member of the Blue Cross Blue Shield Association CareSourcing Workgroup which contacts nationally for participating Blue Plans. Medical and Payment Policy Development and Maintenance: Ensure medical and payment policies meet all regulatory and business requirements as well as the expectations of internal and external stakeholders. Leading Teams: Associate and manager development experience that ensures all associates and managers learn, develop and thrive. So often it is the navigation of relationships, need to react quickly to internal and external stakeholders that define the effectiveness of an associate or manager.
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