Melissa Shandor
Director of Payor Relations
- Role
- Director of Payor Relations and Development at Management And Network Services, Llc
- Location
- North Lima, OH, US
- LinkedIn followers
- 500 followers
Experience
Director of Payor Relations and Development
Management And Network Services, Llc
Nov 2009 — Present · OH, US
Oversee all levels of business development; new service initiatives, account management, customer collaboration, contract negotiations, and building strategic partnerships with regional and national Health Plans. • Knowledge of a variety of reimbursement strategies including PDPM, Value Based, Episodic, Levels of Care, State specific fee schedules, etc. • Building and maintaining portfolio of over 40 Health Plans in addition to assisting with nearly skilled nursing providers. • Develop customized reports and presentations for Health Plans based on individual preferences and desired outcomes. • Proven ability to identify and capture opportunities for cost savings. • Collaboration with internal departments to resolve outstanding claims balances, customer concerns, loading errors, inefficiencies and process improvement while achieving top-level corporate goals. • Management of sales, marketing and education team ensuring a customized delivery of services, assessment of responsibilities and goals and growth opportunities.
Education
Youngstown State University
BSBA, Finance
1998 — 2001
Skills
- Hospitals
- Financial Analysis
- Medicare
- Ppo
- Process Improvement
- Health Insurance
- Managed Care
- Inpatient
- Credentialing
- Long-Term Care
- Healthcare Management
- Network Development
- Hmo
- Provider Relations
- Executive Management
- Healthcare Industry
- Healthcare Consulting
- Healthcare
- Quality Improvement
- Insurance
- Medicaid
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