Michelle Laughlin

Vice President, Network Development & Contracting @Health Net

Huntington Beach, CA, US
EMAILS
m••••••••@healthnet.com
MOBILE NUMBERS
+17•••••••58

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WORK HISTORY

Feb 2022 — Present

Vice President, Network Development & Contracting @Health Net

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US

Direct provider network development and contracting with IPAs, medical groups, hospitals and healthcare systems for HealthNet and WellCare of California, delivering quality performance based contracting to achieve accessible healthcare. Oversee all facets of network operations and strategy, including access analysis, provider data, reimbursement models, and unit cost optimization. Design innovative contracting strategies to drive provider quality performance and cost management. Partner with compliance, medical management, claims, IS, finance, member services, and state/federal regulators to ensure seamless operations, regulatory compliance, and exceptional member care.

SKILLS

Healthcare ConsultingHospitalsBiotechnologyGenetic TestingContract NegotiationProvider RelationsHealthcareNetwork ContractingPayor Market AccessMedicaidManaged CareAffordable Care ActHealthcare ManagementHealth PolicyMolecular DiagnosticsHealthcare Information TechnologyOncologyHealthcare IndustryMedicareHipaaHealthcare Reimbursement

ABOUT MICHELLE LAUGHLIN

Seasoned managed care executive with over 25 years of expertise in healthcare operations, contracting, and network development. Proven leader in delivering high-quality medical care through strategic payer and provider partnerships across national markets. Adept at shaping medical policy and building robust provider networks to ensure exceptional patient outcomes within managed care systems.

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Michelle Laughlin — Email, Phone Number & Contact Info | Unifers