Paula Covil
Network Manager, Commercial Medical, Central Virginia at Anthem, Inc.
- Role
- Network Manager, Commercial Medical, Central Virginia at Anthem, Inc
- Location
- Richmond, VA, US
- LinkedIn followers
- 500 followers
About Paula Covil
Experienced Network Manager with a demonstrated history of working in the insurance industry. Strong information technology professional skilled in Sales, Medicaid, Healthcare, Contract Management, and Medicare Part D.
Experience
Network Manager, Commercial Medical, Central Virginia
Sep 2019 — Present
Develop statewide provider network for Commercial and Government business through contract negotiations, relationship development, and servicing. Negotiate with complex providers (institutional, large medical groups and ancillary), often non-standard arrangements, in areas with strong competition or where greater provider education around managed care concepts. Manage projects impacting the network management that require collaboration with other key areas. Conduct financial projections/analysis and draft contract language in collaboration with Legal for complex negotiations.
Skills
- Self-Funded
- Group Medical
- Health Insurance
- Brokers
- Benefits Administration
- Dentistry
- Contracting
- Customer Service
- Medicare
- Voluntary Employee Benefits
- Contract Management
- Workers Compensation
- Medical Staff Credentialing
- Whole Life
- Underwriting
- Fixed Annuities
- Sales
- Group Insurance
- Microsoft Excel
- Health Savings Accounts
- Medicaid
- Cobra
- Ppo
- Health Policy
- Claim
- Healthcare Reform
- Working with Brokers
- Long-Term Care
- General Insurance
- Provider Networks
- Health Care Reform
- New Business Development
- Life Insurance
- Medicare Part D
- Credentialing
- Employee Benefits
- Disability Insurance
- Commercial Insurance
- Hipaa
- Flexible Spending Accounts
Find verified contacts for anyone on LinkedIn
Unifers gives sales teams verified emails and direct dials, enriched profiles, and outreach that lands in the inbox.
Free plan included · No credit card required
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.