Roscet Varner
Vice President, Provider Network & Operations @Friday Health Plans
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WORK HISTORY
Vice President, Provider Network & Operations @Friday Health Plans
Promoted twice with current role as Vice President charged with managing provider interactions for all providers within the region while serving as the primary contact for any contractual and operational matters concerning the provider network• Monitor and report significant developments occurring within the provider community and assist in developing a strategic plan to mitigate risks and capitalize on opportunities• Partner with various department heads within the organization including but not limited to finance, legal, operations, and market insights and analytics to solicit their input and/or buy-in on contract strategy• Recruit, train, lead, and develop top-performing network teams, including direct management of the senior director/director level to support the organization’s mission• Ensure the network composition includes an appropriate distribution of providers to achieve network adequacy requirements meeting state and federal guidelines as well as membership needs• Preside over the development and execution of tools and processes to create efficiency and standardization across multiple markets• Lead strategic and complex negotiations with top provider partners• Responsible for the analysis of provider reimbursement and pricing guidelines and reporting on the overall performance of the region• Draft, maintain, and report on the department budget while making adjustments as needed• Assist/approve the creation and implementation of provider network communication strategies to deliver a cohesive message to providers for mutual understanding
EDUCATION
Huston-Tillotson University
Bachelor's degree, Accounting
SKILLS
ABOUT ROSCET VARNER
Healthcare executive with significant provider network and operations experience that spans over two decades specializing in managed care network development, provider relations, process improvement, business operations, and development. Recognized as a strong leader and trusted advisor who not only meets but exceeds client, employee, and organization expectations. Well-versed in assessing market conditions, developing creative approaches to penetrate and expand existing markets and networks, and executing plans to achieve financial results. Excels in establishing trust, cultivating relationships, and closing high-stakes, multi-million-dollar deals. Proven track record of success in high-level negotiations, ACA/Medicaid/Medicare Advantage growth and expansion, programs/services introduction, promotion, and operations. Currently seeking a leadership role within a company that will view my skill set as beneficial and a valuable addition to their team. AREAS OF EXPERTISE: Team Leadership | Business/Market Development | Market Analysis/Strategies | Territory Development/Strategy | Operations Management | Contract Negotiation/Management | Relationship Building/Networking | Medicaid/Medicare Advantage | Employee Training & Development | Business Process Improvement | Managed Care | Policy & Procedure Development | Budget Management
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