Teresa Suarez

About Teresa Suarez

With over 24 years of experience in managed care and provider relations, I specialize in building strong partnerships between healthcare organizations, hospitals, and provider groups to improve access, streamline operations, and deliver quality outcomes.Throughout my career, I’ve supported high-profile hospitals, ASCs, SNFs, and specialty groups across California, developing workflows that reduce claim denials, enhance provider satisfaction, and drive measurable growth in membership and quality performance. I am skilled at navigating the complexities of Medicare, Medi-Cal, Commercial, and Exchange products, with hands-on expertise in STAR/HEDIS, Built-Up RAF, credentialing, and contract negotiations.In leadership roles at Molina Healthcare, Optum, Regal Medical Group, and DaVita, I’ve led provider training programs, facilitated executive-level strategy sessions, and implemented innovative tools to strengthen compliance, improve efficiency, and support organizational goals. My ability to balance provider needs with business objectives has consistently resulted in stronger networks, reduced operational barriers, and improved healthcare delivery for patients.Currently pursuing a Bachelor’s in Business Health Administration, I am committed to continuous growth and leadership in healthcare management. My passion lies in fostering collaborative provider relationships and creating solutions that positively impact both healthcare organizations and the communities they serve.

Experience

1. Physician Services Advisor

   Altais

   Nov 2025 — Present

   Point of contact for Altais network physicians and Family Care Specialist, supporting day-to-day administrative and operational needs across all service lines. Manage provider engagement from onboarding through ongoing participation, ensuring a positive and efficient physician experience. Serve as a liaison between physicians, practice staff, and internal teams to resolve issues related to access, claims, medical management, and network operations. Lead onboarding, account setup, and system access, and provide training and support for Epic and Sagility. Educate practices on policies, procedures, claims, and coding requirements while promoting compliance, quality of care, and strong provider relationships.

Education

• United Education Institute

  Medical Assistant

• DaVita

  Certificate , DSS Leadership Class

• University of Phoenix

  Bachelor's degree, Health/Health Care Administration/Management

• University of Phoenix

  Associate's degree, Business Fundamentals

• UHG Emerging Leaders Program

  Certificate