Terri D.

Provider Network Services Director

Role
Provider Network Services Director at Elevance Health
Location
Atlanta, GA, US
LinkedIn followers
500 followers

About Terri D.

Population Health Manager and Director of Contracting and Provider Relations with 20+ years of comprehensive healthcare and managed care operations experience (Commercial, Medicare, and Medicaid). Extensive background in managing high volume, complex contract negotiations to include financial and language negotiations in a fast paced environment. Ability to work well within matrixed organizations to diffuse high level conflict with healthcare providers involving claims, compliance, utilization, quality, contract and operational issues for win-win resolutions. Population Health Management Shared Savings Medical Expense Ratios Risk Adjustment Quality/ HEDIS Strategy Cost/Utilization Modeling Network Development Project Management Provider Campaigns Account Management Relationship Management Payor and Provider Performance and Compliance

Experience

  1. Provider Network Services Director

    Elevance Health

    Aug 2021 — Present

Education

  • The University of Alabama in Tuscaloosa

    Bachelor of Science (BS)

  • The University of Alabama in Birmingham

    MBA/MPH

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Terri D. — Provider Network Services Director at Elevance Health in Atlanta, GA, US | Unifers