Thomas Rodriguez

Health Care Contracting & Network Development--

Role
Senior Provider Contracting Professional at CarePlus Health Plans
Location
Fort Lauderdale, FL, US
LinkedIn followers
500 followers

Experience

  1. Senior Provider Contracting Professional

    CarePlus Health Plans

    May 2004 — Present · Sunrise, FL, US

    Support in managing results both financially and operationally of the IPA/PHO which assigned, accessing direction as needed from the assigned Administrator or Associate Administrator. Support in the recruitment, implementation and servicing of individually contracted providers and vendors. Additionally, training and orientation of providers in contracted areas. Full understanding of reimbursement methodologies, negotiation strategies, in conjunction with provider service experience in a managed care environment.

Education

  • Los Angeles Valley College

    Computer and Information Sciences and Support Services

    1990

  • Los Angeles Mission College

    Healthcare Administration, Health/Health Care Administration/Management

    1992 — 1993

Skills

  • Photoshop
  • Healthcare Information Technology
  • Medicare
  • Account Management
  • Hipaa
  • Healthcare
  • Powerpoint
  • Microsoft Excel
  • Research
  • Management
  • Team Building
  • Hospitals
  • Leadership
  • U.s. Health Insurance Portability and Accountability Act (Hipaa)
  • Health Insurance
  • Managed Care
  • Healthcare Management
  • Training
  • Microsoft Word
  • Customer Service
  • Microsoft Office
  • Sales

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Thomas Rodriguez — Senior Provider Contracting Professional at CarePlus Health Plans in Fort Lauderdale, FL, US | Unifers