Tiffany Ramirez
Account Management & Provider Relations Leader | Provider Network Strategy | Contract Optimization & Relationship Growth
- Role
- Provider Relationship Account Manager at Elevance Health
- Location
- New York, NY, US
- LinkedIn followers
- 500 followers
About Tiffany Ramirez
Results-driven and collaborative healthcare professional with administrative/clinical care background and over 10 years of experience.
Experience
Provider Relationship Account Manager
Jan 2025 — Present
Managed a portfolio of contracted providers, serving as the primary relationship owner and strategic point of contact.• Educated providers on contract terms, reimbursement structures, plan policies, and operational requirements to ensure clarity, compliance, and alignment.• Supported value-based contract initiatives by reinforcing quality measures, performance expectations, and care delivery goals tied to provider agreements.• Reviewed provider performance metrics, utilization trends, and claims data to identify improvement opportunities and drive better outcomes.• Assisted with contract discussions, amendments, and renewals to support network optimization and organizational objectives.• Provided ongoing guidance to providers on program updates, policy changes, and performance expectations to strengthen engagement and satisfaction.
Education
Five Towns College
Bachelor's degree, Business Administration, Management and Operations
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