Tina Adams

Contract Negotiator @Centene Corporation

Mesquite, TX, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Feb 2017 — Present

Contract Negotiator @Centene Corporation

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TX, US

Recruit and develop provider network plan for region and set of providers• Identify and initiate contact with potential providers• Negotiate contracts• Leads assigned negotiations (i.e, hospital, physician and ancillary) and ensure that negotiations result in the unit cost targets expected and meet the objectives of the company and approximate the State’s reimbursement to the provider• Facilitate and provide oversight to the provider set-up and contract configuration to ensure accurate claims adjudication• Evaluate and monitor providers’ performance standards and financial performance of contracts.• Assist with and track credentialing activities• Facilitate the organization of provider focus groups• Coordinate with internal departments and contracted providers to implement and maintain contract compliance

EDUCATION

N/A

Ouachita Baptist University

Bachelor of Arts (BA)

SKILLS

HospitalsOutlookHealthcare Information TechnologyMicrosoft OutlookLeadershipHipaaManagementTeam BuildingInsuranceMicrosoft ExcelPolicyTrainingRecruitingHealthcare IndustryEmployee BenefitsU.s. Health Insurance Portability and Accountability Act (Hipaa)Process ImprovementStrategic PlanningHealth InsuranceManaged CareCustomer ServiceMedical BillingHealthcare ManagementMedicareProvider RelationsHealthcareMicrosoft OfficeSalesMedicaidAccount ManagementClaimLife & Health Insurance Licenses

ABOUT TINA ADAMS

Technically sophisticated and highly-skilled professional with expertise in provider relations supplemented by vast experience in sales. medical billing and claims. Consistent success in establishing collaborative business relationships with physicians and other healthcare providers, with experience credentialing both physicians and facilities. Excellent communication and negotiation skills; communicates effectively with stakeholders at all levels of the organization. Not afraid to tackle tough projects, and consistently achieves self-goals of increasing knowledge. Uncompromising integrity and work ethic.

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