Veronica Walton
Large Practice and Ancillary Contracting Executive at Humana
- Role
- Large Practice and Ancillary Contracting Executive at Humana
- Location
- Jacksonville, FL, US
- LinkedIn followers
- 500 followers
About Veronica Walton
An experienced Administrator and Manager with over 30 years in Medical Operations for…
Experience
Large Practice and Ancillary Contracting Executive
Dec 2014 — Present · Jacksonville, FL, US
Prioritize network needs both quantitatively and qualitatively, strategically approach the physician and ancillary provider community, and negotiate contracts that are favorable to Humana’s business. Exercise analytic skills required for trending and analysis of practice behaviors, HEDIS measures, and Medical Risk Assessment. Ensure that networks are competitive by assisting to facilitate the sales force’s ability to penetrate new business opportunities. Negotiate and re-negotiate high-volume, transactional-style physician and ancillary contracts. Function as the single point-of-contact for all on-going contractual and service issues as needed by providers. Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana’s systems and strategies.Comprehensive understanding of HEDIS and MRA measures. Create trend analyses and summaries for decision-making purposes. Interface with market leaders to align contracting needs and business efforts. Set targets and priorities in order to meet national and market-specific network needs.
Education
University of North Florida
Bachelor of Arts (B.A.)
1987 — 1990
Florida Agricultural and Mechanical University
Transfered to UNF
1977 — 1980
Skills
- Physician Education & Training
- Customer Service
- Department Budgeting
- Account Management
- Healthcare Information Technology
- Computer Network Operations
- Analysis
- Medicaid
- Newsletter Editor
- Public Speaking
- Microsoft Excel
- Powerpoint
- Program Management
- C Ontract Negotiations
- Process Improvement
- Network Operations
- Management
- Project Management
- Outlook
- Provider Relations
- Medicare
- Physician Billing
- Networking
- Access
- Coding /Cpt, Icd-9
- Medical Billing
- Payor Operations
- Managed Care
- Web Master
- Insurance
- Hospitals
- Microsoft Word
- Claims Processing
- Staffng Training & Development
- Microsoft Office
- Hipaa
- Healthcare
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