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@sharonkirkman
Driven healthcare leader focused on contract management and network development.
United StatesI am a dedicated healthcare professional with extensive experience in contract management and network development. My career spans over two decades, during which I have successfully negotiated contracts for thousands of providers, generating significant annual revenues. My role at Magellan Health as a Senior Contract Network Manager has allowed me to enhance network operations across multiple states, ensuring alignment with corporate initiatives and improving accessibility for our clients.
Throughout my career, I have built strong cross-functional relationships that have not only increased revenue but also fostered collaboration among stakeholders. My expertise in various reimbursement models, including fee-for-service and value-based care, has been instrumental in achieving operational goals. I am passionate about process improvements and business practices that promote excellence in healthcare delivery.
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Work history, roles, and key accomplishments
Magellan Health
Jan 2020 - Present (5 years 10 months)
Managed and developed networks across multiple states, including Florida, Louisiana, and Alabama. Responsible for all contract negotiations of 1,000+ providers with annual revenues in excess of $500M.
Blue Cross Blue Shield of Florida, Inc.
Jul 2000 - Jan 2020 (19 years 6 months)
Managed the negotiation process within budget and aligned network operations with corporate initiatives. Responsible for all contract negotiations of 1,000+ providers with annual revenues in excess of $500M.
Tampa General HealthPlan – HealthEase
Jul 1999 - Apr 2000 (9 months)
Responsible for the development of Medicaid in Polk County. Conducted Fee for Service negotiations for Hospitals, Primary Care, Specialty Care Physicians, and Ancillary Services.
Med-Partners Medical Management
Jul 1998 - Jul 1999 (1 year)
Responsible for the development and servicing of the MSO's network in multiple counties. Developed and implemented means of communication between MSO physicians and managing health plans.
Principal Health Care of Florida, Inc.
May 1994 - Jul 1998 (4 years 2 months)
Responsible for the development and management of contracting for Hospital, Ancillary, and Physician Capitation & Full Risk Contracting. Developed and implemented programs for communication between health care plans and providers.
Degrees, certifications, and relevant coursework
Bachelors of Science, Business Administration-Marketing
Completed a comprehensive program focusing on business administration principles with a specialization in marketing. Gained expertise in market analysis, consumer behavior, and strategic planning.
Medical Assistant, Medical Assisting
Completed a program to become a Medical Assistant, acquiring skills in clinical and administrative tasks within a healthcare setting.
Yellow Belt, Six Sigma
Successfully completed the Six Sigma Yellow Belt program, gaining foundational knowledge in process improvement methodologies. Learned to apply Six Sigma principles to manage corporate goals and objectives effectively.
United StatesYou can contact Sharon and 90k+ other talented remote workers on Himalayas.
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