# Stephanie Maxwell

Stephanie Maxwell is a remote worker on Himalayas, Senior Director, Provider Network Operations and Integration at PacificSource Health Plans, based in United States.

Source: https://himalayas.app/@stephaniemaxwell

```text
Provider network operations executive at PacificSource Health Plans who led Epic Payer Platform go-live and reduced provider data errors by 35%.
```

| Detail | Value |
| --- | --- |
| Availability | Open to opportunities |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 200k+ USD |
| Job categories | Revenue Cycle Executive, Healthcare Operations Executive |
| Skills | Provider Network Operations, Revenue Cycle Management, Provider Relations, Reimbursement Analytics, Network Analytics, Credentialing, Provider Data Management, Payer Contracting, Value Based Payment Programs, Capitation, Claims Management, Denial Management, Accounts Receivable Management, Payment Accuracy, Contract Compliance |

## About

```text
At PacificSource Health Plans, I lead provider network operations across four states, including provider relations, credentialing, and network analytics. I led the Epic Payer Platform go-live and direct reimbursement analytics covering $500M+ in annual claims spend.

At Practice Plus, I led revenue cycle and clinic operations across 150+ locations, including an enterprise-wide Epic implementation and the launch of Rural Health Clinic operations. I’ve also reduced provider data errors by 35% through Lean and Kaizen improvements and helped increase patient satisfaction scores by 32%.
```

## Experience

### Senior Director, Provider Network Operations and Integration (current)

[PacificSource Health Plans](https://himalayas.app/companies/pacificsource-health-plans). Jan 2021 - Present

```text
Lead provider network operations for a regional health plan across four states, overseeing provider relations, network analytics, reimbursement analytics, credentialing, and provider data management. Direct reimbursement analytics covering $500M+ in annual claims spend and led Epic Payer Platform implementation.
```

Skills: Provider-Network-Operations, Provider-Relations, Network-Analytics, Reimbursement-Analytics, Credentialing, Provider-Data-Management, Epic-Payer-Platform, Value-Based-Payment-Programs, Joint-Operating-Committee-(JOC)-Meetings, Capitation, Lean-Six-Sigma, AI-Enabled-Innovation, KPI-Management, Financial-Control, Compliance

### Manager of Revenue Cycle and Clinic Operations

Practice Plus. Jan 2013 - Dec 2021

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Led full revenue cycle and operational performance for 150+ freestanding primary care and specialty clinic locations within a 1,000+ bed health system. Held direct P&L accountability for revenue cycle results, payer contract performance, AR, denial management, and regulatory compliance.
```

Skills: Revenue-Cycle-Management, P&L-ownership, Payer-Contracting, Denial-Management, AR-Management, Epic-Implementation, Lean-Six-Sigma, Patient-Access, Credentialing, Behavioral-Health-Integration, Rural-Health-Clinics, Compliance

### Patient Financial Services Supervisor, Non-Government

Baptist Medical Center. Jan 2012 - Dec 2013

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Managed commercial billing and insurance follow-up teams for an 800+ bed system serving more than 250,000 patients per year. Ran day-to-day billing operations for all non-government accounts, including claim submission, payment posting, denial resolution, and collections.
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Skills: Commercial-Billing, Insurance-Follow-Up, Claim-Submission, Payment-Posting, Denial-Resolution, Collections, AR-Management, Billing-Audit, Coding-Audits, Compliance

### Financial Assistance Manager

Methodist Family Health. Jan 2007 - Dec 2012

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Managed inpatient and outpatient billing for mental health services across commercial and Medicaid payers, including contract negotiations, staff supervision, and appeals management. Designed and rolled out a company-wide financial assistance program.
```

Skills: Inpatient-Billing, Outpatient-Billing, Mental-Health-Services, Commercial-Payers, Medicaid, Contract-Negotiation, Staff-Supervision, Appeals-Management, Financial-Assistance-Programs, Policy-Development, Training

### Financial Counselor II and Insurance Specialist

[Arkansas Children's Hospital](https://himalayas.app/companies/arkansas-children-s). Jan 2004 - Dec 2007

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Worked directly with patient families to secure Medicaid and commercial insurance approvals, coordinated pre-authorization for surgical procedures, and managed appeals for denied services.
```

Skills: Financial-Counseling, Medicaid-Eligibility, Commercial-Insurance, Pre-Authorization, Appeals-Management, Patient-Advocacy

## Education

### Bachelor of Science, Business Administration

Bachelor of Science, Business Administration

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Bachelor of Science in Business Administration.
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### Epic

Epic Certification, Payer Platform

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Epic Certification in Payer Platform.
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### Epic

Epic Certification, Resolute Hospital Billing and Contract Administration

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Epic Certification in Resolute Hospital Billing and Contract Administration.
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### Epic

Epic Certification, Resolute Physician Billing and Contract Administration

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Epic Certification in Resolute Physician Billing and Contract Administration.
```

### Certified Revenue Cycle Representative (CRCR)

Certified Revenue Cycle Representative (CRCR), Revenue Cycle

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Certified Revenue Cycle Representative (CRCR) certification.
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### Certified Specialist Business Intelligence (CSBI)

Certified Specialist Business Intelligence (CSBI), Business Intelligence

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Certified Specialist Business Intelligence (CSBI) certification.
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### Lean Six Sigma Green Belt Certification

Green Belt Certification, Lean Six Sigma

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Lean Six Sigma Green Belt Certification.
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## Tech stack

- Workday
- Echo
- Cactus
- QuickBooks
- Epic

To contact Stephanie, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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