At HCSC, I support hospital and large-group providers in the Houston region with provider recruitment and contracting. I also conduct quarterly JOC meetings and assist with network adequacy reporting.
At EQUALITY HEALTH, I led network development initiatives across Greater Houston, expanding provider partnerships and implementing value-based care programs. I negotiated reimbursement rates with hospital partners and physicians, contributing to an annual revenue increase of $1M.
At HUMANA INC., I managed the Houston South Region’s provider network, focusing on financial performance, quality management, and HEDIS/Stars performance. I led cross-functional work to streamline prior authorization and improve provider satisfaction.
At MOLINA HEALTHCARE, I expanded the network by over 700 providers across contracted lines of business and managed $1M+ claim projects for high-profile providers. Earlier, at GFC MEDICAL BILLING, I managed medical billing operations and provider credentialing.
