YJ
Open to opportunities

Yvette James

@yvettejames

Seasoned healthcare professional with expertise in provider relations and management.

United States
Message

What I'm looking for

I am seeking a role that values collaboration, strategic growth, and continuous improvement in healthcare services.

I am a seasoned professional with over 15 years of experience in the healthcare and insurance industries, specializing in managed care policy, contract negotiation, and provider relations. My journey has equipped me with a robust skill set in claims resolution, membership growth, and provider education, allowing me to drive strategic solutions that enhance productivity and efficiency.

In my current role as a Provider Engagement Account Manager at Centene Corporation, I manage physician networks and develop strong relationships to achieve business results. My analytical abilities enable me to provide valuable insights through utilization reports and analytics, ensuring that our network meets performance targets. I am passionate about educating providers and improving their satisfaction, which I believe is crucial for the success of any healthcare organization.

Throughout my career, I have consistently demonstrated strong leadership and organizational skills, earning recognition for my ability to identify problems and implement effective solutions. I thrive in collaborative environments and am dedicated to fostering positive relationships with colleagues and stakeholders alike.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Bachelor of Arts, Health Administration

Currently pursuing a Bachelor of Arts in Health Administration. This program focuses on the administrative aspects of healthcare, preparing students for leadership roles in various health organizations.

UN

Unknown

Certification, Life Coaching

Completed a Professional Life Coach Certification, enhancing skills in guiding and motivating individuals towards personal and professional goals. This certification complements a background in healthcare by focusing on holistic well-being.

UN

Unknown

Certification, Value-Based Care Analytics

Obtained a Value-Based Care Analytics Certification, focusing on data analysis and strategies within value-based healthcare models. This certification equips professionals with the skills to interpret healthcare data for improved patient outcomes and cost efficiency.

Passaic County Community College logoPC

Passaic County Community College

Additional Education, General Studies

Undertook additional studies at Passaic County Community College. The coursework provided foundational knowledge in various subjects, contributing to a broad educational background.

University of Puerto Rico, Humacao logoUH

University of Puerto Rico, Humacao

Additional Education, General Studies

Pursued further education at the University of Puerto Rico, Humacao. This academic experience broadened knowledge and skills in a diverse learning environment.

LS

LMM High School

High School Diploma, General Studies

Completed high school education at LMM High School. This foundational education provided essential skills and knowledge for further academic and professional pursuits.

Tech stack

Software and tools used professionally

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Yvette James - Provider Engagement Account Manager - Centene Corporation | Himalayas