Director, Managed Care
Over 20 years of experience in a healthcare environment, with expertise in Managed Care contracting.
Wanda has extensive experience from both the provider and payer settings and has proficiency in all payment models including capitation, fee for service, Exchange Products, Government-based products, and Quality Incentive/Fee for Value Programs. Wanda has a successful record designing and implementing effective managed care strategies and advising health systems through negotiations resulting in improved contract administration and yields. Her experience also includes negotiating contracts with hospital and physicians for nationwide insurance companies.
Prior to joining Quorum Health Resources (QHR), Wanda dedicated several years as a Consultant and over ten years in contracting specialist and portfolio manager roles for a large health system and an academic medical center. Before transitioning into the provider setting, Wanda worked for several major insurance companies where her responsibilities included recruiting, educating, and maintaining networks of over 1,000 physicians, hospitals, and ancillary providers.
AREAS OF EXPERTISE
Business Process Improvement
- Huron Healthcare
Managed Care Consultant
- Carolinas Healthcare System
Managed Care Portfolio Manager
- United Healthcare
Senior Network Account Manager
- The Ohio State University Health System
Provider Services Supervisor
- Master of Business Administration
- Bachelor of Science
- Green Belt Six Sigma
- Healthcare Financial Management Association (HFMA)