Eugene Mitchell

Experience

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  Blue Care Network

  Jan 2001 - Jan 2009

  Contract Administrator

  - Responsible for negotiating and implementation of Provider Agreements, including professional, ancillary and facility Agreements.- Overseeing regional provider contracting staff and contract maintenance.- Facilitate the development of provider contracting and network development, strategy along with regional and corporate staff.- Conduct financial analysis of provider network annually through various audits.- Accountable for decisions made by individual or team contributors.- Understanding the specifics behind the contracting strategy developed by Executive leadership of the organization and implementing it. Show less

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  Corizon Health

  Jul 2010 - Aug 2022

  Director of Provider Services

  - Coordinate network operations between groups providing healthcare to Michigan Department of Corrections (MDOC) Inmates.- Responsible for negotiating and implementation of Provider Agreements, including professional, ancillary and facility Agreements.- Monitors Provider network to ensure prompt resolution to problems or inquiries.- Plan and review network development opportunities.- Facilitate high level provider negotiations and meetings.- Monitor offsite network gap identification and analysis.- Servicing providers in a delegated contracting environment.- Develop and implement reporting to Executive Leadership and the MDOC and other quality reporting and analysis deliverables.- Coordinates Provider in servicing and facilitating educational opportunities to the provider community.- Serves as Network Development Lead in Requests for Proposals regarding potential business in the Midwest Region for the organization.- Managing the Daily Operations of the Michigan Regional Office Show less

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  Ascension

  Sept 2022 - now

  Manager, Payer Relations and Contracting

  - Support the development and contracting for value-based population health opportunities and new reimbursement models.- Manage financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives.- Develop reports and reporting solutions specific to payer relations, manged care and contracting needs.- Monitor the financial and operational performance of payer contracts.- Provide reports and analysis of performance recommendations and feedback for contract renewals, renegotiations or termination.- Serve as a relationship manager with payers in the market.- Monitor all aspects of the relationship to ensure appropriate communication and contract compliance and maintaining delegated payer credentialing status.- Communicate with internal and external stakeholders. Show less

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  HENRY FORD HEALTH SYSTEMS

  Oct 2024 - now

  Manager, Payor Relations and Contracting

  - Support the development and contracting for value-based population health opportunities and new reimbursement models.- Manage financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives.- Develop reports and reporting solutions specific to payer relations, manged care and contracting needs.- Monitor the financial and operational performance of payer contracts.- Provide reports and analysis of performance recommendations and feedback for contract renewals, renegotiations or termination.- Serve as a relationship manager with payers in the market.- Monitor all aspects of the relationship to ensure appropriate communication and contract compliance and maintaining delegated payer credentialing status.- Communicate with internal and external stakeholders.- Support the development and contracting for value-based population health opportunities and new reimbursement models. - payer credentialing status. - Communicate with internal and external stakeholders.Skills: Reporting & Analysis · Financial Audits · Presentations · Communication · Healthcare Industry · Interpersonal Skills · Problem Solving · Health Policy · Health Systems · Negotiation · Strategic Negotiations Show less