Cathy M.

Experience

• 

  Cigna Healthspring (Formerly known as Healthspring, Inc)

  Jan 2001 - Jan 2004

  Vice President Provider Services

  Directed Provider Services Departments including activities related to Contract and Network development, Provider Relations, Credentialing and Provider File Maintenance.

• 

  Rochester Regional Health (Formerly known as Via Health)

  Jan 2004 - Jan 2009

  Senior Director - Central Business Office

  Responsible for day to day operations of Patient Accounting, Financial Support and Customer Service for hospital, physician, mental health, lab and clinic services.

• 

  McKesson (Formerly known as Practice Management Center)

  Jan 2009 - Jan 2012

  HealthCare Consultant/Vice President

  Assisted physician groups, multi-speciality practices and hospitals with evaluation, selection and implementation of practice management systems, EMRs and revenue cycle processes and workflows.

• 

  Excellus BCBS

  Jan 2013 - now

  Direct and manage innovative payment programs and strategy through provider systems. Develops performance metrics and benchmark interventions to support contract negotiations and cost/quality objectives. Consultant and liaison to regional network management, operations/implementation and other Health Plan staff to implement strategic partnerships and activities. Program management for provider operations, including ICD-10 business operations, IT project co-dependencies, and internal/external communication and training. Additional responsibilities include resource and process management to develop and enhance end to end health care network management processes including development of quality initiatives and programs specific to provider operational areas.

  • Director, Value Based Payment and Programs

    Jan 2016 - now

  • Director, Health Care Network Management Operations

    Jan 2013 - Jan 2016