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Joan S.

Senior Network Recruiter at andros

Joan S. has extensive work experience in the healthcare industry. Joan began their career at Universal American Corp in 2007, where they handled regional and national provider relations and contracting for managed Medicare and dual option products. Joan also conducted sales presentations and negotiated contracts with providers across multiple states.

In 2011, Joan joined EWINGS INC. as a Managed Care Provider Network Expansion Consultant and Benefits Specialist. Their responsibilities included expanding provider networks for STAR, STAR PLUS, and CHIP programs in Texas, as well as conducting employee benefits meetings for large, self-funded employers.

Joan then joined Humana in 2012 as a Large Practice & Ancillary Contracting Executive. In this role, they managed hospital, physician, and ancillary contracting for ChoiceCare PPO and Medicare Managed Care providers in Texas. Joan also focused on physician and hospital recruitment for Medicare Advantage expansion.

From 2014 to 2015, Joan worked as a Senior Consultant (Contract) at EWINGS INC. Joan conducted employee benefits meetings and provided consulting services on contracting, marketing, and healthcare reform for Tricare Bid.

Joan joined Advanced Tissue in 2015 as an Insurance Contracting Manager, where they handled national and regional contracting for DME, wound care, and ancillary network inclusion. Joan also played a role in credentialing efforts and troubleshooting for claims and reimbursement issues.

In 2016, Joan joined Centene Corporation as a Senior Network Development Specialist, where they developed and managed network development plans and implemented strategies for network utilization across national health plan markets. Joan later became the Texas Manager, Contracting and Network Development, Ancillary, overseeing physician and ancillary provider contract negotiators for network development efforts.

Joan then worked at Aetna, a CVS Health Company, from 2019 to 2021 as the Sr. Manager, DSNP Programs, Midlands and Heartland Regions - Mini General Manager. Their responsibilities included building and maintaining relationships with state agencies and partners, supporting broker training and sales teams, and driving market level improvement activities.

Joan's most recent role is at Constantia Health/Viability Company, which they joined in 2023 as a Senior Contracting Specialist, providing consultant services for national network contracting with partnering providers.

Throughout their career, Joan has demonstrated a strong expertise in contracting, network development, and relationship management within the healthcare industry.

Joan S. has a Master of Health Science degree in Health Science/Management/Hospital Administration from Wichita State University, which they obtained from 1986 to 1993. Joan also holds a certificate in Contracting at all levels: Hospital, Ancillary, IPA/Provider from Humana Contract University, although the specific duration of this program was not provided. Additionally, Joan S. has a certification from Centene Corporate University in Hospital Contracting, Network Relations, Provider Engagement, and Value-Based, which they obtained from 2017 to 2019.

In terms of additional certifications, Joan S. obtained the Faculty certification from the University of Phoenix in June 2003. Joan also possesses a certification as a Professional in the Academy of HealthCare Management/Managed Care, although the institution from which they obtained this certification was not mentioned. Furthermore, Joan S. is a Registered Dental Hygienist, which they obtained from Wichita State University, although the specific details regarding the obtained month and year were not provided.

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Timeline

  • Senior Network Recruiter

    August 1, 2022 - present

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