Health Network One
Francisco Rivera-Pérez has a diverse work experience in various companies. Francisco started their career in EVERTEC Inc, where they worked as an Industrial Engineer and Project Manager from May 2001 to February 2007. Francisco then joined Doral Bank as a PMO Manager from February 2007 to February 2011. Following that, Francisco worked at Medical Card Systems Inc. as a Medical Operations Director from February 2011 to April 2014, where they managed a program of Managed Care initiatives in the Medicare Advantage line of business. Since April 2014, they have been working at Health Network One, starting as a Regional Network Director and later taking on the role of Sr. Director of Network Operations and Business Intelligence. Currently, Francisco holds the position of Sr. Director of Business Intelligence at Health Network One.
Francisco Rivera-Pérez obtained a Bachelor of Science degree in Industrial Engineering from the University of Puerto Rico-Mayaguez, attending from 1995 to 2001. Francisco then pursued an MBA in Technology Management at the University of Phoenix from 2002 to 2004. In December 2009, they obtained a certification as a Project Management Professional from the Project Management Institute.
This person is not in any teams
This person is not in any offices
Health Network One
Health Network One — Our Partnerships are Our Story Health Network One builds and manages single-specialty provider networks that defy the status-quo – forging partnerships with managed care organizations and providers, bringing great value to both. For over two decades, Health Network One has partnered with some of the biggest names in healthcare, helping them contain costs by limiting overutilization, driving efficiencies, and implementing alternative payment models that guarantee savings by assuming full risk. We've earned a reputation of excellence – HITRUST certified, NCQA-accredited, experts in network management. Fearless innovators, we meet our partners’ objectives by customizing solutions through a deep understanding of their services, needs, and desired outcomes, supported by thoughtful analysis gained from more than 500 million patient months of data. It's what gives us unparalleled insight into improving outcomes while reducing costs. And it’s how we can design signature network solutions that work for your unique organization. This savvy know-how of developing new systems, tools, and models has yielded several differentiators, such as our proprietary utilization management model, lauded for limiting overutilization while also reducing denial rates to less than 1%. We're the proud builders of provider networks composed of some of the most engaged, satisfied caregivers in the business, because we put providers and their patients — your members — at the center of everything we do. Our 95% provider retention rate is a testament to our concierge approach of easing their administrative burden by streamlining credentialing, authorizations, and claims processing – giving providers more time to focus on patients.