monina alvarenga
senior director, contracting and network development
About
I have a leadership position in contracting, network development, and implementation of various medical contracts, including UM programs for both HMO, Medicare, Medi-Cal and PPO plans. Expert in implementation of Medi-Cal program requirements such as CBAS, Long term Care, Transportation and Palliative services. My strength lies in my expertise of various regulatory requirements, my ability to motivate the team, a strong drive to succeed, and maintaining good provider relationships. Specialties: Negotiation and implementation of a variety of contracts for all lines of business.
united states
glendale
hospital & health care
medicare, medicaid, provider relations, healthcare industry, managed care, healthcare, hipaa, health insurance, management, leadership
Experience
contracts manager
cigna
Risk Management, Provider Relations, and then Provider Contracting for Staff Model and then IPA/Med Group contracting.
ancillary contract manager
net health of california
* Managed all aspects of the contract process for statewide ancillary network, including identification of network needs, negotiations and implementation of contracts for all product lines. * Oversight of administrative and service issues of all ancillary contracts, including capitated providers. * Maintenance and development of provider relationships. * Trained ancillary support staff.
director, provider network management
health net
Began as Health Net's sole Ancillary Contracts Manager; and developed unit that manages the contracting and network for 16 different ancillary health care specialties, such as Amb Surg Centers, Skilled Nursing, Home Health, Infusion, DME, Home health,etc. Have been Director for 9 years with staff of 6. Responsible for all contracting for lines of business, HMO, POS, PPO, Medicare, and MediCal.
senior director, contracting and network development
health net
Education
university of la verne
leadership
Active in church and community activities, including volunteer work at Project Achieve, a homeless shelter in Glendale, CA. Activities and Societies: Member of Women in Health Care
university of la verne
health administration
monina alvarenga's Contact Information
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