Crystal Williams

Background

About Crystal Williams

HEALTHCARE OPERATIONS EXECUTIVE Relationship Management | Regulatory Compliance | Delegation Oversight Financial Management | Provider Network Management I am a healthcare operations executive with a career history in directing regulatory compliance, provider network relations, and entity operations across managed care environments. Builds and sustains strategic partnerships with third-party administrators, governmental agencies, and provider organizations to drive financial performance, ensure operational readiness, and maintain regulatory compliance (e.g, CMS and state mandates) while leading teams, connecting legal, financial, and network functions, and developing organized, repeatable, and auditable systems (dashboards, automated member communication, and templates). My Career Highlights Develops and maintains provider network relationships across New York territories over a 30-year career with EmblemHealth while leading integration efforts through organizational changes and acquisitions, implementing regulatory requirements, and collaborating with internal teams (e.g, care management, corporate compliance, legal, credentialing, IT, claims, and finance). Manages third-party administrator and delegated entity relationships; provided financial and operational oversight, ensured contract compliance, and resolved performance issues. Oversees multimillion-dollar financial operations in partnership with finance and actuarial teams to monitor reserves, manage contract incentives, and capture cost savings. Implements process automation and system configuration projects to deliver improvements in compliance and efficiency. My Core Competencies Healthcare Operations Leadership | Strategic Partnership | IPA Oversight | Regulatory & CMS Compliance | Financial Planning Vendor & Contract Management | Enterprise Risk Management | Provider Networks | Cross-Functional Collaboration | Coaching Process Optimization | Automation | Cost-Benefit Analysis | Strategic Planning | Client Relationship Management | Audits Delegation Oversight | Stakeholder Engagement | Data Analytics & Dashboard Reporting | Change Leadership | Process Improvement