David Radecki

Background

About David Radecki

Healthcare Executive in Managed Care and Provider Contracting with 15+ years of experience in Network Management, Payer Relations, and Value-Based Care Strategy. Skilled in contract negotiation, provider engagement, and regulatory compliance. Proven track record of expanding provider networks, optimizing reimbursement models, and driving payer partnership success to enhance financial performance and patient outcomes. Senior Manager | Payer Contracting | Managed Care E-mail: Radecki99@comcast.net Drives the planning and execution of strategic economic and non-economic objectives, ensuring alignment with established goals and deadlines. Builds and maintains strategic relationships with senior management and payer representatives to enhance communication, resolve operational issues, and foster mutually beneficial partnerships. Expertise in negotiating complex contracts and optimizing payer relationships within the managed care and healthcare sectors. In-depth knowledge of healthcare financial and clinical concepts, with a focus on improving network performance and achieving business objectives. CORE COMPETENCIES: • Healthcare Finance • Contracting • Provider Relations • Network Management • Negotiation • Managed Care • Value Based Care • Payer Relations • Healthcare Reimbursement • Stakeholder Management • Regulatory Compliance ACCOMPLISHMENTS: – Consistently exceeded budgeted increases in additional revenue for the practices I represented. – Negotiated payer contracts across 20 states and internationally, consistently exceeding budgeted revenue targets and securing favorable reimbursement terms. – Led physician practice acquisitions, ensuring seamless payer participation and minimizing revenue disruptions. – Recovered over $1M in underpaid and denied claims by implementing strategic payer monitoring and dispute resolution processes. – Optimized contract reimbursement structures by securing risk-based and value-based payment models, enhancing revenue predictability. – Developed a SharePoint-based Payer Contracting Intranet, improving internal communication and training through national conference presentations and webinars. Please contact me at Radecki99@comcast.net with any senior-level Managed Care Contracting or Payer Contracting opportunities.