Mary Simon
Consulting Partner at Provider Partnership
Based in Atlanta, United States
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Seniority
Director
Department
General Business & Management
Location
Atlanta
Industry
Hospitals and Health Care
Company size
6
Contact information
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m•••••••@providerpartnership.com
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Background
About Mary Simon
Specialties: Managed Care Consultant specializing in Payer and Provider Network Development and Contract Negotiation for ACO, Medicaid, Medicare Advantage, ABD, Special Needs Plans, Long Term Care, and Commercial Health Plans from both the Payer or Provider perspective. Extensive knowledge in Grassroots Network Development, Redesign and expansion, Contract language and rate structures for Health Care systems, Gain Share models, Value Based Health Care, Primary Care, Specialty Care, IPAs, PHOs, Multi-Speciality physicians groups, Behavioral Health, and Dental. Highly experienced in Medicare and Medicaid expansion to include HSD tables, exception filing and CMS approval processes.
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