I have over 10 years of experience in managing healthcare provider networks. In my previous role as a Network Manager, I successfully negotiated contracts with over 500 providers, ensuring compliance with quality standards and cost-effectiveness. I also implemented a new credentialing process that reduced the time for new providers to join the network by 20%, improving patient access to care.

I approach conflicts by first understanding the root cause and then facilitating open communication between the parties involved. For example, when a provider was dissatisfied with reimbursement rates, I organized a meeting with the finance team to discuss their concerns and proposed a compromise that was acceptable to both sides. This approach has helped maintain strong relationships and operational stability.

I focus on continuous performance improvement by setting clear expectations and providing regular feedback. For instance, I introduced a quarterly performance review system where providers receive detailed reports on their metrics, along with personalized coaching sessions. This has led to a 15% improvement in key performance indicators within the first year.

I ensure compliance by maintaining a robust compliance program that includes regular training for staff, audits, and corrective action plans. For example, I led a team that conducted monthly audits of provider documentation, which helped us identify and address non-compliance issues promptly. This proactive approach has resulted in zero regulatory violations over the past three years.

In a previous role, I had to terminate a contract with a high-volume provider due to repeated quality issues. Despite the potential impact on patient volume, I prioritized patient safety and worked closely with the provider to address the issues. When the provider failed to meet the agreed-upon standards, I made the difficult decision to terminate the contract. This decision was supported by the organization and ultimately improved overall network quality.