Managed Care Planning

Anthony Meachem Managed Care Planning Manager 744-3520 Responsible for managing the Managed Care Department including all financial, administrative and operational support functions. Specifically responsible for the evaluation, development, implementation and control of managed care plans for the School's Medical Faculty Practice Plan including managed care contract negotiations, coordination of 3rd party credentialing & contract negotiations, education, planning, process development and contract renewal development.

Crystal Tyson Provider Relations Coordinator 744-3258 Process managed care credentialing applications for billing providers with ECU Physicians; Maintain data base for provider numbers; Organize and facilitate credentialing audits; Liaison to service the health science division on policies & procedures of the participating managed care plans; Coordinate managed care education seminars and lectures; Assist support staff within the school to resolve claims issues relative to credentialing.

Thomas Barnes Managed Care Contract Analyst 744-3263 Responsible for analyzing and evaluating the administrative and financial impact of the School's Medical Faculty Practice Plan existing and potential managed care plans. Specifically responsible developing comprehensive financial reports for departmental evaluations as they relate to managed care, strategic and operational planning, long-range forecasting, billing and reimbursement management, developing financial trend analysis and contract analysis.