An executive leader, with 20+ years of experience in the healthcare industry; including over 15 years experience in contract negotiation and managed care operations for hospitals, insurance payers and an IPA physician organization. Over 10 years of experience encompassing strategic planning, financial and cost-benefit analysis, program development and managed care negotiations in hospital facilities. Over 10 years experience in negotiating hospital agreements for Commercial HMO, PPO, Medicaid and Medicare Insurance plans. Resourceful, detail-oriented and a goal-minded individual. Recognized for bringing a high level of integrity and emotional intelligence to all professional relationships. Strong mentor and team leader.
Specialties:
Medicare and Medicaid Expansion Development and Acquisitions
Hospital and Ancillary Negotiation
Strategic and Operational Planning
Cost-benefit Analysis
Vice President, Contracting and Development @ Implement and oversee the Strategic Direction and Contracting efforts for Hospital, Behavioral Health and Ancillary Providers for the Texas Division including Medicare Advantage HMO, PPO, PFFS and D-SNP products. Also oversee key Administrative Contracts and National Ancillary Vendors for Texas, New York and Maine. From March 2014 to Present (1 year 10 months) Vice President, Network Operations @ Implement Strategic Direction and Expansion Development for the Texas Division of Cigna-HealthSpring. Direct and oversee all Hospital, Behavioral Health and Ancillary Provider Contract Negotiations and Operations for Texas, Arkansas and Oklahoma for HealthSpring Medicare and STAR+PLUS.
Provide leadership and oversight to 4 Hospital, Behavioral Health and Ancillary Directors and their 12 contracting staff that cover Houston, North Texas, East Texas, Lubbock, Valley, San Antonio, El Paso, Amarillo, Longview, Marshall, Texarkana and Oklahoma. From January 2012 to November 2013 (1 year 11 months) Director, Operations @ Manage all Medicare hospital expansion development and hospital contract negotiations for North Texas, East Texas, Lubbock and the Valley area. Responsible for negotiating all Hospital Agreements and managing all joint operating meetings with hospitals, performing orientations and resolving institutional concerns. Responsible for hospital reporting, cost trend analysis and cost mitigation initiatives. From September 2007 to December 2011 (4 years 4 months) Director of Managed Care @ Responsible for the strategy development and negotiation/renegotiation of all 90 insurance contracts with the hospital, including HMO, PPO/POS, Managed Medicare/Medicaid and Worker's Compensation products.
From 2001 to 2004, responsible for the contracting and management of Twelve Oaks IPA, a 200-physician member IPA. From January 2001 to June 2007 (6 years 6 months) Manager of Network Development @ Completed the integration and merging of provider networks between MSCH and HUMANA. This encompassed recontracting 40 Hospital, 6 IPA, and 60 Ancillary agreements.
Responsible for risk, capitation and fee for service contract negotiations and renegotiations with 6 Independent Physician Associations; performed detailed financial analysis of medical group risk and hospital contracts.
Managed the Network Development department to support the hospital and ancillary contracting initiatives; insuring adequate geographic provider coverage, provider medical cost analysis, responding to interdepartmental provider claims resolution, monitoring out of network utilization, and monthly analysis of accurate risk pool settlements and capitation distribution. From October 1998 to December 2000 (2 years 3 months) Network Development Contract Specialist @ Developed and maintained a provider network of 7 HMO and PPO products and all External PPO Networks.
Negotiated hospital, ancillary and physician organization HMO and PPO agreements. Performed quarterly operations meetings with hospital and provider organizations.
Assisted in developing the RFA response to the State Medicaid RFP, resulting in MSCH being awarded the Medicaid STAR and STAR+PLUS membership. Contracted the Medicaid STAR and STAR+PLUS provider network consisting of 4,100 physicians and 31 hospitals. From September 1996 to October 1998 (2 years 2 months) Network Development Coordinator @ Assisted in the development of a Physician Hospital Organization containing 250 physicians.
Analyzed contract language and financial reimbursement terms for all hospital managed care contracts.
Developed and tracked physician productivity and revenue for 5 Columbia facilities. From February 1996 to April 1996 (3 months) Assistant Administrator of Ambulatory Care Services @ Assisted the COO in administering, planning and coordinating the operations of 31 ambulatory care service departments.
Develped the strategic plan for ambulatory care services that included competitor analysis, profit improvement and new program development. From April 1994 to February 1996 (1 year 11 months) Administrative Resident @ From May 1993 to April 1994 (1 year) Administrative Graduate Resident @ From May 1992 to August 1992 (4 months)
Master in Health Services Administration, MHSA @ University of Arkansas at Little RockBachelor of Arts (B.A.), Psychology @ Oklahoma City University Angela Postma is skilled in: Executive Management, Contract Negotiation, Strategic Planning and Implementation, Medicare Advantage, Staff Mentoring, Coaching and Development, STAR+PLUS Expansion, Mergers and Acquisitions, Hospital Managed Care, Healthcare Industry, Provider Relations, Managed Care, Medicaid, Medicare, mergers and acquisitions, Hospitals