Bill Jones
Payer Contracting Manager at ProHealth Care | Waukesha, Wisconsin, United States
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Bill Jones is a seasoned professional with over 30 years of extensive experience in the healthcare sector, specializing in managed care contracting and financial analysis. As a Senior Managed Care Contracting Specialist at ProHealth Care, Bill plays a pivotal role in negotiating both financial and non-financial managed care contracts, ensuring that the organization maintains robust relationships with payers and providers. His expertise in reimbursement analysis allows him to evaluate and optimize payment structures, which is crucial in today's complex healthcare landscape.
Currently, Bill is spearheading several key projects aimed at enhancing the efficiency of payer and provider relations. He is actively involved in the development of a comprehensive insurance payer/plan master build, which streamlines data management and reporting processes. His proficiency in data query and analysis enables him to identify trends and variances in contractual payments, allowing ProHealth Care to address issues proactively and enhance revenue cycle management.
In addition to his negotiation skills, Bill is adept at process improvement and healthcare management, which he leverages to foster employee development and procedural enhancements within his team. His experience with software and system conversions, particularly in utilizing SharePoint for contract and rate information distribution, showcases his commitment to integrating technology in healthcare operations. By aligning organizational goals with customer service excellence, Bill not only resolves contractual payment variances but also ensures that ProHealth Care remains competitive in the ever-evolving managed care environment. His blend of strategic insight and operational expertise positions him as a key asset in driving the organization’s success.
Assistant Vice President - Administration at Duncanson and Holt Administrative Services in August 1987 to August 2026
Payer Contracting Manager at ProHealth Care in August 2026 to Present
Sr. Managed Care Contracting Specialist at ProHealth Care in August 2026 to Present
Director, Payer Contracting and Finance at ProHealth Care in August 2026 to Present
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University of Wisconsin-Whitewater, BBA, January 1983 to January 1987
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Managed Care
Process Improvement
Healthcare
Healthcare Management
Healthcare Industry
Hospitals
Revenue Cycle
Physician Relations
Health Insurance
Management
Healthcare Information Technology
Medicare
Contract Negotiation
Medicare/Medicaid Reimbursement
Medicaid Managed Care
SharePoint
Healthcare Reimbursement
Hospital Reimbursement
Data Analysis
Data Mining
Payer Relations
Financial Analysis
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Discover more about ProHealth CareWhat is Bill Jones email address?
Email Bill Jones at [email protected]. This email is the most updated Bill Jones's email found in 2026.
How to contact Bill Jones?
To contact Bill Jones send an email to [email protected].
What company does Bill Jones work for?
Bill Jones works for ProHealth Care
What is Bill Jones's role at ProHealth Care?
Bill Jones is Payer Contracting Manager
What is Bill Jones's Phone Number?
Bill Jones's phone (414) ***-*533
What industry does Bill Jones work in?
Bill Jones works in the Hospital & Health Care industry.
Bill Jones Email Addresses
Bill Jones Phone Numbers
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