Fatima Cabrera Woodson
Milton
Summary
Dynamic leader with extensive expertise in provider network contracting, specializing in value-based contracting and network development, realizing $17M in savings through contract renewals.
Overview
32
32
years of professional experience
Work History
Vice President, Provider Network Contracting
Point32Health
MA
01.2023 - Current
- I was promoted to lead all contracting teams for all product lines inclusive of the behavioral health and ancillary contracting teams. I subsequently led the teams through the integration process.
- Set the strategy and executed on several years of successful unit cost reduction strategies across all markets and product lines (Medicaid, Medicare, and commercial).
- Consolidated product specific contracting teams into a singular enterprise contracting department.
- Ensured network adequacy and access for new DSNP product offering.
Vice President, Commercial Provider Network Contracting
Point32Health
MA
01.2022 - 03.2023
- Was promoted to Vice President as a part of the consolidation of the commercial contracting function between the two heritage organizations. I subsequently lead the integration of the commercial contracting teams.
- Completed contract renewals $17M under budget in 2023 while avoiding provider terminations.
- Ensured team retention during a during a difficult integration year.
- Ensured the provider contracting support team refreshed standard operating procedures and contract deliverables were met timely and accurately.
Director, Provider Network Contracting
Harvard Pilgrim Health Care
MA
03.2020 - 04.2022
- Lead a team of 5 Sr. Contract Managers who negotiate Mass and RI, and Commercial and Medicare Advantage provider contracts.
- Developed Contract Strategy for Sr. Leadership approval.
- Ensured that contracts came in at or under the Mass. and RI unit cost budget.
Director, Contracting
Steward Health Care Network
MA
08.2017 - 03.2020
- Created strategy for and Lead negotiations for all LOBs for all Mass and NH payor contracts (47).
- Lead a matrixed team to set national managed care policies.
- Lead a matrixed team to develop and implement a national managed care contract database which houses contract documents, a set of reportable key contract information, and serves as a contract deliverable tracking and process flow tool.
- Drafted contract language for all Mass and NH payor contracts.
- Serve as a mentor for junior managed care staff.
- Serve as a consultant to Steward physician organization, Steward hospital leadership, and Internal MSO regarding strategic projects.
Director, Contracting
Blue Cross and Blue Shield of Mass
08.2014 - 08.2017
- Developed strategic direction for agreements.
- Lead/Managed a team of contract managers negotiating fee-for-service and value-based agreements.
- Lead the following cross-functional teams: end to end business process redesign, contracting guardrails documentation and exception process development.
- Participate in the following cross-functional teams: Provider Contract Implementation Committee, Contract Implementation Workgroup, Provider Engagement Metrics Group, Provider Data Request Workgroup.
- Completed Design Thinking bootcamp.
Sr. Contract Manager
Harvard Pilgrim Health Care
10.1993 - 08.2014
- Contract Manager
- Business Analyst, Contract Implementation
- Project Coordinator, Contract Implementation
- Medicare Sales Representatives
- Medicare Service Representative
Education
Bachelor’s degree - Paralegal Studies
Boston University
Boston, MASkills
- Value-based contracting
- Provider network strategy
- Ancillary and Behavioral health contracting
- Large system contracting
- Contract management database installation
- Reimbursement strategy
- Vendor management
- Network development
Websites
Affiliations
- Co-Executive champion of the Latino employee resource group
- Translator for KIND (Kids in Need of Defense)
- A member of the Latino Executive group
- National Association of Latino Health Care Executives (founding member of new chapter)
Languages
Spanish
Professional
Timeline
Vice President, Provider Network Contracting
Point32Health
01.2023 - Current
Vice President, Commercial Provider Network Contracting
Point32Health
01.2022 - 03.2023
Director, Provider Network Contracting
Harvard Pilgrim Health Care
03.2020 - 04.2022
Director, Contracting
Steward Health Care Network
08.2017 - 03.2020
Director, Contracting
Blue Cross and Blue Shield of Mass
08.2014 - 08.2017
Sr. Contract Manager
Harvard Pilgrim Health Care
10.1993 - 08.2014
Bachelor’s degree - Paralegal Studies
Boston University
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