ANABEL RAWLINS

18741 NW 39th Court

Miami, Florida 33055
(305) 469-9293
ar9aa440@westpost.net

PROFILE

Highly accomplished, results-oriented Healthcare Industry Professional with more

than 15 years diversified experience in network contracting, provider relations
, program management, business development, sales and marketing

Experienced and accomplished contract negotiator within the managed care industr
y
Demonstrated success as a troubleshooter. Proven track record of developing prog
rams and executing short and long term tactical plans and growing market share i
n competitive markets
Strategic thinker. Experienced in start-ups, rapid expansion, reorganization and
turnaround challenges. Set organizational direction and manage program implemen
tations for aggressive growth
Outstanding written/verbal communications skills including presentation experien
ce
Seasoned staff manager with collaborative management style. Successfully hires,
directs and motivates individuals and teams to build consensus and produce optim
um results in pursuit of organizational goals
Goal-oriented, success-driven and a top performer committed to excellence

Bilingual: English and Spanish

EDUCATION

Master of Arts Degree, Health Service Administration

Florida International University - Miami, Florida
Bachelor of Arts Degree, Health Service Administration
Florida International University - Miami, Florida
PROFESSIONAL EXPERIENCE

UnitedHealth Military and Veterans Services - Miramar, Florida

2009-2010
* Network Contract Manager (August 2009 to June 2010)
Developed hospital based and standalone physician provider network, yielding a g
eographically competitive, broad access, stable network that achieved objectives
for unit cost performance and trend management. Produced an affordable and pred
ictable product for customers and business partners. Evaluated and negotiated co
ntracts in compliance with company contract templates, reimbursement structure s
tandards and other key process controls. Established and maintained strong busin
ess relationships with hospitals and physicians and ensured the network composit
ion included an appropriate distribution of provider specialties.
Key Result:
Ranked 2nd in a region of 10 states and 22 peers (contracts received) for the mo
nth of May; the first month that metrics were implemented.

Universal American Corporation - Weston, Florida

2006 to 2008
* Manager, Network Operations (April 2006 to June 2008)
Provided the daily management of departmental operations. Ensured the administra
tion of client services. Ascertained that recruitment, contracting, credentialin
g and recredentialing of healthcare network providers were executed. Provided le
adership needed to ensure achievement of departmental goals and coordination of
activities with other departments. Analyzed and reported data; met growth object
ives thereby achieving and maintaining market position. Established and maintain
ed relationships with key internal and external customers. Accountable for provi
der education. Set and managed performance targets. Formulated policies and proc
edures. Carried out staff management and development responsibilities for 10 emp
loyees. Accountable for implementation of provider account marketing and busines
s development initiatives in multiple markets.

Key Result:
Successfully implemented the mailing of physician affiliation letters, coordinat
ed education and marketing of providers within the expansion area, thus position
ing the company for the open enrollment sales period.
United HealthCare - Tampa, Orlando and S. Florida
2003 to 2006
* Account Manager (February 2005 to February 2006)
Produced for the Evercare division. Primary focus involved developing existing r
elationships while facilitating growth/retention through client satisfaction and
strong business relationships; leading company direction to generate sales.
Key Result:
Consistently exceeded business development projections for Evercare in South and
Central Florida from 2005 to 2006.
United HealthCare - Sunrise, Florida
* Account Executive (January 2003 to February 2005)
Proactively recruited to initiate the operating framework of one pilot program.
Accountable for contracting network providers. Forged key partnerships with Unit
ed HealthCare affiliates to maximize its Florida's position and consistently gro
w membership book of business.
Key Result:
Recognized as the Top Performer for sales across product lines. Achieved the hig
hest record sales (74) in March, 2004.
HospiceCare of SE Florida - Fort Lauderdale, Florida
2001 to 2003
* Community Liaison (July 2001 to January 2003)
Responsible for this comprehensive referral division of this multi-faceted Flori
da-based hospice program; accountable for contracting referral sources to solidi
fy market position.
Diabetes Support Services - Plantation, Florida
1997 to 2001
* Program Manager (November 1997 to July 2001)
Provided the leadership for this specialized program, encompassing the managemen
t of client/provider needs utilizing a myriad of resources. Accountable for staf
f supervision and development, internal and external communications, analyzing r
eports and provider education. Responsible for contracting providers.
United HealthCare - Miami, Florida
1991 to 1997
* Marketing and Provider Representative (October 1993 to November 1997)
Promoted to this position to develop relationships with key account administrato
rs to advance staff in areas encompassing education and business development for
all existing business, and presentations. Responsible for recruiting and contra
cting network providers.
* Care Coordinator (July 1991 to October 1993)
Provided comprehensive quality care with primary focus on maintaining existing r
elationships.