Pieter Rijken

Interim Manager Network Development for Denver Health

Facilitate and direct contract negotiations with all provider types throughout West Florida • Develop and manage staff to achieve business goals for network contracting and provider services • Maintain simulation and Monitoring & Evaluation (M&E) programs that support negotiations and continuous improvement of pricing and payment capabilities • Support management and compliance with Florida Blue payment, reimbursement and contract loading standards, policies and procedures • Perform ad hoc problem s

Interim management firm specializing in network consulting services for healthcare related companies • Developed Network Business plan for a TPA in Lakeland, FL. • While serving as interim operations manager for Chakra Info Solutions, a medical billing company based in Chennai, India, initiated migration from manual system of data recording to SQL Server based data warehousing software, saving man hours and eliminating 90% of errors.

Oversight of network development, contracting and maintenance for 10 counties in Central Florida, managed, trained and coached 8 FTE's in two locations (Orlando and Tampa), responsible for P&L and departmental budgets and since March 2007 Acting Director for Central Florida Network Department. • Executed Board’s strategic directive, which doubled number of contracted providers (from 3369 to 6841) in 12 months, while membership remained constant at 10,000.

Conduct preparation classes and coach candidates for the GMAT exam at the MBA Center Munich with a guaranteed 150 point increase in test score

Lecturer in American Healthcare

Strategic Management Negotiations