
Gary Smiley
Progressive, strategic Healthcare Manager with a proven reputation for building valuable relationships. With emphasis on Business Development, post... | San Leandro, California, United States
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Gary Smiley’s Emails gs****@ly****.com
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Gary Smiley’s Location San Leandro, California, United States
Gary Smiley’s Expertise Progressive, strategic Healthcare Manager with a proven reputation for building valuable relationships. With emphasis on Business Development, post sales engagement, network management and clinical recruitment. Maintaining direct relationships with contracted network of Physicians, Vendors and Hospitals. With Public Relations Liaison, Network Management, Population Health and Sales, experience that solves business challenges and drives results. Connect with me at: ►►►[email protected]◄◄◄ **************** To brainstorm and collaborate, feel free to call me at 510.828.1615 or email me at [email protected] Skilled at massaging complex provider issues, aligning goals with strategy and empowering integrated (creative and technical) teams to deliver Keen eye for streamlining processes and increasing productivity Very personable, can-do leadership style; poised under pressure Superior consultative and communications skills Strategic efforts to enhance physician network, growth, and retention Provider/vendor negotiations Covered California Contract Negotiations for Emergency Transportation Services and DME vendors, management of health plan payor relationships of over 280 directly contracted groups (i.e., PCP’s, Specialist, hospitals and Ancillary groups), Provider training on Healthcare Effectiveness Data and Information set (HEDIS) measures which led to passing accreditation by NCQA. Expert proficiency in the following areas: Multi-level understanding of Medicare, Medi-Cal and Commercial insurance Products and these products relate directly to the health plan and provider, and HEDIS measures. Regulatory requirements affecting healthcare. With over 10 years of Healthcare Experience ranging from managed care, Home Health and SNF level care, to DME. Medical Device, Biotech...including Health Plan enrollment, reimbursement, Medi-Cal and CMS regulations. Title 22, Title 10, Ingenix, Milliman Care Guidelines, Rally, Zendesk, MailChimp, Box.
Gary Smiley’s Current Industry Lyra Health
Gary
Smiley’s Prior Industry
Adorno Mobility
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Brannons Medical
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Alameda Alliance For Health
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Basehealth
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Health Net Federal Services
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Lyra Health
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Work Experience

Lyra Health
Manager, Provider Network Development
Fri Jan 01 2021 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Lyra Health
Senior Strategist Provider Network Development
Thu Nov 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Dec 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time)
Health Net Federal Services
Network Development Manager (Contract)
Thu Mar 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Nov 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time)
Basehealth
Manager, Customer Success and Business Development
Tue Apr 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Sep 01 2017 00:00:00 GMT+0000 (Coordinated Universal Time)
Alameda Alliance For Health
Provider Relations Representative
Mon Oct 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Apr 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Alameda Alliance For Health
Lead Authorization Unit Specialist
Mon Jan 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Jan 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time)
Brannons Medical
Client Account Manager
Sun Aug 01 2004 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Oct 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time)
Adorno Mobility
Lead Customer Service Representative
Wed Jan 01 2003 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Jan 01 2004 00:00:00 GMT+0000 (Coordinated Universal Time)