
Peggy Sue Carpenter
I am a life-long learner and I offer a rich employment history of success working as part of... | West Sacramento, California, United States
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Peggy Sue Carpenter’s Emails ca****@su****.org
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Peggy Sue Carpenter’s Location West Sacramento, California, United States
Peggy Sue Carpenter’s Expertise I am a life-long learner and I offer a rich employment history of success working as part of various healthcare contract management teams for Covered California SBE, Blue Shield, Sutter Health, and Aetna/CVS etc. I thrive in an environment where creative contracting offers me the opportunity to fully use my knowledge of the entire contracting process including contract monitoring and management principals government policies, and procedure development to enhance contract profitability and strengthen stakeholder relationships. For the past 12 years, I have used these skills to help deliver large scale multi-million dollar healthcare provider contracts, produce significant costs savings, and positively impact healthcare payment reform while also improving equity and quality healthcare metrics. I am a consummate professional and teamwork, attention-to-detail, and a solid grasp of risk analysis, Value Based Care (VBC), Alternative Payment Methodology (APM), price modeling, cost management, contract implementation, audit, and compliance practices form the foundation of my success. I am skilled in evaluating and communicating complex contract data; identifying issues impacting revenue growth and profitability; and helping negotiate changes to codified services, compensation schedules, proformas and related network provider systems issues. In addition, I possess excellent negotiating skills and multifaceted experience managing diverse analytical projects involving government, hospital, ancillary and physician contacts. I also take great pride in being a key healthcare contract knowledge resource for less experience employees and in my ability to provide training or mentoring to help others to learn and grow. Companies seeking a talented professional to be a part of their contract management and contract analysis team will discover that I easily build trusting relationships with key internal cross-functional teams, external partners, clients, and other stakeholders to produce contracts that ensure “win-win” outcomes for all parties and help companies achieve their mission. • Healthcare Provider Contracting • Contract Management • Data & Financial Analysis • Risk Analysis • Price Modeling • Cost Management • Contract Compliance • Government Policy • Contract Auditing • Contract Negotiations • Technical Writing • HEDIS, CMS QRS & NCQA • Strong Decision Maker • Problem Solver • Creative & Resourceful • Innovative and Intuitive • Positive, Can-Do Attitude • Working Collaboratively & Cross Functionally • Presentation Skills
Peggy Sue Carpenter’s Current Industry Covered California
Peggy
Sue Carpenter’s Prior Industry
Homeq
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Nehemiah Corporation Of America
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Nfinit Solutions
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Calhfa State Agency
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Wells Fargo Insurance Services
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Aetna
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Sutter Health
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Blue Shield Of California
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Covered California
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Work Experience

Covered California
Sr. Equity and Quality Specialist (HPS II)
Sat Jul 01 2023 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Blue Shield Of California
Provider Contracting Specialist, Sr.
Mon Aug 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Jul 01 2023 00:00:00 GMT+0000 (Coordinated Universal Time)
Sutter Health
Contract Analyst
Tue May 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Aug 01 2022 00:00:00 GMT+0000 (Coordinated Universal Time)
Aetna
Network Relations Consultant
Mon Dec 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue May 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time)
Aetna
Provider Data Services Sr. Analyst
Wed May 01 2013 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Dec 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Wells Fargo Insurance Services
Operations Analyst II
Fri Apr 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed May 01 2013 00:00:00 GMT+0000 (Coordinated Universal Time)
Calhfa State Agency
Loss Mitigation Specialist
Sat May 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Apr 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time)
Nfinit Solutions
Product Analyst
Wed Apr 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Apr 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time)
Nehemiah Corporation Of America
Lead Funding Specialist
Mon Apr 01 2002 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Apr 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time)
Homeq
Payoff Specialist
Fri May 01 1998 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Apr 01 2002 00:00:00 GMT+0000 (Coordinated Universal Time)