Gabriela Ornelas Email and Phone Number
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Gabriela Ornelas Work Experience Details
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Director Managed CareMethodist Hospital Of Southern California Jun 2012 - PresentArcadia, Ca, UsEnergetic, friendly, and trustworthy Managed Care Professional. Proven negotiating success with health plans, medical groups and third party payers. Expertise in organized, direct, and consistent approach to negotiations for commercial, Medi-Cal and Medicare product lines. Steady development, maintenance and growth of business relationships with payers; improving satisfaction and fostering growth. -
Director Managed CareDignity Health Jan 2007 - Jan 2012San Francisco, Ca, UsManaged California Hospital Medical Center, Glendale Memorial Hospital & Health Center and selected Dignity Health contracting needs with large and local payers. •Fully executed 97 rate and language Agreements and Amendments for hospital services totaling in excess of $450 M by negotiating on behalf of one to 33 Dignity Health hospitals per negotiation. •Performed financial analysis to support contracting strategies in negotiations, meeting or exceeding set target parameters for HMO, PPO, Medicare, and Medi-Cal lines of business.•Engaged key personnel at medical groups to invigorate and solidify deteriorated relationship to finally close Agreements worth in excess of $132 M.•Resolved contract related operational issues, as liaison with business office, by improving clarity of contracts’ provisions resulting in collections of additional $1.5 M.•Prepared for Annual Audits with L.A. County, large and small Payers and Medical Groups, ensuring each hospital received 100% compliance.
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Manager Of ContractingChildren'S Hospital Los Angeles (Chla) Dec 1995 - Jul 2006Los Angeles, Ca, UsManaged Children’s Hospital Los Angeles contracting needs with payers was progressively promoted during 11 years term.•Restructured BMT rate schedule changing per diem to case rates with stop loss, resulting in 80% revenue increase during first year of implementation.•Fully executed contracts for hospital services totaling $47 M by negotiating with payers, consistently exceeding hospital’s increase mandate.•Executed reference laboratory services agreements to bring $1.8 M annually from hospital’s proprietary testing by negotiating with other providers. •Responded and completed all elements for Requests for Proposal and Requests for Information for BMT and Kidney Transplant Programs to maintain hospital inclusion as Center of Excellence (COE) in payers’ networks as COEs began to develop.
Gabriela Ornelas Education Details
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University Of Southern CaliforniaHealth Administration
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Mount Saint Mary'S UniversityReligious Studies
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Universidad Nacional Autónoma De MéxicoBiology
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Start your free trialFrequently Asked Questions about Gabriela Ornelas
What company does Gabriela Ornelas work for?
Gabriela Ornelas works for Methodist Hospital Of Southern California
What is Gabriela Ornelas's role in his/her workplace?
Gabriela Ornelas's role in his/her workplace is Managed Care Professional │Builds Relationships To Facilitate Negotiating Process For Healthcare Services.
What is Gabriela Ornelas's email address?
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What is Gabriela Ornelas's direct phone number?
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What schools did Gabriela Ornelas attend?
Gabriela Ornelas attended University Of Southern California, Mount Saint Mary's University, and Universidad Nacional Autónoma De México .
What is Gabriela Ornelas's role in his/her workplace?
Gabriela Ornelas has skills like Managed Care, Medicare, Healthcare Management, Hospitals, Network Development, Ppo, Healthcare Consulting, Healthcare Information Technology, Healthcare Industry, Healthcare, Medicaid, Revenue Cycle, Hipaa, Physician Relations, Utilization Management, Health Insurance, Contract Negotiation, Provider Relations, Business Development, Strategic Planning, Process Improvement, Marketing Strategy, Marketing, Patient Safety, Provider Contracting, Healthcare Services Negotiator, Compliance, and Bilingual Spanish.
Who are the industry peers of Gabriela Ornelas at other companies?
Gabriela Ornelas's peers at other companies are Marisol Flores, Yanet O., Todd Taylor, Paula Kirchner, Paul Katz, and Ira Forkish. and Soledad Castillo. Gabriela Ornelas's peers at other companies are Marisol Flores, Yanet O., Todd Taylor, Paula Kirchner, Paul Katz, and Ira Forkish. and Soledad Castillo.
