+Proven leader in provider contracting and provider network and ACO development. +Expertise in contract strategy development, negotiation and financial/utilization analysis. +Experienced driver of partnerships that support organizational goals for improving quality and cost performance. +Extensive experience with both risk-based and non-risk reimbursement mechanisms. +Effective communicator with various constituencies: physicians, administrators and strategic partners. +Proven effective team leader and manager.

Director, Provider Contracts @ From June 2015 to Present (3 months) Greater Seattle AreaRegional Manager, Provider Contracting @ Negotiate complex provider contracts with hospitals, physicians and other healthcare providers. Develop contract strategies including incentive structures and risk sharing arrangements that move contract relationships along the value based contracting continuum. Lead deployment of provider engagement programs focused on improving quality (as measured by HEDIS metrics), managing cost (as measured by improvement in PMPM costs or relevant utilization metrics for targeted care areas) and improving documentation and coding practices (as measured by HCC risk adjustment scores). Identify opportunities and implement contract structures that support collaborative care and care delivery redesign. In collaboration with the operations team, build and maintain long-term relationships with contracted providers. Led provider network development for service area expansion for Clallam and Jefferson counties for Group Health's Medicare Advantage PPO product. Represent Provider Contracting on multidisciplinary corporate work teams including the Medicare Value Stream team. Manage contract staff for Group Health’s Western Washington contracting team and the KPS contracting team. From January 1990 to Present (25 years 8 months) Greater Seattle AreaHealthcare Management Consultant @ From 1988 to 1990 (2 years) W.J. Pennington Administrative Fellow @ From 1987 to 1988 (1 year)

MHA, Healthcare administration @ University of Washington From 1985 to 1987 1984, Human Biology @ Stanford University From 1980 to 1984 Heidi Nelson is skilled in: Medicare, Hospitals, Healthcare Consulting, Health Policy, Health Insurance, Provider Relations, HMO, PPO, Medical Coding, Physician Relations, Performance Improvement, Physicians, Quality Improvement, Patient Safety, EHR, Pharmacy Benefit..., Network Development, Pharmacy, Medicine