Senior Network Development Manager
June 2015 to Present
Network Management, Provider Contracting
June 2011 to June 2015
RJ & Makay
Sourcer/Jr Recruiter/Executive Assistant Benefits & Payroll Administrator
2010 to 2011
Colorado Springs, Colorado Area
2007 to 2009
Assistant Team Lead and Product Knowledge Educator
2006 to 2007
Greater Minneapolis-St. Paul Area
Specialty Pharmacy Representative
2000 to 2004
What company does Rachele Siemonsma work for?
Rachele Siemonsma works for Kaiser Permanente
What is Rachele Siemonsma's role at Kaiser Permanente?
Rachele Siemonsma is Senior Network Development Manager
What industry does Rachele Siemonsma work in?
Rachele Siemonsma works in the Health, Wellness and Fitness industry.
Senior Network Development Manager @ From June 2015 to Present (7 months) Network Management, Provider Contracting @ • Manages contracting with providers including strategic positioning within markets and developing networks. • Recruits physicians into the Cigna Network for Mountain States region. • Conducts negotiations and drafts individual, group, ancillary and Independent Practice Association (IPA) contracts. • Manages projects for Affordable Care Organization (ACO) programs. • Knowledgeable in HMO, PPO, OAP, Narrow Network and Self-Funded product lines. • Coordinates multiple projects partnering with Sales, Medical Economics, Senior Medical Director and Client Services. • Manages vendor integration projects. • Healthcare account manager for all rural Colorado Independent Practice Associations (IPA). • Assists in resolving elevated and complex provider service complaints. • Initiates and maintains effective channels of communication with providers and related staff. • Demonstrates knowledge of providers in assigned geographic areas and understands interrelationships among providers in local market. From June 2011 to June 2015 (4 years 1 month) Sourcer/Jr Recruiter/Executive Assistant Benefits & Payroll Administrator @ • Used various recruiting tools to identify passive candidates for multiple financial job types. • Initiated contact and phone screened prospective candidates. • Coordinated interviews with appropriate managers. • Debriefed managers and refined search criteria based on feedback post-interview. • Engaged candidates and managers in compensation discussions and negotiations. • Coordinated new-hire office equipment and workspace set up. • Acted as basic Benefits Administrator for new hires. • Managed Unemployment processing and coverage in various states. • Acted as Payroll Administrator for company of 25-40 employees (payroll was processed by ADT). • Managed marketing materials and social media presence. • Developed and implemented training manual for all Meeting Facilitator Associates and Recruiters. • Provided initial set up and technical support for all incoming and existing employees. From 2010 to 2011 (1 year) Colorado Springs, Colorado AreaFinancial Services @ From 2007 to 2009 (2 years) Assistant Team Lead and Product Knowledge Educator @ • Assisted in the recruiting and retention of staff. • Acted as Payroll Administrator for store of 7 employees. • Participated in Workforce Planning process. • Processed inventory needs on a weekly basis. • Coordinated new hire paperwork. • In-store product knowledge educator. • Achieved, maintained and exceeded personal and daily sales goals. From 2006 to 2007 (1 year) Greater Minneapolis-St. Paul AreaSpecialty Pharmacy Representative @ • Coordinated care for post-op Specialty Pharmaceutical needs (i.e. Heparin, injection education). • Responsible for interpretation of policy provisions for medical and pharmaceutical coverage. • Demonstrated knowledge of benefit plans in relation to pharmaceutical and medical coverage. • Worked with medical necessity reviewer team providing first level authorization review. • Served on Operational Trouble Shooting team that decreased processing time by 50% and reduced billing errors. . From 2000 to 2004 (4 years) Rachele Siemonsma is skilled in: Managed Care, Healthcare Management, Hospitals, Disease Management, Negotiation, Provider Relations, Employee Engagement, Analytical Skills, Health Insurance, Healthcare Information Technology, Medicare, Leadership, HIPAA, Interviews, Medicaid
Extraversion (E), Intuition (N), Thinking (T), Judging (J)
2 year(s), 1 month(s)
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