K

Kim Sweers

CEO

Long Beach, California, United States32 yrs 5 mos experience
Highly Stable

Key Highlights

  • Over 30 years in healthcare provider network management.
  • Expert in value-based contracting strategies and analytics.
  • Strong leadership in complex contract negotiations.
Stackforce AI infers this person is a Healthcare Executive with extensive experience in provider network management and strategic planning.

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Skills

Other Skills

AnalyticsClaimDisease ManagementEHRHIPAAHMOHealth InsuranceHealth PolicyHealthcareHealthcare ConsultingHealthcare IndustryHealthcare Information TechnologyHealthcare ManagementHospitalsInformatics

About

Kim Sweers brings over 30 years of progressive health care experience in provider network management, strategic planning and leadership, complex contract negotiations, strong communication and relationship skills. Kim has worked in every aspect of provider network development from builds in new health plans to augmenting networks in existing health plans for new market opportunities for Commercial, Senior and Medicaid lines of business. Kim has developed enterprise wide Value Based Contracting strategies, contract templates and analytic capabilities with an emphasis on overall transparency, data-driven decision making and sustainable financial models with partner physician and hospitals throughout the country. Kim’s extensive experience includes standardized provider agreements, contract management technology solutions, unit cost contract improvement locally and nationally, provider relations management, claims system configuration and claims payment integrity

Experience

National charity league, inc.

2 roles

President

Promoted

Jun 2024Present · 1 yr 9 mos

President Elect

Jun 2021Jun 2024 · 3 yrs

Agilon health

Senior Vice President, Payor Contracting

Jun 2021Present · 4 yrs 9 mos · Long Beach, California, United States

Molina healthcare

Vice President, Network Strategy and Services

Jun 2005Jun 2021 · 16 yrs

Pacificare health systems

Director Network Management

Aug 1994May 2005 · 10 yrs 9 mos

Takecare health plan

Contract Manager

Oct 1993Aug 1994 · 10 mos

Education

California State University-Dominguez Hills

BA — Psychology

Jan 1990Jan 1993

California State University-Dominguez Hills

BS — Sociology - Criminal Justice

Jan 1990Jan 1993

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