Certificate Program: Payer Contracting – on demand

Penny Noyes brings four decades of healthcare related experience to medical practices on both the payer/MCO and provider sides of the industry. Since 1999, when Ms. Noyes founded HBN, she has been working with a variety of healthcare-related clients who require assistance with payer contracting and credentialing. She has written and executed business plans, renegotiated managed care agreements, provided market exposure, improved client revenue and increased the bottom line. She is sought after by numerous organizations to provide opinions on hot issues for periodicals and to do educational seminars on the topics of payer contacting and credentialing as she brings her "roll up the sleeves," candid approach to material presented.

Ms. Noyes has held various leadership positions throughout her career in healthcare. She served as Senior Vice President of Business Development for a venture capital backed start-up, U.S. HealthWorks, a practice management company specializing in occupational medicine where she was able to negotiate both improved reimbursement and achieved delegated credentialing with all payers for nearly 100 clinics in 7 states representing nearly $100 million in annual revenue. Prior to that she spent 11 years at Allmerica Financial, an $11 billion insurance and financial services company, where she was an Assistant Vice President responsible for product development of health plans nationwide, as well the contracting and credentialing of 180,000 providers nationwide. While at Allmerica she also led a project related to the development of PHCS in collaboration with 17 other health insurance companies. Earlier in her career she worked at Blue Cross of Massachusetts for 6 years on development and marketing of fully insured and self-funded health plans and HMO products, including some of the earliest Medicare risk based plans.

Amanda is a graduate of Western Kentucky University and University of Kentucky Law School, J. David Rosenberg College of Law. She has been working at Health Business Navigators since her law school graduation in 2015 and, since that time, has become one of the country’s most seasoned and knowledgeable payer contracting specialists.  As an attorney she is a member of the Kentucky Bar Association and the Bowling Green/Warren County Bar Association, but does not currently engage in private practice nor act in the capacity of providing legal advice. Instead, she has become known for her diligence in the obstacle-ridden process of gathering payer agreements and fee schedules, analyzing  key data and contract terms that have been collected and verified, and turning the new found information into the foundations of successful payer contracting strategies and the associated negotiations, including determining the impact of payer offers and modeling counter offers, as well as reviewing final contracts or amendments to determine if they reflect the negotiated terms.

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm in Asheville, N.C. Doral is a seasoned healthcare consultant with more than 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for what's next. Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle. She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2021. She has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is theco-author of MGMA's book Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016. 

Nate Moore, CPA, MBA, FACMPE, speaks, consults, records and writes about business intelligence in medical practices throughout the country. Nate’s book, Even Better Data, Better Decisions: Advanced Business Intelligence for Medical Practices, is an MGMA best seller. Nate’s consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge.

Nate creates a series of powerful Excel Videos at mooresolutionsinc.com demonstrating how to use Microsoft Excel in a medical practice. Excel Videos have been viewed thousands of times by practice managers across America. Nate also moderates the Excel Users MGMA Community, the online resource for practice administrators to collaborate about Microsoft Excel.