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Presbyterian Provider Network Contact Guide

Presbyterian Provider Network Contact Guide Your Guide to Presbyterian 's Provider Network Management Department This Contact list was designed to help you get in touch with Provider Network Management (PNM). Due to the large number of healthcare professionals and providers that we serve on behalf of Presbyterian , we have used several methods to assign our staff to the Network . General Contact Information for Provider Network Management*. Provider Network Management Leadership Team 3. Provider Network Management Relationship Management Team 4. Provider Network Management Long-term Care Team 5.

Presbyterian Provider Network Contact Guide Your Guide to Presbyterian’s Provider Network Management Department

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Transcription of Presbyterian Provider Network Contact Guide

1 Presbyterian Provider Network Contact Guide Your Guide to Presbyterian 's Provider Network Management Department This Contact list was designed to help you get in touch with Provider Network Management (PNM). Due to the large number of healthcare professionals and providers that we serve on behalf of Presbyterian , we have used several methods to assign our staff to the Network . General Contact Information for Provider Network Management*. Provider Network Management Leadership Team 3. Provider Network Management Relationship Management Team 4. Provider Network Management Long-term Care Team 5.

2 Behavioral Health Team 5. Provider Network Development Team 6. Assigned Relationship Executive by Specialty, Facility and/or Location Behavioral Health 8. Hospitals (statewide) 11. Multi-specialty Groups (statewide) 13. Medical Specialty (Bernalillo, Sandoval, Torrance and Valencia) 17. Counties outside Bernalillo, Sandoval, Torrance and Valencia, including Behavioral Health 22. Long-term Care Network 29. *Note: If you cannot reach your Provider Network Management relationship executive, service associate, or Network contract manager, please Contact the Presbyterian Customer Service Center at (505) 923-5757 or 1-888-923-5757 for assistance.

3 PPC011407 Updated 6/11/18. 2. Provider Network Management Contact Guide Provider Network Leadership Team Steve Tafoya Steve directs the establishment and maintenance of collaborative Director of Provider Services and relationships with Presbyterian 's Network of healthcare professionals Contracting and providers. He leads the design, deployment and monitoring Provider Network Management of strategies and programs that support and serve healthcare (505) 923-8402 professionals, providers and their staff. Steve also oversees Provider contracting to ensure a robust Network of providers for member access.

4 Janelle Atcitty Janelle serves as the liaison for Native American Affairs with internal Director, Native American Affairs and external customers, the Human Services Department (HSD), Centennial Care other state agencies, legislators and the public. She is accountable (505) 923-5854 for developing effective partnerships with Indian Health Services (IHS), the Bureau of Indian Affairs, the New Mexico Indian Affairs Department, intertribal organizations and other federal agencies. Amber Grewal Amber manages the team of Magellan Health Services field Network Regional Network Director employees comprised of both Provider relationship liaisons and Behavioral Health Provider contracting personnel.

5 She leads the development and (505) 923-6852 deployment of programs, strategies and initiatives for our Network of behavioral health providers. Brittany Maldonado Brittany oversees the Centennial Care long-term care program. She is Director the liaison for internal and external customers, reporting to HSD and Long-term Care other governing bodies. She leads the strategies and initiatives for our (505) 923-8127 Network of long-term care providers. Open Position The manager oversees Provider engagement and education and Manager the development and facilitation of activities related to new Provider Provider Network Management training.

6 The manager directs communications with auditors, organizations, employees, consultants and providers. He/she also ensures the accuracy of Provider data and Provider directories. Back to Top 3. Provider Network Management Contact Guide The PNM Relationship Management team manages relationships and provides support to our Network of healthcare providers. The team consists of supervisors, relationship executives and service associates. We strive to provide an exceptional experience for our providers and members. Provider Network Management Supervisors Sandra Roane, Supervisor Erica Lopez, Supervisor (505) 923-5636 (505) 923-5145.

7 Physical Health Relationship Management Team Gina Romero, Relationship Executive (505) 923-8815 Stacey Sullivan, Service Associate (505) 923-5244 Lilly Aaron, Relationship Executive (505) 923-8496 Francesca Wilton, Service Associate (505) 923-5406 Taneil Tanuz, Relationship Executive (505) 923-5292 Stacey Hughes, Service Associate (505) 923-5171 Open, Relationship Executive Andrea Franco, Service Associate (505) 923-2827 Melissa Apodaca, Relationship Executive (505) 923-8353 Veronica Baca, Service Associate (505) 923-8684 Tanya Sanchez, Relationship Executive (505) 923-5649 Tammy Baca Clark, Service Associate (505) 923-5480 Back to Top 4.

8 Provider Network Management Contact Guide Long-term Care Relationship Management Team Crystal Gonzales, Relationship Executive (505) 923-5075 Naomi Parra, Relationship Executive (505) 923-5794 Lisa Goodman, Relationship Executive (505) 923-5424 Adam Bailey, EVV Relationship Executive (505) 923-5407 Orlando Gonzalez, EVV Relationship Executive (505) 923-6205 Indian Health Services Relationship Management Team Loren C. Allison, Relationship Executive (505) 923-8289 Calandra Willie, Service Associate (505) 923-8782 Behavioral Health Relationship Management Team Adam Saxton, Field Provider Relations Manager (505) 923-6752.

9 Nicole Castillo, Senior Provider Liaison (505) 923-8838 Raymond Jones, Provider Liaison (505) 923-6754 Jessica Taylor, Provider Liaison (505) 923-6761 Amy Hallquist, Area Contract Manager (505) 923-6746. Gerald Scheibe, Senior Network Contract Specialist (505) 923-6756 Robert Suslowicz, Network Contract Specialist (505) 923-6760 LuzDael Siegler, Contract Specialist (505) 923-6757 Adrienne Duran, Contract Specialist (505) 923-8520 Back to Top 5. Provider Network Management Contact Guide Provider Network Development Team Valerie Marrujo, Manager of Contracting (505) 923-5412.

10 Danielle Baca, Administrative Support (505) 923-8584 Glenda Davis, Contract Compliance Coordinator (505) 923-8376 Anita Purcella, Network Contract Manager (505) 923-5442 Charlie Tinker, Network Contract Manager (505) 923-8195 Ingrid Martinez, Network Contract Manager (505) 923-5408 Mary Gale Holmes, Network Contract Manager (505) 923-5967 Monica Hubert, Network Contract Manager (505) 923-2828 Steven Henderson, Network Contract Manager (505) 923-6540 Back to Top 6. Provider Network Management Contact Guide Assigned Provider Network Management Relationship Executive by Specialty, Facility and/or Location Provider Network Management Behavioral Health (Magellan Health Services).


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