Thomas Faltz
Vail
Summary
Dynamic Senior Interoperability Solutions Manager at UnitedHealthcare with expertise in relationship management and project execution. Proven track record in enhancing provider engagement through tailored interoperability solutions, driving improved performance metrics. Adept at cross-functional collaboration and data analysis, delivering strategic value to health systems while fostering trusted partnerships.
Overview
20
20
years of professional experience
Work History
Senior Interoperability Solutions Manager
UnitedHealthcare
11.2021 - 05.2025
- Developed and maintained strong relationships with key stakeholders and champions at targeted health systems through regular communication of specific offerings available.
- Gained project by in by providing tailored value and solutions to meet their specific business needs.
- Provided effective internal communications on projects including team members across involved areas to ensure effective project kickoff, scope and workgroups.
- Engaged in project throughout implementation to provide clarity and to mitigate issues or delays.
- Continued engagement with health systems post go live to provide value data from connection.
Network Engagement Manager
UnitedHealthcare
03.2020 - 11.2021
- Managed pipeline of providers to engage with available interoperability solutions.
- Initiated implementations of interoperability solutions specific to providers Electronic Health Record.
- Collaborated with internal departments such as contracting, advocacy and quality to provide one consistent message from the organization regarding the solutions.
- Provided data-driven strategies for continuous value discussions with the providers, leading to improved performance metrics.
Hospital and Facility Advocate
UnitedHealthcare
08.2012 - 02.2020
- Established trusting relationships with assigned provider health systems by maintaining open lines of communication for education and issue resolution.
- Review of complex operational issues needing various resolution pathways to mitigate pain points.
Senior Provider Relations Advocate
UnitedHealthcare
05.2011 - 08.2012
- Provided support to contracted providers as liaison with the Health Plan.
- Ensured provider compliance with AHCCCS regulations.
- Conducted presentations of AHCCCS guidelines to large numbers of provider attendees to ensure compliance.
Provider Network Executive II
Premera Blue Cross Of Washington
06.2009 - 05.2011
- Responsible for provider contracting of large key and strategic health system accounts.
- Managed network that totaled over $400 million in annual allowed dollars.
- Negotiated all agreements under budget and to plan standards with multiple reimbursement methodologies.
Provider Network Executive
Lifewise Health Plan of Arizona
04.2005 - 03.2009
- Developed strategy for building and implementing new provider network for all of southern Arizona.
- Negotiated and executed provider contracts to service plan members.
Education
No Degree - General Studies
Red Rocks Community College
Denver, COHigh School Diploma -
Homestead High School
Mequon, WISkills
- Relationship Management
- Project Management
- Cross-functional team coordination
- Interoperability Solutions knowledge
- Trusted Advisor
- Data Analysis
Timeline
Senior Interoperability Solutions Manager
UnitedHealthcare
11.2021 - 05.2025
Network Engagement Manager
UnitedHealthcare
03.2020 - 11.2021
Hospital and Facility Advocate
UnitedHealthcare
08.2012 - 02.2020
Senior Provider Relations Advocate
UnitedHealthcare
05.2011 - 08.2012
Provider Network Executive II
Premera Blue Cross Of Washington
06.2009 - 05.2011
Provider Network Executive
Lifewise Health Plan of Arizona
04.2005 - 03.2009
No Degree - General Studies
Red Rocks Community College
High School Diploma -
Homestead High School
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