Amy M. Edgar
Analytics and Credentialing Assistant
Amy, one of our newest team members, joined Managed Care Partners in September 2019. Amy creates contract reimbursement summaries for clients and verifies the accuracy of the licensing of contracted hospital personnel. She is responsible for Medicare and Medicaid monthly reports along with yearly Medicare Advantage client reports. She also assists the Managed Care Partners team with other projects, as needed.
Amy has 10 years of accounting experience as well as 30 years in the customer service industry.
Pamela A. Radcliffe
Analytics & Operations Administrator
At Managed Care Partners, Pamela collects, organizes and helps analyze health & productivity utilization data, assists with the preparation of physician fee schedule summaries and compiles other associated analytical reports. She is also responsible for preparing financial statements and reports for client physician hospital organizations.
In addition to her client responsibilities, Pamela oversees all administrative functions of Managed Care Partners and maintains accurate books on accounts payable and receivable, financial entries and reconciliations. She also directly handles financial matters such as client billing, financial reporting, general ledger entries and banking.
Janet M. Popp
Janet joined Managed Care Partners in 2014 after nineteen years with IBM Corporation and IBM Global Financing and also has a background in the residential real estate and personal insurance industries. She utilizes her skills in account management, business controls analysis, auditing and quality control to field client queries and requests, coordinate the production, delivery and execution of payer contracts, compile credentialing information and create and maintain corporate records for client physician hospital organizations.
In addition, Janet assists in the creative development and quality control of Managed Care Partners’ marketing and presentation materials as well as various client deliverables.
Janet received her Bachelor of Arts degree in Literature/Communications from Illinois Benedictine College.
Katherine has worked in the insurance field for 15 years, and has extensive credentialing experience and expertise in the field of managed care, working with Managed Care Organizations as well as Credentials Verification Organizations.
Her vast knowledge includes network development, credentialing, and contracting of all provider types: Hospital, D&T Centers, Physician, Mental Health, and both individual and group. Katherine provides essential support to Managed Care Partners through comprehensive and effective project management.
Katherine received a Bachelor of Science degree in Healthcare Management from Atlantic International University.
JD, Assistant Vice President
Mata employs her legal education and experience with Managed Care Partners to advocate for providers. In addition to evaluating and negotiating payer agreements, Mata researches laws affecting providers and provider networks, seeks to resolve payer-provider reimbursement disputes, and participates in developing and implementing managed care contracting strategies for the firm’s clients.
With Managed Care Partners since 1994, Mata’s other work experience includes the Labor and Employment Division of the Cook County State’s Attorney’s Office.
Mata earned her law degree at Chicago-Kent College of Law and is licensed to practice law in Illinois. She holds a Master of Arts degree from DePaul University and a Bachelor of Arts degree in Political Science, also from DePaul
Keith is President and owner of Managed Care Partners. Under Keith’s leadership, Managed Care Partners is continuing its focus of helping small to mid-size hospitals and health systems improve their reimbursement strategies. Managed Care Partners also strives to improve the partnership between the payers and the rural hospitals in order to help rural hospitals and health system thrive, while emphasizing the high-quality care that the community hospital brings to their communities.
In addition to his responsibilities as President, Keith is the leader of our Health & Productivity Program and Direct to Employer Marketing. This initiative is based on the premise that long-term control of health care costs can only be achieved through better health. Consequently, the program begins with a strong primary care-patient connection which is supplemented by assessment of each patient’s and the group’s health, aggressive efforts to improve health, a wide range of tools to enhance member engagement, continuous improvement of the program and provider performance, extensive collection and analysis of data and proactive plan management. With Keith’s assistance in the implementation of the Health & Productivity Program, our client providers have the opportunity to increase revenues and market share by helping employers bend their health care cost curve.
Prior to joining Managed Care Partners, Keith worked in the insurance industry, assisting businesses, public entities and non-profit organizations control costs and identify and reduce exposure to loss through the application of insurance, self-insurance, and risk management techniques.
Keith received his Bachelor of Science degree in Education and Psychology from Eastern Illinois University.