Aimee Davidson

Healthcare operations and provider network professional with extensive experience in provider relations, network adequacy, contracting support, and managed care operations. Proven ability to manage high‑volume workflows, ensure regulatory compliance, strengthen provider partnerships, and support statewide network initiatives. Recognized for exceptional organization, relationship management, and delivering accurate, timely results in fast‑paced environments.

Account Executive II - AmeriHealth Caritas Pennsylvania

(2023-01)

• Manage statewide network adequacy, including monthly OPS‑5 map analysis, PROMISe registration review, and provider recruitment outreach.
• Completed and submitted 300+ network adequacy reports to the state, documenting compliance and outreach efforts.
• Oversee the ACP contracting mailbox, ensuring timely processing of provider applications and maintaining organized workflows.
• Communicate with prospective providers regarding contracting requirements, credentialing documentation, and fee schedules.
• Review, summarize, and maintain provider network management policies.
• Prepare and submit quarterly OPS‑11 Provider Education Reports.
• Provide operational and administrative support to Account Executives.
• Build and maintain strong professional relationships with providers and health systems.
• Coordinate provider outreach and engagement to support network growth and adequacy.
• Manage multiple concurrent projects with strong organizational and analytical skills.

Account Executive - AmeriHealth Caritas Pennsylvania

(2021-08 - 2022-12)

• Developed and maintained provider relationships across Northampton, Lehigh, Schuylkill, Carbon, and Monroe counties.
• Strengthened provider partnerships through proactive communication and issue resolution.
• Negotiated and executed single‑case agreements with non‑participating providers.

Assistant Operations Manager - Cedarbrook Senior Care & Rehab – County of Lehigh

(2017-01 - 2021-12)

• Prepared and maintained employment records related to hiring and termination.
• Managed a team of 10 staff within the financial department.
• Oversaw daily office operations and implemented efficient office procedures.
• Conducted financial interviews and submitted applications for residents.
• Collaborated with the Department of Human Services on applications and appeals.
• Managed billing and collection of monthly charges.

Assistant Business Office Manager - HCR ManorCare

(2016-01 - 2017-12)

• Planned and prepared workloads for month‑end close processes.
• Trained and supervised a team of five staff members.
• Processed and billed medical assistance approvals.
• Managed monthly private‑pay collections.
• Completed daily census reports.

Assistant Business Office Manager - HCR ManorCare

(2014-01 - 2015-12)

• Assisted families with medical assistance applications.
• Maintained accurate application records and tracked DHS notices.
• Identified and implemented process improvements to increase efficiency.

Receptionist / Accounts Payable - HCR ManorCare

(2014-01 - 2014-12)

• Answered and directed incoming calls.
• Managed reception area inventory and provided administrative support.
• Reviewed and verified invoices and check requests.
• Researched invoice discrepancies and monitored payment status.

Administrative Assistant – Outpatient Therapy - HCR ManorCare

(2013-01 - 2014-12)

• Managed day‑to‑day recordkeeping for physical therapists.
• Supported employee initiatives, projects, training, and events.
• Assisted with month‑end billing and related activities.
• Supported payroll tasks for a team of 10 therapists.
• Oversaw office administration for the therapy department.

High School Diploma - Bethlehem Catholic High School (2005-12)