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Provider Relations and Provider Engagement

Meet the SilverSummit Healthplan Provider Relations and Provider Engagement Teams

 

Jessica Martyniuk

Provider Relations Specialist – Northern Nevada

Hospitals/CAH (all counties excluding Clark and UHS facilities)
Hospitalists, ASCs, SNFs/LTAC/Rehab/Home Health, Urgent Care Facilities, Medical Transport, Air Ambulance, Rural Health Clinics - for Medicaid, Ambetter and Wellcare (Medicare) (all counties excluding Clark)

I have been in the healthcare industry for almost 14 years. Working my way up from Customer Advocate in a call center, to Operations/Process Expert, to Process Improvement and Product Ownership for the Anthem Federal Employee Program. What I enjoyed the most over the years was being able to work one on one with Members and Providers, and helping to make their experience with the company, a positive and beneficial one. What brought me to Centene is an appreciation for their format and company values where I can continue to work directly with Providers and play a key role in the company's success, but with a more personable approach. I'm excited to be here, and for the opportunity to serve and grow with my community.

 

Karina Torres

Provider Relations Specialist – Northern Nevada

PCP Groups (all counties excluding Clark and Rural Health Clinics)
FQHCs, Behavioral Health/CCBHCs/IMD/Crisis Stabilization Centers, Ob-Gyn, Pediatrics and Pediatric Sub-Specialties, Labs, DMEs, Specialties for Medicaid, Ambetter and Wellcare (Medicare) (all counties excluding Clark)

I entered the medical industry to explore my passion for helping those in need and making a difference in their lives. In addition to my primary job functions, I am driven, dedicated, and committed to the diversity that healthcare brings especially in terms of working with different specialties and people from different backgrounds that come together to benefit both patients as well as providers. I currently live in Reno, Nevada where I was both born and raised. My beautiful children are my world. When I am not engaged in their activities, I love to enjoy my city and attend community events. I also love spending time with friends and loved ones. My personal and professional goals align by leading me towards a brighter future, not only for my family and myself, but also for the betterment of my community and those closest to me. My hope in life is to create a positive impact on others, my organization, and society at large.

 

Jasmine Butler

Provider Relations Specialist - Southern Nevada

OB-Gyns, Clark County FQHCs, Perinatology, Pediatrics and Pediatric Sub-Specialties, Labs, P3 Medicare, PCP Provider Group DBA Name F-J -  for Medicaid, Ambetter and Wellcare (Medicare)

I graduated from University of Nevada Las Vegas, studying Healthcare Administration and Policy in 2017, after which, my experience in health care began in credentialing and network operations for a managed care organization. I have had the opportunity to work with and meet amazing people in this field. I am passionate and inspired by the challenges of improving quality and performance in healthcare. I am encouraged in knowing that the work we do will have a positive impact on the members we serve and build stronger community relationships. As a Las Vegas native, I am hopeful and look forward to the growth and development of our community. 

 

Estel Davis

Provider Relations Specialist – Southern Nevada

DMEs, Home Health, Endocrinology, Rheumatology, Pulmonary, Allergy, PCP Provider Group DBA Name U-Z -  for Medicaid, Ambetter and Wellcare (Medicare)

I have been in the healthcare industry for over 10 years assisting members and providers on working together to navigate through this healthcare system in Southern Nevada. I started out as a customer service representative for OptumCare/United Healthcare where I learned so much about the business side of insurance. I am a native to Las Vegas and I have seen this city grow and overcome so much adversity. I joined Centene to make a difference in my community and to advocate for those that are unable to advocate for themselves. I take pride in what I do and the company I now work for. I am truly excited to see where this new chapter in my professional life takes me and all of the wonderful change that comes with it.

 

Tamilia Hicks-Credle
Provider Relations Specialist – Southern Nevada

Behavioral Health, IMD, Crisis Stabilization Centers, CCBHCs, PCP Provider Group DBA Name K-O -  for Medicaid, Ambetter and Wellcare (Medicare)

I graduated from Virginia State University in 2011 and am proud to be a product of an HBCU.  I’ve been in the healthcare industry for over 6 years now and have learned so much over that time.  Meeting and forming relationships with our providers is key to our organization to better serve our members.  One of my biggest passions is helping others and serving the community.  I enjoy traveling, interior design, and going to music festivals and concerts.

 

Christina Galan

Provider Engagement Program Manager

VBC, P4P, CoC, Quality

I started working in healthcare after graduating from Oregon State University over 15 years ago. My first job was in customer service where I gained valuable experience and knowledge about being quick on my feet. From there, I wanted to purse working directly with providers along with learning more about contracting. I decided to focus on provider relations. My service philosophy is to always be responsive. I may not always know the answer, but I believe in responding to each of my providers in a timely manner. I will always work on your behalf. I am a wife and a mom to two daughters.  We love living in Northern Nevada because we get to hike, ski and enjoy beautiful Lake Tahoe.

 

Roberto Navarro

Supervisor, Provider Relations

Hospitals, Hospitalists, ASCs, SNFs/LTAC, Urgent Care Facilities, Medical Transport, Air Ambulance, UNLV, UMC, IHC, Arkos, Provider Group DBA Name A-E -  for Medicaid, Ambetter and Wellcare (Medicare)

I graduated from the University of Nevada Las Vegas in 2018 with a bachelor’s degree in Healthcare Administration. Since then, I’ve worked in several roles – beginning my journey in utilization management, then hospital operations, and now provider relations. Working in the industry has taught me to appreciate the accessibility and delivery of quality healthcare. This growing appreciation continually inspires me to expand my knowledge and develop my skills in this space. In turn, I hope that this will aid me in giving back to my community by leaving a lasting impact. I believe more than anything that we should all advocate for each other. By working in healthcare, I know I can do just that.

 

Jacob Willett

Provider Relations Specialist - Southern Nevada

Pain Management, Anesthesiology, Ophthalmology, Cardiology, Oncology, Hematology, Gastroenterology, Neurology, Radiology, Physical Therapy, Occupational Therapy, Speech Therapy, Orthopedic, Provider Group DBA Name P-T -  for Medicaid, Ambetter and Wellcare (Medicare)

I started in healthcare 13 years ago at a private practice and over the years performed a wide variety of roles to the best of my ability with different medical specialties. Some of the roles I have performed include, Clinical Manager for an Ophthalmologist and Dermatologist practice, Intake Manger overseeing the referral and prior authorization processes, and Practice Liaison where I developed relationships and provided support to our referring Providers. I have always sought out more responsibility and knowledge in my healthcare career and my transition to the HealthPlan is the next step in my mission to assist in a world class experience for the members while providing comprehensive support to the Providers that deliver the care. For leisure I enjoy music festivals, sporting events, and maintaining a healthy and active lifestyle.

 

Chrissy Sanders

Director, Provider Relations

I have been a Registered Nurse for over 10 years spending most of my career in Quality Improvement and Population Health Management developing innovative ways to improve cost and quality performance while building rapport with clinical staff. I have experience with Medicare contracts, HEDIS, Medicare Shared Savings Programs as well as Promoting Interoperability. I also hold a degree in interior design and in my spare time I enjoy designing and building furniture, DIY projects and spending time out in nature.

 

Linda Kovaltchouk

Provider Engagement Administrator II - Northern Nevada

I have over 23 years of experience as an influential medical professional in Northern Nevada, specializing in provider/staff education and training ensuring provider group support with dedication to improving the patient care experience for our members.  I am dedicated to assisting physicians and the patients they care for navigate the complexities of our healthcare system.  I have a personal interest in disease prevention and value helping others optimize overall wellbeing by staying healthy and active.  I have a deep appreciation for nature and preserving our natural resources in the Sierras where you will find me frequently hiking, biking, kayaking, and swimming in Tahoe and surrounding areas.