Fernando Fernandez
About Fernando Fernandez
Fernando Fernandez is a Sr. Value Based Contracting Specialist with extensive experience in insurance operations, focusing on contracting, network management, claims operations, and member services. He has worked in various roles within the industry for over seven years, including positions at Oscar Health and EmblemHealth.
Current Role at EmblemHealth
Fernando Fernandez currently serves as a Senior Value-Based Contracting Specialist at EmblemHealth. He has held this position since 2022, contributing to the organization's efforts in value-based care. His role involves working closely with various stakeholders to enhance contracting processes and improve network management.
Previous Experience at EmblemHealth
Prior to his current role, Fernandez worked at EmblemHealth as a Network Project Coordinator from 2020 to 2022. In this capacity, he focused on managing network-related projects and improving operational efficiencies within the organization.
Experience at Oscar Health
Fernandez has extensive experience with Oscar Health, where he worked in various capacities. He served as a Senior Claims Processor from 2017 to 2019 and previously as a Claims Processor and Member Services Representative from 2015 to 2017. His roles involved handling claims operations and providing member services, contributing to his expertise in insurance operations.
Background in Healthcare Operations
With seven years of experience in insurance operations, Fernandez has developed a strong focus on contracting, network management, claims operations, and member services. His background includes improving complex workflows and influencing decision-making processes within the healthcare insurance sector.
Educational Qualifications
Fernando Fernandez studied at American Public University, where he achieved an Associate of Science degree. His educational background supports his professional expertise in healthcare operations and insurance management.