Sholand Collins

Sholand Collins

Provider Operations Specialist @ EmblemHealth

About Sholand Collins

Sholand Collins is a Provider Operations Specialist with extensive experience in managed care compliance and provider relations. He has held various roles in the healthcare sector, including positions at Well Care Of New York and Centers Plan for Healthy Living, and has a Bachelor of Business Administration from the State University of New York at Oswego.

Work at EmblemHealth

Sholand Collins has been employed at EmblemHealth as a Provider Operations Specialist since 2022. In this role, Collins conducts on-site audits of providers to ensure compliance with managed care regulations. The position involves maintaining up-to-date knowledge of managed care regulations and trends to ensure provider compliance. Collins acts as a liaison between providers and Centers Plan leadership, facilitating communication and resolving issues that may arise.

Previous Experience in Provider Operations

Prior to joining EmblemHealth, Collins worked at Centers Plan for Healthy Living as a Provider Network Performance Coordinator from 2020 to 2022. In this capacity, Collins focused on provider network performance and compliance. Before that, Collins served as a Provider Operations Coordinator/Provider Data Coordinator at Well Care Of New York from 2016 to 2020. Responsibilities included educating providers on complex issues to improve their understanding and compliance with regulations, as well as analyzing financial data to detect billing irregularities.

Education and Expertise

Sholand Collins studied at the State University of New York at Oswego, where Collins earned a Bachelor of Business Administration (B.B.A.) degree in Business Administration and Management from 2012 to 2016. This educational background provides a foundation for Collins' expertise in provider operations and compliance within the healthcare sector.

Background and Early Career

Collins began their career as an Associate at 2DISCOVER in Sydney, Australia, in 2015. Shortly after, Collins worked as a Resident Assistant at the State University of New York at Oswego from 2015 to 2016. This role involved supporting fellow students and managing residential life activities, contributing to Collins' skills in communication and problem-solving.

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