Benjamin (Ben) Burke
About Benjamin (Ben) Burke
Benjamin (Ben) Burke is the Director of Managed Care - Arbitration at Envision Healthcare, where he has worked since 2021. With extensive experience in network management and contracting across various healthcare organizations, he specializes in negotiation and collaboration with state and federal agencies.
Work at Envision Healthcare
Benjamin Burke serves as the Director of Managed Care - Arbitration at Envision Healthcare, a position he has held since 2021. He operates within the Dallas-Fort Worth Metroplex, contributing to the organization’s strategic initiatives in managed care. His role involves leading negotiation efforts during settlement conferences and arbitration proceedings, ensuring adherence to fair market benchmarks across different regions.
Previous Experience in Managed Care
Before joining Envision Healthcare, Benjamin Burke held several key positions in the managed care sector. He worked at Apostrophe, Inc. as the Director of Network Development from 2020 to 2021. Prior to that, he served as the Associate Director of Provider Contracting at Optum from 2018 to 2020. His experience also includes a tenure at Anthem, Inc. as the National Director of Network Management and Strategy for the West Region from 2014 to 2018.
Education and Expertise
Benjamin Burke earned a Bachelor of Arts degree in Marketing/Advertising from the University of Oklahoma. He also studied at Southern Methodist University, where he obtained a Graduate Certificate in Marketing. Additionally, he completed Green Belt training in Six Sigma at Villanova University from 2010 to 2012, enhancing his expertise in process improvement methodologies.
Background in Provider Network Management
Benjamin Burke has extensive experience in provider network management. He worked at Molina Healthcare as the Associate Vice President of Network Management/Provider Contracting from 2012 to 2014. His earlier roles include serving as the National Network Contract Manager for Medicaid at Anthem, Inc. from 2010 to 2012 and as the Senior Regional Director of Network Development at Great-West Healthcare from 2007 to 2008.
Negotiation and Legislative Engagement
In his current role, Benjamin Burke engages directly with State and Federal agencies on legislation related to payment initiatives and policy. He negotiates various types of contracts, including those for Physicians, Accountable Care Organizations (ACOs), and Post-Acute care, utilizing methodologies such as Value-Based, Fee-For-Service, and Risk-Based approaches.