Janice Duncan
Chesterfield
Summary
Senior Contract Manager with demonstrated background in managing complex contract portfolios. Strong negotiation skills, combined with deep understanding of legal requirements and risk management principles including contracting for Commercial and Government products. Currently specializing in negotiating with hospital transplant programs who qualify for a National Centers of Excellence program. Background in contracting includes a focus on hospitals and ambulatory surgery centers, as well as presenting and implementing performance based compensation programs. In addition, over 20 years of broad Project/Program Management experience across a variety of industries including aerospace manufacturing, finance, telecommunications, and consulting. Experienced with all facets of project/program management, including defining program parameters, evaluating potential strategies, and operationalizing desired outcomes. Known for strategic insights and ability to drive process improvements, resulting in enhanced operational efficiency and cost reductions.
Overview
41
41
years of professional experience
Work History
Senior Contract Manager
Centene Corporation
Clayton
03.2020 - Current
- Achieved significant milestone by securing first contract for new network.
Played crucial role in forming Transplant Center of Excellence network for company membership.
Conducted national contract negotiations with transplant facilities, ensuring adherence to COE metrics.
Developed comprehensive understanding of Medicaid, Exchange, and Medicare in all business line agreements.
Senior Contract Manager Optum Health
UnitedHealth Group
Maryland Heights
05.2018 - 03.2020
- Facilitated negotiations with Northeast health systems for Optum's Transplant services excellence center.
- Coordinated transplant care processes across Commercial, Medicare, and Medicaid offerings.
- Ensured compliance with contract timelines, metrics, and budgetary constraints.
- Developed and executed cost-reduction strategies for Central Region C&S markets.
- Rolled out $1.0M DME Capitated initiative to streamline operations.
- Progressed $1.6M CMS Bundling project towards on-schedule completion.
Contract Manager
UnitedHealth Group
Maryland Heights
12.2009 - 09.2016
- Managed contracting for 30+ facilities and related ancillary services.
- Specialized in Commercial, Medicare, and Medicaid products across various providers.
- Negotiated value-based compensation arrangements with large Tier 1 hospital systems.
- Employed RBRVS, DRGs, groupers, and case rate payment methodologies effectively.
- Conducted pricing analytics using HPM, COB, and HFA to optimize costs.
- Developed and delivered presentations to stakeholders on contractual agreements.
Information Technology Manager
IntraSP Software Development
Creve Coeur
12.2007 - 04.2009
- Responsible for regularly scheduled software upgrades within a complex, multi-channel Java development environment. IntraSP was a leading Billing, CRM and OSS system for WiMAX and broadband service providers. Duties spanned all aspects of project management, including scope/requirements definition, creation of project schedules and resource management. Worked closely with business sponsors to identify scope for each release and ensure value was delivered for multiple functional areas. Led a team of 4-5 Java developers to accomplish quality delivery of each release within aggressive timeframes. Worked within customized version of SDLC to ensure quality and consistency of software delivery.
Account Manager
Aurora Systems Group
St. Louis
02.2007 - 12.2007
- Responsible for revenue growth and account management for commercial accounts including Express Scripts, Elsevier, and Mercy Health Systems. Generated new account business with Mercy Health Systems by building on existing relationships and fully understanding account needs within the Business Intelligence area.
Functional Manager / Project Manager
Charter Communications
St. Louis
10.2005 - 02.2007
- Responsible for team which maintained and enhanced all E-commerce sales channels, including back-end applications which performed daily order reconciliation. Duties spanned all aspects of functional management, staffing plans, performance assessments/reviews, and resource allocation for team of .Net developers
- Project management responsibilities included delivery of a Business Rules Engine application using Microsoft’s Biztalk Server software, an integral piece of a larger $4 million effort. This system was first in the cable industry to successfully integrate web-based ordering with back end scheduling and billing applications
Student
Attained Master’s Degree
St Louis
01.2002 - 10.2005
- Pursued Master’s Degree including required internships and subsequent position at non-profit agency. Responsibilities included Project Management, Outreach Coordination, Training Program development / presentation, and Clinical Therapy
Project Manager / Lead Functional Analyst
Edward Jones
St. Louis
01.1998 - 01.2001
- Enterprise Data Warehouse department Project Manager responsible for Customer Reengineering project. This initiative integrated vendor software with existing applications to massage customer and address information within Data Warehouse database. Part of larger overall CRM initiative. Managed several COBOL developers as a part of this effort.
- Lead functional analyst supporting AccountLink, the firm’s first customer facing web site. Also managed COBOL technical resources and led coordination of mainframe activities integral to AccountLink Online Bill Payment project during this time.
Account Manager
Rose International
St Louis
01.1996 - 01.1998
- Responsible for revenue growth and account management for commercial and government accounts (Southwestern Bell, BCBS, Boeing). Generation of approx. $1.5M in gross revenue over 18 month period
Functional Manager / Project Manager/Senior Business Analyst
Edward Jones
St Louis
01.1990 - 01.1996
- Responsible for functional management, application support, and project management for 2 large-scale brokerage systems. Managed 8-10 COBOL developers including resource allocation as well as coordination with other development teams.
- Project manager responsible for a critical phase of an initiative to automate brokerage operational functions and bring the processing in-house. Major accomplishments include:
- Responsible for performing high-level analysis on several projects as well as system support in a dynamic environment. Lead analyst on a critical dividend payment project to assist with automation of dividend payments.
Systems Analyst
McDonnell Douglas Corporation
St Louis
01.1985 - 01.1990
- Progressed from Entry level to Senior P/A within Corporate Information Systems
- Responsible for analysis, design, support, and maintenance of programs critical to the Payroll/Personnel applications.
Education
MSW -
St Louis University
St Louis, MO01.2003
B.S. - Computer Science
Quincy University
01.1985
Skills
- Negotiation and contract management
- Value-driven compensation models
- Compliance management strategies
- Client relationship management
- Project oversight
- Proposal writing skills
- Conflict resolution techniques
- Drafting and pricing contracts
- Interdepartmental teamwork
- Metrics for performance evaluation
- Collaborative teamwork approach
- Analysis of costs and data
Timeline
Senior Contract Manager
Centene Corporation
03.2020 - Current
Senior Contract Manager Optum Health
UnitedHealth Group
05.2018 - 03.2020
Contract Manager
UnitedHealth Group
12.2009 - 09.2016
Information Technology Manager
IntraSP Software Development
12.2007 - 04.2009
Account Manager
Aurora Systems Group
02.2007 - 12.2007
Functional Manager / Project Manager
Charter Communications
10.2005 - 02.2007
Student
Attained Master’s Degree
01.2002 - 10.2005
Project Manager / Lead Functional Analyst
Edward Jones
01.1998 - 01.2001
Account Manager
Rose International
01.1996 - 01.1998
Functional Manager / Project Manager/Senior Business Analyst
Edward Jones
01.1990 - 01.1996
Systems Analyst
McDonnell Douglas Corporation
01.1985 - 01.1990
MSW -
St Louis University
B.S. - Computer Science
Quincy University