Open To Work
Robert Kulbick
Braselton
Summary
Strategic leader in managed care contract negotiations and provider relations, specializing in contract implementation, reimbursement analysis, and revenue cycle management. Developed operational strategies to enhance provider revenue and fostered relationships with senior executives to streamline communication and resolve issues. Deep understanding of healthcare financial concepts within the managed care sector.
Overview
23
23
years of professional experience
Work History
Sr. Manager, Payor Relations (Remote)
Kepir Vision, Inc
New York
02.2025 - 06.2026
- Led payor contracting strategy and relationship management, supporting growth initiatives, contract optimization, and revenue cycle alignment in multi-practice healthcare operations
- Managed payor relationships, resolving disputes, renewing contracts, amending agreements, and identifying network expansion opportunities to enhance overall partnership effectiveness
- Evaluated new payors and network participation opportunities by analyzing reimbursement structures, utilization trends, and fee schedules to inform strategic decisions
- Built and maintained data models to forecast and monitor payor reimbursement rates by CPT/ HCPCS code, to support pricing strategy and inform rate negotiations and financial outcomes
- Collaborated with internal revenue cycle management and credentialing teams to align contracting processes and address operational issues, ensuring seamless integration of payor agreements
- Communicated contract updates, rate structures, and payor plan changes to affiliated practices and provided guidance on contract-related matters
Relationship Administrator / fmr. Manager, Managed Care Sales Operations
National Vision, Inc
Duluth
08.2010 - 02.2025
- Developed and implemented protocols reducing uncollected receivables from 5% to less than 1% annually
- Managed team to maintain point-of-sale database with over 350 insurance carriers and 65,000 individual plans
- Led team in maintaining point-of-sale database supporting 350 insurance carriers and 65,000 individual plans
- Generated monthly and ad-hoc financial reports for senior executives and Board of Directors using SQL and Business Objects tools
- Interpreted and maintained all third-party reimbursement schedules
- Cultivated long-term relationships with vision insurance carriers to enhance collaboration and service delivery
- Created and applied API and EHR transaction systems for retail application
Network Developer
Network Synergy Group
Tampa
09.2006 - 04.2008
- Targeted and recruited key providers for three distinct workers' compensation networks, enhancing network quality
- Developed unique primary care provider network
- Spearheaded and launched successful program to direct the clients patients to contracted medical providers
- Collaborated with target therapy providers to focus on optimizing utilization
- Spearheaded and launched program directing clients' patients to contracted medical providers, improving patient access
- Negotiated complex hospital, ancillary, and physician agreements, streamlining provider partnerships
- Developed comprehensive provider tutorial covering treatment protocols and electronic capabilities
First Health / SouthCare PPO - Provider Relations Representative
Coventry Health Care, Inc.
Tampa
08.2003 - 08.2006
- Managed relationships with participating health care providers to enhance collaboration and support
- Created and delivered provider education in-service presentations to improve understanding of protocols
- Created and conducted formal provider education in-service presentations
- Developed and implemented a communication program to ensure timely updates for all contracted providers
- Resolved issues and advised medical providers of new protocols, policies, and procedures
Education
Master of Business Administration -
University of Phoenix
Tampa, FLBachelor of Science -
Florida State University
Tallahassee, FLSkills
- Payor contracting
- Managed care expertise
- Multi-state payor strategies
- Managed care trends
- Strategic partnership development
- Excellent negotiation and analytical skills
- Conflict resolution management
- Quick decision-making
- Presentation skills
- Contract negotiation
- Network development
- Provider education
- Effective communication
- Troubleshooting and problem resolution
- Cross-functional collaboration
- Cross-functional communication
- Cross-functional team coordination
- Data-driven decision making
- Multitasking capacity
- Attention to detail
- Needs assessment
- Communication skills
- Decision-making
- Quality control
- Good judgment
- Problem-solving aptitude
- Adaptability and flexibility
- Revenue growth
- Problem-solving abilities
- Payor relations
- Revenue cycle management
Timeline
Sr. Manager, Payor Relations (Remote)
Kepir Vision, Inc
02.2025 - 06.2026
Relationship Administrator / fmr. Manager, Managed Care Sales Operations
National Vision, Inc
08.2010 - 02.2025
Network Developer
Network Synergy Group
09.2006 - 04.2008
First Health / SouthCare PPO - Provider Relations Representative
Coventry Health Care, Inc.
08.2003 - 08.2006
Master of Business Administration -
University of Phoenix
Bachelor of Science -
Florida State University