This document provides a summary of Harry L. Duer's 20+ year career in managed healthcare contracting and network development. It outlines his extensive experience building provider networks across various health plans and products, including Medicare, Medicaid, ACA, workers compensation, and commercial plans. Notable achievements include developing physical therapy networks, certifying workers compensation managed care organizations, and successfully building numerous accountable care organization networks and integrated health systems. The document highlights Duer's strengths in relationship building, contract negotiations, and network development. It also lists consulting projects and previous employers, demonstrating a track record of national healthcare business development and provider contracting experience.

1. Harry L. Duer
Professional Summary
CELL 615-424-2273
ghd2221@gmail.com
LinkedIn Profile
Dear Sir or Madam.
Attached you will find the credentials of a 20 plus year veteran of managed care contracting / network
development in the healthcare field. Admittedly, the format of this document is unique somewhat like
my experience. In showing my work history I had to break it into consulting/ independent project
work as well as my full-time work, thus please note between 2009 and 2010 when the market for IC
work fell out, I did a stint at United and that is listed after my consulting work due to space limitations
of not wanting to list the consulting work twice. In addition, because of the number of projects I have
worked in the past I have noted that there is a risk of viewers of the document not seeing what I have
done due to my lengthy project work therefore I have attempted to alleviate that issue by introducing
the tables shown to highlight the projects while reducing wording. As always, any constructive
feedback on the format is welcome.
In the past 20 years I have developed networks for health plans across the nation in most every
product on the market. My strength is in building relationships with providers and building networks
out of nothing, but I have also worked on the provider side as well in business development. If after
looking over my experience you have any questions, please let me know and I will be happy to supply
any information needed. You can also find references on my LinkedIn profile listed above if you wish.
Sincerely
Harry L. Duer

2. Harry L. Duer
Professional Summary
CELL 615-424-2273
ghd2221@gmail.com
LinkedIn Profile
A seasoned managed care business development of twenty years with a proven track record of national and
regional development of health plans, medical provider contract negotiation and re-negotiation. Products/ Plans
worked with during this time include Medicare, Medicaid, ACA commercial plans, Workers Compensation and
Commercial. network development.in Hospital and Provider contracting.
Core Strengths
 Network development provider reach out, virtual and in-market.
 Contract language and rate negotiation.
 Contract negotiations with health plans for provider and facility business development.
Select Career Highlights
 Led national PT network development while training internally and externally the use of the network and
changed it from a retrospective discounting operation into prospective.
 Led the certification of Kentucky Workers Compensation MCO.
 Worked on the ACHA audit for network certification.
 Successful network development of a major regional CIN.
 Successfully built hospital ACO.
 Successfully built multiple ACA networks.
 Successfully built I-SNP network.
 Successfully negotiated plan contracts for behavioral health hospital system.
 Successful resolution of multiple legal and network integrity issues in relation to mandated government
regulations in multiple states.
Education
Bachelor of Arts in Management / Human Relations, 1994 Trevecca Nazarene University, Nashville TN.
Career Experience
Ally Align- Provider Contracting Executive – 12-22 to present-Building ISNP and CSNP networks nationwide with
emphasis on PA, OH, MA and CA as well as handling SCA agreements as needed. Filling out service gaps and
establishing relationships with larger health systems and IPA's nationwide. Additionally assisting in building
infrastructure with developing processing, contracting, and marketing material while assisting in training peers
when and where needed.
Bright Health Plan- 10-2018 to 12-22 - National Managed Care Network Development Specialist.
Network Development contracting nationwide in multiple markets building ACA and MA plans working remotely
while supporting nationwide team and traveling in market as business needs dictate. Most of my current
experience.
Duers Consulting - Independent National Managed Care Business Development Consultant 2/08- to 10/18.- Ran
own consulting business in network development/ and healthcare provider business development nationwide.
Worked on no less than 24 larger contracting projects.
Medicaid Network-
Ark
(2) MA Network- OH Self-Funded
Network- National
Transportation
contracting-I-SNP-
KY
Home-Health
Network- Midwest
MA-I-SNP Network-
KY
MA Network- FL (2) CIN and MA
Network NC
Bundled Network
Chicago Illinois
(2) Dual eligible
Network- TX

3. MA Amendments
for ACO - OH
Accountable Care
Organization- GA.
Health Benefit
Exchange – NY.
Medicaid Network-
KY
Dual eligible
Network AR.
Medicaid Network-
FL
Wk. Comp Network-
SE US.
(2) Medicaid
network- OH and TX
Dual Eligible
Network- SE US
Commercial
Network – GA 5
Additional Services - Market Reports and Research
Reported on market conditions for investment group intelligence. Developed credentialing services network,
paper on Healthcare Exchanges in GA, talking points for contractors for Healthcare Exchanges, contracting
implementation plan for SC and IN. Staffing for Medicaid expansion and VA Medical Recruitment- (Vet-Pro) KY,
Medicare staffing- MI.
Duers Consulting- Independent Provider Business Development and Contracting Projects
Behavioral Health
Hospital System- Acute
and Residential-SCA’s.
Review and Due Diligence
of National SNF contracts
for large SNF provider.
SNF Contracting-Texas and
MO.
IOP Treatment Center-
Drug Addiction
contracting- National.
Laboratory contracting –
National.
Wound Care provider-
National
Home Infusion - GA Non-sterile
compounding
pharmacy- National
Durable Medical O and P
Network- National
Network Account
Manager-IPS
Orthopedic Grp-AK Home Health- MO
Home Infusion-TX Amb. Surgery Center- KY Neurology Grp- FL Urgent Care- TN and
OK
United HealthCare- Network Account Manager 5/09 to 2/10
 Handled provider relations for over 3000 providers in Middle TN area.
 Assisted providers in analyzing claims, credentialing, and data issues.
 Analyze and solve data issues to ensure network integrity.
 Negotiate and re-negotiate Medicare, Medicaid, and Commercial contracts.
 Educate providers on United Healthcare policies and procedures.
ConcentraCoventry HealthCare- Contract Manager- 12/2000 to 02/2008
 Handle issues affecting network integration into Coventry’s network.
 Responsible for network development of TN, GA, and KY commercial market.
 Responsible for management of PTNet national network, marketing, provider/client relations, internal and
external training and building referral streams through call center.
 Assisted payers with analytical and legal issues concerning MPN (California), HCN (Texas), MCO (Kentucky),
Florida, PTNET and other network development issues.
 Worked with delegated credentialing team to correct network issues.
 Contracted 7000 plus providers hundreds of medical facilities and 35 hospitals.
 Handled Focus network national contracting duties.
 Managed recertification of Concentra’s Kentucky MCO.
 Built multiple MPN networks in CA following CA-Senate bill 899.
 Built over 25% of HCN network (TX) for Concentra per House Bill 7.
 Trained Beech Street personnel for network integration with Concentra.
 Worked on National Projects for wrap networks.
Hobbies/ Interest
Amateur collector of historical relics and antiques
References available upon request.