Health Network One
Saby R. has a diverse work experience spanning several industries. They are currently working as an Adjunct Professor at Miami Dade College, where they facilitate online learning and provide guidance to students. Prior to this, Saby served as the Director of Claims Compliance at Health Network One and as the Director of Claims and Contract Support Services at Centene Corporation. They also held managerial roles at EmblemHealth, where they managed a claims department and implemented quality systems. In addition, Saby has experience as a Benefits Supervisor at Building Service 32BJ Benefit Funds and as a Customer Service Supervisor at Magellan Behavioral Health. They also worked as a temporary employee at Georgeson Shareholder Securities Corporation. Earlier in their career, Saby worked as a self-employed Medical Transcriptionist and as an Administrative Assistant Customer Service at K-MD Management Services.
Saby R. holds a Master of Business Administration (M.B.A.) degree in Business Administration and Management, General from Florida International University, completed between 2013 and 2015. Prior to that, Saby R. obtained a Bachelor of Science (BS) degree in Health/Health Care Administration/Management from the University of Phoenix, completed between 2004 and 2007. Saby R. also has additional certifications including a Credential in Effective College Instruction from ACUE (Association of College and University Educators) and a Technology Skills Self-Assessment from QM Quality Matters, both obtained in 2022. Additionally, Saby R. holds a Notary Public certification for the State of Florida, obtained in November 2007.
Health Network One
Health Network One — Our Partnerships are Our Story Health Network One builds and manages single-specialty provider networks that defy the status-quo – forging partnerships with managed care organizations and providers, bringing great value to both. For over two decades, Health Network One has partnered with some of the biggest names in healthcare, helping them contain costs by limiting overutilization, driving efficiencies, and implementing alternative payment models that guarantee savings by assuming full risk. We've earned a reputation of excellence – HITRUST certified, NCQA-accredited, experts in network management. Fearless innovators, we meet our partners’ objectives by customizing solutions through a deep understanding of their services, needs, and desired outcomes, supported by thoughtful analysis gained from more than 500 million patient months of data. It's what gives us unparalleled insight into improving outcomes while reducing costs. And it’s how we can design signature network solutions that work for your unique organization. This savvy know-how of developing new systems, tools, and models has yielded several differentiators, such as our proprietary utilization management model, lauded for limiting overutilization while also reducing denial rates to less than 1%. We're the proud builders of provider networks composed of some of the most engaged, satisfied caregivers in the business, because we put providers and their patients — your members — at the center of everything we do. Our 95% provider retention rate is a testament to our concierge approach of easing their administrative burden by streamlining credentialing, authorizations, and claims processing – giving providers more time to focus on patients.