Vera Pro Health Network Solutions
Empowering Provider Relations Teams
Scroll to Explore
Now Accepting New Clients

Transform Your
Provider Network
Performance

Expert consulting for health plans, MSOs, ACOs, Providers, and IPAs focused on performance metrics, streamline contracting, and professional in-services to build strong provider relationships and achieve lasting operational excellence.

Available for New Engagements
Select a Service Area
How can Vera Pro help your organization?
Provider Training
Contracting
Credentialing
Network Strategy
eLearning
Compliance

Delivery FormatOn-site · Virtual · Blended
Engagement Length3 weeks – 12 months
Next Available Start2 weeks out
Confidential · No obligation
Provider Relations Network Strategy Contracting & Negotiation Credentialing & NCQA Compliance Value-Based Care Network Adequacy HEDIS & Star Ratings Risk Adjustment / MRA Provider Onboarding Quality Improvement Provider Relations Network Strategy Contracting & Negotiation Credentialing & NCQA Compliance Value-Based Care Network Adequacy HEDIS & Star Ratings Risk Adjustment / MRA Provider Onboarding Quality Improvement

Trusted Guidance for Provider Network Success

Real-world strategy and hands-on training built from 15+ years of managed care experience — helping organizations build stronger, more effective provider relations teams.

What We Do

End-to-End Provider
Relations Solutions

Whether building a network from scratch or optimizing an existing one, we deliver targeted training and consulting that drives measurable, lasting results.

01
Provider Relations Training

Comprehensive programs for provider relations representatives — from foundational skills to advanced negotiation tactics, AI digital connectivity, and relationship management strategies.

Most Popular
02
Contracting & Negotiation

Expert guidance on payer-provider contract analysis, fee schedule negotiations, value-based arrangements, and multi-specialty contracting across Medicaid, Medicare Advantage, and Commercial.

High Impact
03
Credentialing & NCQA Compliance

Streamline credentialing workflows, ensure NCQA CR 1–7 compliance, and build efficient processes that get providers active and revenue-generating faster — with monthly operational cadence support.

Operational
04
Network Adequacy & Compliance

Data-driven gap analysis, CMS time/distance compliance, Corrective Action Plan development, and strategic provider recruitment planning to build a compliant, high-performing network.

Strategic
05
Value-Based Care Program Design

Strategic design and implementation support for organizations transitioning to value-based models — risk contract structuring, shared savings design, and capitation arrangement guidance.

VBC
06
Quality & Risk Adjustment Advisory

HEDIS and Star Ratings improvement strategy, CAHPS member experience optimization, and MRA/HCC documentation support — connecting clinical quality directly to plan premium revenue.

Quality
07
Custom eLearning Programs

11 interactive training modules covering the full provider lifecycle — credentialing, contracting, network adequacy, onboarding, quality improvement, financial performance, and risk adjustment.

Scalable
08
Field Coaching & Site Visits

Hands-on field shadowing where Vera Pro accompanies your Provider Relations team on site visits, providing real-time coaching and feedback. Complimentary with qualifying training purchases.

Hands-On
Our Approach

A Proven Framework
for Lasting Results

We don't deliver generic programs. Every engagement starts with a deep understanding of your specific challenges and goals.

1
Discovery & Assessment

We review your current structure, workflows, staff capabilities, and pain points — no assumptions, just data and listening.

2
Custom Program Design

We design a training curriculum or consulting roadmap tailored precisely to your goals, industry segment, and team.

3
Delivery & Implementation

Live workshops, virtual sessions, on-site intensives, or blended formats — delivered in the way that works best for you.

4
Measurement & Ongoing Support

We track outcomes against baseline metrics and provide post-engagement support to ensure lasting improvement.

What Our Clients Achieve
40% faster provider enrollment and onboarding timelines on average
Measurably stronger payer relationships and improved contract terms post-training
Audit-ready credentialing files and fully documented compliance processes
Confident, skilled provider relations teams with capabilities that outlast the engagement
Reduced administrative burden through streamlined credentialing and enrollment workflows

Discovery Phase

Discovery Calls — to help us understand your organization's current provider relations landscape.
Assessments — operational and workflow review across contracting, credentialing, and network performance.

Custom Recommendations

For Providers

We'll recommend targeted training and coaching to sharpen skills and close specific performance gaps.

For Organizations

We'll deliver a tailored training roadmap and consulting plan addressing your organization's unique challenges.

Partnership

"Provider relations is the connective tissue of the healthcare system. When it's strong, everything performs better."
— Founding Principal, Vera Pro Health Network Solutions
15+
Years Experience
3
Lines of Business
11
Training Modules
100%
Confidential
Who We Are

Vera Pro Health Network Solutions was founded by Monica A. Romero, MBA — a healthcare executive with 15+ years of experience spanning managed care organizations across Medicare Advantage, Medicaid, and Commercial lines of business. This cross-market experience gives Vera Pro a rare, practiced perspective on what actually works in network operations — not just what the textbook says should work.

Deep Industry Roots

Direct experience from health plans, ACOs, hospitals, and MSOs across Medicare Advantage, Medicaid, and Commercial markets.

Practical, Not Theoretical

Every program and recommendation comes from what actually works in the field — not textbook frameworks or generic consulting playbooks.

AI-Enabled & Data-Driven

Combining 15+ years of managed care expertise with current certifications in Data Analytics and Generative AI to help organizations navigate healthcare's digital transformation.

Training Catalog

Interactive Training Modules

Self-paced eLearning built from real field experience — every module includes knowledge assessments and a certificate of completion.

Track 1
Provider Relations & Contracting
Provider Relations Fundamentals
AI Digital Connectivity
Multi-Specialty Contracting & Negotiation
PCP, Specialty, Ancillary, Hospital
CPT Code Reference Guide
Interactive searchable reference by provider type and line of business
Credentialing & NCQA Compliance
CR 1–7 standards, coordinator cadence, committee process
Provider Onboarding & Network Operations
90-day timeline, system loading, directory compliance
Network Adequacy Standards & Compliance
CMS standards, gap analysis, CAPs, gap-closing strategy
Track 2
Value-Based Care
VBC Provider Relations Training
Foundational training connecting provider relations to VBC success
VBC Contracting & Value-Based Care
Risk spectrum, shared savings, capitation arrangements
Track 3
Financial & Quality Performance
Provider Performance KPIs & Financial Management
Premium-to-surplus waterfall, KPIs, case studies
HEDIS, Star Ratings & Quality Improvement
HEDIS measures, Star Ratings financial impact, CAHPS, QI strategy
MRA Risk Adjustment & Premium Impact
HCCs, RAF scores, premium revenue impact, documentation accuracy

All attendees receive a certificate of completion for each section.

Training Pricing

Pricing is customized per track and engagement scope. Schedule a free consultation to discuss rates tailored to your organization.

Discuss Pricing
Get Started

Let's Talk About
Your Organization

Every engagement begins with a no-obligation discovery call. Tell us where you are today and where you want to be.

Direct Phone Line

772-626-3528 · Mon–Fri, 8am–6pm EST

Email Us

consult@veraprohns.com · Response within 4 hours

Schedule Free Consultation

Book a free 30-min discovery call directly on our calendar

Request a Consultation

A senior consultant will follow up within one business day to confirm your appointment.


🔒 Your information is confidential and never shared with third parties.

✅ Thank you! A senior consultant will reach out within one business day to confirm your consultation.
Fees & Payment

Transparent,
Flexible Pricing

Project-based, retainer, and per-seat options depending on engagement type. No surprise invoices — ever. Discovery consultations are always free.

Credit & Debit

All major cards — Visa, Mastercard, Amex, Discover

PayPal

Pay via PayPal balance or linked bank account

ACH / Wire

Direct bank transfer for invoiced engagements

Net-30 Invoice

Standard invoicing terms for qualified organizations

All online payments are 256-bit SSL encrypted and PCI-DSS compliant. Your financial data is never stored on our servers.

Submit a Payment
Credit / Debit Card
Visa · Mastercard · Amex · Discover
Instant
PayPal
Pay with balance or bank account
ACH Bank Transfer
Direct transfer · 1–2 business days
Discovery ConsultationFree
Training ProgramQuoted per engagement
Processing fee
Total DuePer Quote