Alejandro Espada Email & Phone Number

New York, United States

Greater New York City Area

• Directed the development and execution of new marketing plans to build provider network. Working with community programs to educate consumers on services available to them.
• Responsible for implementing and maintaining an effective HIPAA and Billing Compliance Program according to Department of Health regulations to assure organizations compliance to state and federal guidelines.
• Collaborated and coordinated HEDIS/QARR quality incentive programs with clinical staff to improve patient care and increase practice revenue. Reporting all data directly to health plans working to increase practice.
• Managed Remote Patient Monitoring/Chronic Care Management program with detailed workflows, responsibilities and schedules to assure program compliance. Coordinated leadership meeting with medical staff and care.
• Conducted all reviews, negotiations and interpretations of all contracts/agreements. This included execution all HMO agreements, rental agreements and employee contract.
• Steered certification Process for practice Patient Center Medical Home recognition from level2 to level 4. This included implementation of a system to streamline a better patient and care team experience.

Bronx, New York

• Maintained daily operations of this for-profit Article 28 diagnostic and treatment center. Managing both clinical and support staff.
• Facilitated strategic planning meetings on a weekly basis with executive leadership reviewing operational budget, quarterly goals and operational needs.
• Conducted all HR operations including provider recruitment, credentialing, staff training, evaluations, and disciplinary actions.
• Developed, updated and implemented policies and procedures.
• Assisted balancing of an annual operational budget of 4.3 million dollars.
• Led in negotiation of Medicaid HMO contracts from capitated agreements to APG Article 28 agreements.

Bronx, NY

• Maintained daily operations for 10,000 members, generating over 58,000 visits per year for this FQHC Article 28 Diagnostic and Treatment center.
• Led compliance with Joint Commission accreditation, FQHC and DOH regulations as a Co-Chair for the Quality Assurance committee, as well as Chair of Fire and Safety committee.
• In charge of new proposal writing for certificate of needs assessments for expansion centers, which resulted in the development of two new medical centers.
• Assisted in balancing an operational budget of a $5 million dollars.
• Responsible for all quality incentive programs including QARR and HEDIS to improve patient health and increase practice revenue.
• Led efforts to develop our mental health program to help address the needs within our organization.

Bachelor'S Degree, Business, Management, Marketing, And Related Support Services, 3.5 Gpa

Bachelor Of Business Administration - Bba, Business Administration, Management And Operations

Health Information Technology, Medical Insurance Specialist/Medical Biller, 3.0