Blaine Faulkner

Blaine Faulkner Email and Phone Number

Owner and Consultant @ Blaine Faulkner Consulting
San Diego, CA, US
Blaine Faulkner's Location
San Diego, California, United States, United States
About Blaine Faulkner

Board Member, Audit Committee Chairman and Consultant with 35+ years of executive experience in the healthcare industry spanning both the provider and payor sectors. Served in a wide range of leadership roles including CEO, CFO, COO and VP positions in Sales/Account Management and Strategic Planning. CPA with 7 years at Big 4 accounting firm Ernst & Young specializing in healthcare and medical technology industries.Currently serving on the Board of Directors and as Audit Committee Chairman of publicly-held Legacy Education, Inc., (NYSE American: LGCY) which operates nationally-accredited academic institutions with a primary focus on nursing and allied health programs. Legacy completed a successful IPO in September 2024 during tenure.Recently served as CFO of Lightfully Behavioral Health, a PE-backed healthcare provider which began operations in 2022 treating individuals with primary mental health diagnoses. From 2018-2022, served as CFO of Alsana, a PE-backed eating disorder company. Also served as CEO of First Health Group Corp from 2012-2017, including its acquisition by Aetna.

Blaine Faulkner's Current Company Details
Blaine Faulkner Consulting

Blaine Faulkner Consulting

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Owner and Consultant
San Diego, CA, US
Blaine Faulkner Work Experience Details
  • Blaine Faulkner Consulting
    Owner And Consultant
    Blaine Faulkner Consulting
    San Diego, Ca, Us
  • Legacy Education, Inc.
    Board Member And Audit Committee Chairman
    Legacy Education, Inc. Dec 2023 - Present
    Temecula, California, Us
    Legacy Education (NYSE American: LGCY) owns and operates nationally-accredited academic institutions with a primary focus on nursing and allied health, and a secondary focus on veterinary and business. Serving as Board Member and Chairman of Audit Committee. Also serving on Nominating and Corporate Governance Committee as well as Compensation Committee. Legacy completed a successful IPO in September 2024.
  • Blaine Faulkner Consulting
    Owner/Consultant
    Blaine Faulkner Consulting Dec 2024 - Present
    Provides finance, accounting and network contracting consulting specializing in the healthcare industry.- Currently engaged with a regional behavioral health company for payor contracting strategy and analytics support.
  • San Diego State University
    Advisory Board Member
    San Diego State University May 2019 - Present
    San Diego, Ca, Us
  • Lightfully Behavioral Health
    Chief Financial Officer
    Lightfully Behavioral Health Dec 2022 - Nov 2024
    Thousand Oaks, California, Us
    Lightfully Behavioral Health is a multi-sited, PE-backed behavioral health company providing treatment to individuals with primary mental health diagnoses. Responsible for accounting, revenue cycle, FP&A, IT and payor contracting functions.Highlights include:- Revenue increased to 4x during tenure as CFO.- Expansion to 12 locations + 2 virtual programs.- Secured network access agreements with multiple payors.- Completed two rounds of capital financing.
  • Alsana
    Chief Financial Officer
    Alsana Jul 2018 - Jul 2022
    Thousand Oaks, California, Us
    Alsana is a PE-backed eating disorder treatment provider with programs in multiple states. Responsible for accounting, human resources, revenue operations, FP&A, payor contracting, IT, new site development and real estate.Achievements include:- Revenue tripled and earnings improved from negative AEBITDA to strong profitability.- Led expansion effort to double capacity of company over two-year period.- Launched virtual programs in 2020.- Completed multiple sale/leaseback transactions.- Brought payor contracting in-house and achieved rate increases resulting in significant revenue improvement.- Consolidated and restructured accounting department improving efficiency and effectiveness.
  • First Health Group Corp & Subsidiaries:
    Chief Executive Officer & President
    First Health Group Corp & Subsidiaries: Feb 2012 - Dec 2017
    Executive leader of $100M company, providing managed care services to fully-insured, self-funded and international payors. Served as CEO prior to and after First Health’s acquisition by Aetna in 2013, remaining in role through December 2017. First Health is one of nation's largest PPO networks also providing dental, transplant, medical management and out-of-network solutions. Responsible for establishing strategic direction of the company and achieving financial and operational results. Achievements include:• Identified and capitalized on new revenue opportunities during period of unprecedented volatility in healthcare industry due to passage of the Affordable Care Act. • Developed and launched new product offerings resulting in annual revenue of >$10M.• Led company through 2013 acquisition by Aetna. Established working relationship with Aetna leadership and transitioned First Health to Aetna policies and processes.• Assumed responsibility for Cofinity, Inc., an Aetna subsidiary, and integrated it into First Health.• Retained CFO duties after promotion to CEO.
  • First Health Group Corp & Subsidiaries:
    Chief Operating Officer & Chief Financial Officer
    First Health Group Corp & Subsidiaries: 2007 - 2012
    Led operational service delivery and compliance. Responsible for financial management including budgeting, forecasting, product pricing and incentive compensation. Accomplishments include: • Integrated six PPO networks into one national network on single operational platform. • Significantly improved operational performance, including reduction in pended claims, decrease in turnaround time on issue resolution, and improved data accuracy.• Devised new pricing models leading to successful acquisition of new business and expansion of existing business.• Created Veterans Administration program with business partner, resulting in $14M of annual revenue.
  • First Health Group Corp & Subsidiaries:
    Vice President, Sales & Account Management
    First Health Group Corp & Subsidiaries: 2002 - 2007
    Led national team of 30 salespeople and account managers. Maintained and grew customer base of payor clients, including fostering personal relationships with senior executives at key clients. Accomplishments include:• Revamped structure of sales organization and incentive plans to maximize growth.• Personally made sale to large carrier yielding $11 million in annual revenue, the largest sale in the Company’s history.• Grew revenue by 40% over five-year period.
  • Aapan
    Board Member, Executive Committee Member
    Aapan 2012 - 2017
  • Aappo
    Board Member, Executive Committee Member
    Aappo 2008 - 2017
  • Medeanalytics
    Advisory Board Member
    Medeanalytics 2008 - 2011
    Richardson, Tx, Us
  • Community Care Network (Ccn)
    Senior Vice President, Strategic Planning & Development
    Community Care Network (Ccn) 1999 - 2002
    Created strategic plan and aligned management incentives to support it; grew the company through mergers, acquisitions and strategic alliances; managed two subsidiary companies.• Led $195 million sale of Company to First Health in 2001, with Merrill Lynch and Goldman Sachs as investment bankers. Successfully defended anti-trust challenge from Department of Justice.• Managed post-acquisition integration and collaborated with Saloman Smith Barney to divest two non-core businesses. Led downsizing of large San Diego headquarters from 600 to 150 employees. • Completed eight acquisitions and several strategic alliances.• Designed and implemented new executive compensation plans.
  • Community Care Network (Ccn)
    Sr. Vice President & Chief Financial Officer; Controller
    Community Care Network (Ccn) 1993 - 1999
    Led finance, human resources, M&A, legal and facilities. Accomplishments include:• Tripled revenue and earnings during tenure.• Converted company from not-for-profit to for-profit status.• Managed profitability during earn-out period resulting in maximum sale price for selling shareholders.• Outsourced international operations unit resulting in higher revenue and lower expense.
  • Ernst & Young
    Audit Manager
    Ernst & Young 1986 - 1993
    London, Gb
    Audit Manager serving healthcare, biotechnology, banking and real estate clients. Managed audit and consulting engagements, including numerous public offerings and M&A transactions.

Blaine Faulkner Skills

Managed Care Healthcare Hospitals Compliance Insurance Strategic Planning Health Insurance Hipaa Healthcare Industry Medicaid Medicare Business Process Improvement Healthcare Management Management Team Building Employee Benefits Contract Negotiation Leadership Financial Analysis Financial Forecasting Strategy Healthcare Consulting Finance Sales Business Development Mergers And Acquisitions Financial Accounting Budgeting Consulting Forecasting Business Analysis Team Leadership Team Management Public Speaking U.s. Health Insurance Portability And Accountability Act Customer Retention Negotiation Project Management Provider Relations Health Policy Cross Functional Team Leadership Change Management Managerial Finance Accounting Auditing Business Strategy Employee Benefits Design Performance Management Financial Reporting

Blaine Faulkner Education Details

  • San Diego State University
    San Diego State University
    Accounting And Business/Management
  • University Of San Diego
    University Of San Diego
    Master Of Business Administration - Mba

Frequently Asked Questions about Blaine Faulkner

What company does Blaine Faulkner work for?

Blaine Faulkner works for Blaine Faulkner Consulting

What is Blaine Faulkner's role at the current company?

Blaine Faulkner's current role is Owner and Consultant.

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What is Blaine Faulkner's direct phone number?

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What schools did Blaine Faulkner attend?

Blaine Faulkner attended San Diego State University, University Of San Diego.

What skills is Blaine Faulkner known for?

Blaine Faulkner has skills like Managed Care, Healthcare, Hospitals, Compliance, Insurance, Strategic Planning, Health Insurance, Hipaa, Healthcare Industry, Medicaid, Medicare, Business Process Improvement.

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