Managed Care Contracting - Synthesized multi-facility and physician practice claims datasets into case-level scenario modeling tools to ensure profitable commercial payer negotiations. Contracts accounted for $300M+ in annual revenue for nationwide health system partnersClaims Auditing - Performed regular contract audits and worked with payer network representatives to obtain over $2M in financial settlements on underpaid claimsBudgeting – Coordinated data collection, variance analyses and projections for annual budget processGovernmental Affairs & Payer Policy – Responsible for company-wide fiscal impact projections of CMS Proposed/Final Rules and commercial policy updates. Corporate Reporting – Developed a standardized quarterly/annual report package which provided deep-dive revenue, cost and operational trending reports for senior management and board of directorsBusiness Development - Led M&A analytics including market analysis, contract modeling, pro forma development and long-range revenue forecasting for 50+ surgery center acquisitionsRevenue Cycle - Developed and annually updated physician office and facility chargemasters based on market research and cost data to ensure profitability and competitive pricingData Integrity – Created Excel-based tool to remove duplicate Cerner charge query data and charge corrections to quickly produce analyzable account-level flat file data for hospitals. Represented department in company-wide SAP Business Objects implementation and testing. Became go-to person for complex data cleanup and data integrity issues during onboarding of new surgery centers

Claims Auditing - Saved Indiana Medicaid $1.5M annually by conducting cost studies that identified DME and supply billing errorsHospital Accounting - Managed $38M Medicare Upper Payment Limit project for Iowa outpatient hospitals. Completed cost report desk reviews for 35 Indiana hospitals to ensure providers met GAAP standards

Clinical Outcomes - Designed unit-level dashboards to track clinical, financial and patient satisfaction outcomesOperations - Reduced preoperative EKG write-offs by $50K annually by working with staff to identify coding errorsQuality Control - Organized ongoing peer review process for over 200 physicians in two service lines