Bruce Hoffman Email & Phone Number

Greater Phoenix, Arizona, US

Managed Care consultation with concentrations in Compliance, Fraud, Waste and Abuse, and Health Plan Operations for Managed Care Organizations

Providing compliance an data security oversight for our curated network of diabetes prevention educators and social determinants of health products.

Responsible for all regulatory functions related to a Medicare and Medicaid Managed Care organization of 80,000+ members. Oversee staff of 25 Compliance Analysts, Grievance & Appeals Specialists, Program Analysts, Case Managers, and Marketing Agent Oversight Investigators. Corporate representative to all local, state, and Federal regulatory agencies..

Direct all operational activities of a Medicaid revenue cycle management Regional Office. Interface with regulatory agencies and hospital customer base to ensure compliance and customer satisfaction. Responsible for annual budgets in excess of $20 million.

Clinical and operational oversight of five county health clinics offering health services to community participants. Responsible for all operational processes and regulatory compliance. Developed and implemented an innovative "same day" scheduling process that resulted in a documented 82% increase in the number of clients receiving services per day.

Oversight Medicaid transportation programs and contracts in a six county area. Serve as liaison to six county coordinating boards, investigate billing issues, monitor contracted providers, and develop and present training to regulatory staff and contracted providers. Responsible for returning to state coffers $4million in fraudulent and erroneously billed.

Instructor of undergraduate level courses in apparel manufacturing.

Responsible for the development, implementation, and administration of the Non-Custodial Parent Employment Project, a forerunner to welfare reform. This highly successful program located in six judicial districts returned $18 million to the State of Florida within 12 months of inception, and placed over 300 individuals into the workforce.

Tampa, FL, US

Established and supervised a sheltered workshop and vocational programs for individuals with chronic and persistent mental health issues. Secured manufacturing contracts, implemented manufacturing processes, and over sighted Wage & Hour compliance.

Mba, Organizational Development

Ba, Organizational Management