Principal
CurrentHealthcare consulting company specializing in project management leadership, physician practice management, program management assessment, strategy, and structure. Adopts oversight and management responsibility for the day-to-day operations of revenue cycle and physician practices to optimize billing model processes, payer enrollment model, and human capital provisioning. Partners with clients to shape the strategic direction through internal development, partnership, and pursuing new opportunities for growth and revenue diversification. Facilitation of organizational change as well as definition and implementation of leading and trailing quality and operational metrics. 2024 - Partnered with the same national health plan to provide project management, oversight and ensure compliance with execution of approximately 380 MOUs with external partners statewide in support of the mandated Population Health Management guidance. Developed monthly MOU dashboard for executive leadership awareness.2023 - Collaborated with a national health plan to lead operational readiness in finance, claims, encounters, and appeals and grievances to prepare for a sub-contractual delegated relationship with another national health plan for Medi-Cal members as well as direct a team of project managers, program managers and subject matter experts.2022 – Partnered with an east coast multi-state PM&R provider organization to implement recommended improved practices and metrics for their operations as well as renegotiating commercial payer contracts leading a team of finance, and business office experts in the delivery of the quantifiable services for a 25% increase in reimbursement and 30% improved efficiency.2018-21 - Partnered with a national telemedicine specialist physician group to provide refinement in the revenue cycle process and best practices structure. Accountable for the contracting and implementation for 43 commercial physician agreements with national and regional payers.