Chad Gottier Email & Phone Number

Cigna-Healthspring, Birmingham Al.• Directly manage 4 administrators with management responsibilities over 10 IPAs• Value based contracting responsibility for Alabama Market• Executive Director of ACCA ACO with 92 Primary Care Physicians and over 21,000 lives• Over 8% membership growth over last 3 years• Decreased overall costs by over 10% over last 3 years• Increased profitability in environment of decreasing revenue• Responsible for primary care and specialty network growth• Each IPA no lower than 4 STARS with one 5 STAR in 2013• Transitioned 2 physician organizations to legal IPAs• Worked closely with network hospitals to increase patient volume and achieve financial goals• Organized clinical teams to review case management opportunities for all IPAs• Lead groups with a focus on improving claims payment accuracy and provider load processes• Initiated and developed policy for directly credentialing nurse practitioners for entire company

Birmingham Al.Alabama’s largest privately held optometric/laser vision company with 15 offices with over $15 million in annual revenueRevenue growth of over 20% 2005-2008, 11% growth in 2009Acquired / Merged 7 offices into Corporate structureManaged full surface lab generating approx 176 jobs per day.Negotiated VA contract for multiple states to provide eyeglasses to veteransAssisted in design/build-out/merchandising and staffing six new offices Negotiated LOC with Operation New Birmingham for Eastwood office build outStarted Managed Care division with over 15,000 members under pre-paid or discount plans.Implemented new IT infrastructure including, Electronic Medical records and remote POS systemServed as Chief Financial Officer from 2000-2005- increasing cash flow in each year by implementing stricter cash management controls, financing equipment, negotiating favorable terms for LOC to enable expansion of officesRedeveloped POS system to more accurately account for Third Party transactionsCreated insurance departmentCreated all internal financial reports and KPI reportsFurther developed Lasik Surgery center with internal referral systems and marketingExperience in all phases of Optical Business- Financial/IT/Operations/Lab

North American Medical Management, Birmingham Al An IPA management company with over 100,000 lives under contract in with local HMO in BirminghamDirect financial responsibility for two IPA’s including primary care and specialist.Produced IPA’s monthly financial reports and presented to board of 2 primary care groupsDeveloped yearly budget including revenue projections and cost per member per month (PMPM) and presented to corporate CFOProduced Qtrly data bases in order to calculate IPA costs per member and hospital days per thousand and pay primary care doctors based on performanceHelped negotiate risk pool contracts with insurance companies to cap health care costsResponsible for producing monthly P&L’s for IPA management company and presenting to corporateWorked with medical review staff to manage and control days per thousand in hospital

A leading national home health care company offering RN and Home Health Aid/Sitter servicesTook over medical billing department and dropped Medicare DSO to under 40 daysWas part of transition team when Carraway Hospital purchased agencyHelped develop financial reporting system

Birmingham, Alabama Area

- Worked exclusively on the Bellsouth provider Line- Handled in excess of 50 calls per day

Master Of Business Administration - Mba, Accounting And Finance

Masters Degree, Business And Administration

Bachelor Of Science Degree, Business Finance