Charles Carroll work email
- Valid
Charles Carroll personal email
More than 30 years experience in the healthcare industry, including an extensive background working with executives to maximize business and healthcare results in hospital systems and physician groups. Ten years experience in the evolving field of EHRs/EMRs, effectively collaborating with physicians to deploy healthcare technology in pioneering and “hassle-free” ways. Practical vision for implementing EHRs/EMRs that simultaneously increases profitability, improves healthcare quality, and streamlines business processes. Highly knowledgeable executive who develops and implements strategic plans and related tactical goals to achieve benchmark performance in operational and P&L targets. Experience includes working with national insurance organizations and non-profit groups, including procuring federal grants and negotiating contracts to achieve clear objectives.Consultant and expert in HMO and practice start up, valuation and practice efficiencies, including staffing, work-flow analysis, and technology implementation.Skillfully works with state and federal regulatory agencies, employer groups, and board members to forge key relationships among diverse stakeholders. Background includes directing the development, start-up and growth of Molina Healthcare in the Texas market, including P&L in excess of $100 million. Adroitly worked in the highly competitive California and southeastern markets including Florida, developing IPAs and managing risk from competitive HMO insurance companies.A creative marketer with a proven track record of developing profitable partnerships between hospital systems and physicians. Negotiated and implemented innovative contractual arrangements where pay for performance, operational cooperation, organizational expansion and marketing methods are critical elements for success.Specialties: Expertise in electronic health records (EHRs), physician practice management and recruitment, hospital and insurance administration, federal grant procurement and contract negotiation.Extensive experience maximizing business results in non-profit and for-profit hospital systems, provider sponsored insurance plans, multi-site physician groups and national insurance organizations.
Health One Technology Solutions
-
Executive Vice President, Business DevelopmentHealth One Technology Solutions Mar 2010 - Present
-
Senior Partner, ConsultantJohnson Lane Group, Llc Apr 2009 - Mar 2010Practice valuation, recruitment and strategic planning.Practice efficiencies including staffing, work flow analysis and Electronic Medical records implementation. Provider and Facility Waste, Fraud and Abuse Compliance Consulting. Strategic business positioning for large IPA,PHO and Foundation Physician group “clinical integration.” NCQA “Medical Home” model implementation and project management.Community grant writing and rural/FQHC census track demographic research and recommendation. Network development, contracting and P4P evaluation for Physician Foundation and 501A models.CMS Medicare Advantage contract and State Health and Human Services Medical service RFP preparation. Practice and facility revenue cycle and cash management, lease negotiations and improvements.Team building, motivational consulting and clinic staff expansion.
-
President/CeoMolina Healthcare Of Texas Mar 2007 - Apr 2009Direct strategic development, start up and growth of Molina Healthcare in Texas market including P&L of more than $100 million, with $14 million annual profit.Manage operations of the regional offices in multi-city location. Implemented operational processes to improve performance and comply with rules and regulations of the State and other regulatory agencies. Define and negotiate contracted Physician P4P clinical benchmarks, access, and patient educationAssist with clinic partnerships for telemedicine between regional academic centers and local physicians and rural hospitals
-
Vice President, Managed Care, Revenue Cycle ImprovementDriscoll Children'S Hospital, Corpus Christi, Tx Mar 2000 - Mar 2007Developed strategic plan for growth, administration and coordination of plan from start-up to 45,000 members. Primary contact for all regulatory bodies. Managed staff, set priorities of finance and information technology, managed internal and external administrative partners.Ensured regulatory compliance; responded to all regulatory audits, state requests and reporting requirements, managed fraud detection process vendor, grievance functions, and appeals panels.Achieved administrative performance goals through strict adherence to predetermined metrics measurement and evaluation in an environment supported by and consistent with principles of continuous quality improvement.Developed and initiated standardized policies and procedures on a regional 22-county basis for continuity of network to eliminate physician/HMO administrative problems through innovative initiatives.Tracked profitability through regular evaluation of company-wide income statements, balance sheets, statements of cash flow, future claim reserve estimates and risk-based capital requirements.Voluntarily took on health plan COO role to provide a physician-driven strategy. Held fiscal responsibility for sales, operations, claim system changeover and marketing of health plan. Managed P&L of more than $65 million in premiums; kept administrative costs at or below target.Earned health plan the reputation of a high-performing, low-maintenance plan, a top honor for health plans, by the Texas Health and Human Services Commission.Profitable operational oversight of EMR implementation strategy business model to augment relationship and participation with targeted provider practices.Played key role in legislative and Children’s Hospital Association Statewide and National initiatives.
-
Director, Physician Networks And Managed Care ContractingColumbia/Hca North Texas Division - Medical City Hospital 1997 - 2000Accountable for full risk contracting for both hospital and affiliated physician networks for all of division affiliated providers, aligned physicians in Foremost PHO. Created strategic plans, managed budgets, managed recruited physician contracts including start up, lease hold, benefits, Medicare, Medicaid and Commercial insurance payors.Monitored performance and education of physician affiliates and in both fee for service and capitated environment.Assisted in corporate negotiations and implemented Columbia /HCA group region-wide payor contracts in concert with business office Director and personnel.Developed fully integrated disease state, global rate product lines for Medical City Dallas including transplant program, orthopedics and obstetric direct contracts to employers in Dallas Metroplex.Expanded/implemented program of disease management of transplant programs for Medicare, Commercial and Medicaid insurers and employers.Active participation with North Texas Employer Group on Health on access and benefit education
-
Director Management Care/Ipa Business DevelopmentTenet Health Inc, Northern Ca 1995 - 1997Recruited for hospital specialty and primary care physiciansAssessed regional needs and competitive environment for clinic affiliation and expansion in rural northern California for specialty “in-migration” to local facilityPerformed managed care contracting for hospital, ambulatory and behavioral care facilities and risk agreements for IPA. Developed Integrated Provider Network for area with 247 Physicians.Devised and implemented strategic plan for the 10 hospital Northern California Hospital Alliance.Managed full risk Medicare/Med-Cal insurance products with Tenet provider sponsored National Health Plan.
-
Director Corporate Network Development/Physician Managed CarePremier Health Management, Savannah, Ga 1993 - 1995Performed strategic development and marketing of IPA networks in six states.Developed five Primary Care Equity IPA’s, contracting with over 500 Physicians.Secured large Florida Medicaid and Medicare HMO risk bearing, capitated contracts.
-
President, Senior Healthcare ConsultantThe Ryan Group, Sherman Oaks, Ca 1990 - 1993Performed asset management and contractual relationship between hospitals and independent physician networks. Negotiated HMO capitation and per diem rate structures for IPAs' and PHOs' for several large California Hospital Systems.Assisted several local hospitals with Physician recruitment efforts and negotiations
-
Matrix Manager – Hospital Administration - Support ServicesPacific Health Resources, Burbank, Ca 1990 - 1993Analyzed and administered cost efficiencies in support service departments for 12 UniHealth hospitals.Implemented and trained hospital personnel in use of critical path software while, monitoring statistical reports and presenting analysis of capitated contracts to UniHealth corporate . Participated in the design of TQM program.
Charles Carroll Skills
Charles Carroll Education Details
-
Biola UniversityMarketing And Business Communications -
University Of San FranciscoHuman Resources And Organizational Development
Frequently Asked Questions about Charles Carroll
What company does Charles Carroll work for?
Charles Carroll works for Health One Technology Solutions
What is Charles Carroll's role at the current company?
Charles Carroll's current role is Executive Vice President, Business Development, Health One Technology Solutions.
What is Charles Carroll's email address?
Charles Carroll's email address is ch****@****ere.com
What schools did Charles Carroll attend?
Charles Carroll attended Biola University, University Of San Francisco.
What skills is Charles Carroll known for?
Charles Carroll has skills like Development, Business Development, Technology, Solutions, Technology Solutions.
Not the Charles Carroll you were looking for?
-
3pjtpartners.com, umich.edu, morganstanley.com -
Charles Carroll
Stamford, Ct5terra-genpower.com, dlapiper.com, us.dlapiper.com, cov.com, yahoo.com3 +164682XXXXX
-
-
Charles Carroll
Greater Philadelphia2hotmail.com, td.com1 +141698XXXXX
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial