Cliff Thomas

Cliff Thomas Email and Phone Number

Director of MSO Operations Independent Living Systems
Cliff Thomas's Location
Miami, Florida, United States, United States
Cliff Thomas's Contact Details

Cliff Thomas personal email

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About Cliff Thomas

Cliff Thomas is a Director of MSO Operations Independent Living Systems.

Cliff Thomas's Current Company Details

Director of MSO Operations Independent Living Systems
Cliff Thomas Work Experience Details
  • Independent Living Systems, Llc
    Director Of Mso Operations
    Independent Living Systems, Llc Jun 2013 - Jul 2023
    Management Services Organization (MSO), brings clients an extensive range of MSO Services that include Comprehensive Care Management, Provider Engagement and Education, Data Analysis, and much more. Traditional MSOs focus on back office functions, paperwork simplification, and infrastructure/workflow optimization, with a fundamental lack of experience handling unique populations, including locally underserved residents such as those on Medicaid, Medicare, Supplemental Security Income (SSI), and Temporary Assistance for Needy Families (TANF) eligibles.MSO Health Systems analyzes and assesses the operation as a whole, with a background set on exclusively serving Medicaid, Medicare, and dual eligibles with a range of special needs and disabilities, enabling us to consistently achieve targeted Medical Loss Ratios (MLRs). Our overarching mission is to significantly impact quality of life by providing innovative health and social support solutions. This dedicated focus enables us to provide tailored MSO Services to meet the needs of health plans who support the most vulnerable populations.
  • Dr. Harold Guinyard Leadership Academy, 100 Black Men Of South Fla
    Chairman
    Dr. Harold Guinyard Leadership Academy, 100 Black Men Of South Fla Jun 2019 - Jun 2023
  • 100 Black Men Of South Florida
    Vp Development
    100 Black Men Of South Florida Jun 2017 - Aug 2020
  • 100 Black Men Of South Florida
    Vp Finance
    100 Black Men Of South Florida Jun 2016 - Jun 2017
  • Liberty City Church Of Christ
    Youth Director
    Liberty City Church Of Christ 1995 - 2018
    Miami/Fort Lauderdale Area
    Work with intercity Youth in the Liberty City area of Miami. Develop programs & create relationships with community programs. Mentored Children in Elementary through College. We have a tremendous group of young adults and youth at the Liberty City church of Christ. This group that goes by the name, No Limit Christian Youth Group. Some may think of this name as a hip hop name, but on the contrary, it symbolizes the power of GOD and the concept of "I CAN" (Philippians 4:13). "No Limit" simply means that our youth can accomplish anything with GOD's Help.
  • 100 Black Men Of South Fla
    Vp Programs
    100 Black Men Of South Fla Jun 2009 - 2016
    Miami/Fort Lauderdale Area
    Oversee the Committees of the South Florida Chapter. The 100 Black Men of South Florida, Inc. seeks to serve as a beacon of leadership by utilizing our diverse talents to create an environment where our children are motivated to achieve and to empower our people to become self-sufficient shareholders in the economic and social fabric of the communities we serve.
  • Kct Consultants
    V.P. Operations
    Kct Consultants Mar 2013 - Jun 2015
    Create strategic business partners with the ability to formulate and implement professional solutions to accomplish company objectives. Extensive experience in all facets of the managed care network management including contract negotiations, delivery system development and utilization analysis.
  • Pauc / Pag
    Vp Operations
    Pauc / Pag May 2005 - Mar 2013
    Miami/Fort Lauderdale Area
    Responsible for establishing a profitable Management Service Organization in Florida. Business functions included negotiating MSO contracts with all major health plans, recruiting physicians capable of working within a risk environment; analyzing data to identify and evaluate potential problems ensure on-going value, developing cost-effective delivery systems and programs to increase revenues. Built MSO from 6 PCP offices in Miami-Dade county to 150 PCP office statewideAccomplishments:• Established profitable MSO within 12 months.• Increase profits and revenues by 40% in 18 months• Developed an MSO in Central Florida.
  • Humana
    Mso Operations
    Humana May 1993 - May 2007
    South Florida
    MSO Operations RepresentativeProvider Administration RepresentativeContract RepresentativeWellness CoordinatorNew Member Specialist Program AdministratorCustomer Service RepresentativeResponsibilities in this nationwide health plan included assisting members with appointments, enrollment and research, conducting outreach service education in preventive health care, educating physicians regarding Humana policies and AHCA guidelines. Handled the contracting process from loading and verifying all terms to communicating with Providers regarding issues and analyzing reports. Served as the operational liaison between Humana and large MSO Providers. Monitored financial stability and analyzed Service Fund and MFPP reports. Developed capitation tables and monitored accuracy pertaining to Stop Loss levels.

Cliff Thomas Skills

Network Development Healthcare Industry Healthcare Managed Care Strategic Planning Leadership Health Policy Practice Management Healthcare Consulting Medicare Healthcare Management Contract Negotiation Team Building Program Management Physicians Insurance Executive Management Management Medicaid Hipaa Provider Relations Process Improvement Policy Leadership Development Revenue Cycle Operations Management Quality Improvement Performance Improvement Staff Development Change Management Budgets Analysis Management Consulting Data Analysis Healthcare Information Technology Training Program Development Organizational Development Strategy Government Public Speaking Coaching Entrepreneurship Business Development Contract Negotiations Business Process Improvement Proposal Writing Business Planning Start Ups Vendor Management

Frequently Asked Questions about Cliff Thomas

What is Cliff Thomas's role at the current company?

Cliff Thomas's current role is Director of MSO Operations Independent Living Systems.

What is Cliff Thomas's email address?

Cliff Thomas's email address is ct****@****lth.com

What is Cliff Thomas's direct phone number?

Cliff Thomas's direct phone number is +130568*****

What are some of Cliff Thomas's interests?

Cliff Thomas has interest in Education, Arts And Culture, Children, Health.

What skills is Cliff Thomas known for?

Cliff Thomas has skills like Network Development, Healthcare Industry, Healthcare, Managed Care, Strategic Planning, Leadership, Health Policy, Practice Management, Healthcare Consulting, Medicare, Healthcare Management, Contract Negotiation.

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