Cliff Thomas Email & Phone Number

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.

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.

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.

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.

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.

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.