Senior health business consultant responsible for securing, managing and executing operational and financial consulting engagements. Services include: Practice evaluation and management; Review, plan development and implementation of process and procedure enhancements surrounding the revenue cycle; Strategic planning and new business development; Payor, provider, and institutional contracting; Subsidy evaluation and negotiations; Customer services; Use of technology; Performance benchmarks; Staff training to enhance quality and financial goals.• Identification of $10,000,000 in lost revenue; development and implementation of recovery plan yielding a 65% recovery of previously denied accounts.• Review and implementation of process improvements to expedite collection procedures, accelerated claim flow reducing days in A/R by 9%.• Decreased managed care payment penalties by auditing front-end processes, identifying areas requiring enhancement, developing systems and training staff to involve payers prospectively.• Development and implementation of an automated Denials Management program to profile payers and provide financial managers with a tool to ensure denials are addressed within 72 hours of posting.• Review of health system contracts with commercial payers, and development of a collaborative contracting strategy to enable payer and provider to compartmentalize health care expenses/revenue.

Chief Executive and Practice Manager responsible for strategic and day to day operations; Revenue Cycle/P&L over site and management, third party contracting, pension and benefit management for a practice management company and 144 physician anesthesia practice with annual revenue of $60 million.• Designed organization infrastructure; retained and trained staff; 100% operational within 90 days.• Returned 90% of startup contributions to investors within 90 days of commencing full operations. • 25% profit margin in first full year of operation.• New hospital site operational 75 days after initial contact by leadership; site brought in $1.3 million under budget and provided an addition $1 million in retained revenue for investors.• Developed transition plan for enterprise wide malpractice solution that ultimately evolves to a captive.• Increased client third party/subsidy reimbursement 11% and gross collection per FTE physician 13%.

Responsible for providing client with day to day operational and Revenue Cycle/P&L over site and management; third party contracting; pension and benefit management for a 115 physician anesthesia practice with annual revenue of $50 million.• Lead group through formation phase.• Negotiated initial agreements with third party payers. • Aligned goals and objectives of group and institutions through targeted education of their interdependence, and the ultimate affect on their long range plans, goals, and objectives.• Developed contracting/hospital subsidy strategy and increased gross collections per FTE 26%. • 66% growth in group through the addition and integration of anesthesiologists and sites.• Developed and implemented successful legislative agenda designed to protect consumers and facilitate good faith negotiations between payers and providers.• Reversed 8 year history of declining revenue by increasing 3rd party reimbursement 31% over 4 years.

Responsible for developing, negotiating, credentialing, implementing, and the ongoing operational management of physician, faculty, hospital, free-standing facilities, and ancillary provider networks for a publicly held managed care organization with over 45,000 providers, 300 hospitals, 4 HMOs, 2 PPOs and 2 million members in 7 states throughout the Mid Atlantic Region.• $6 million reduction in medical expenditures, and a 7% improvement in institutional claim processing accuracy by managing a process improvement workgroup that evaluated and redesigned contracting methodologies; and their subsequent implementation.• Lead negotiator on all Health System, PHO, Teaching Institution, Center of Excellence, Large Group and complex agreements.• Enhanced provider satisfaction and relationship through the design and implementation of a corporate strategic partnership plan, Hospital Liaison/Education program with a focus on health systems, teaching institutions and faculty practice programs, training and quick reference guides.• Developed and implemented case rate/Center of Excellence networks to address quality, clinical management and cost of Transplants, Joint Replacement and Cardiac Surgery patients.• Reduced variability in ambulatory care expenditures by identifying and implementing various types of fixed priced reimbursement methodologies.• Negotiated two national laboratory service agreements with product specific reimbursement methodologies, reducing laboratory expenses by approximately $8 million a year.

Executive manager for logistics, administrative, support and building services, construction, biomedical equipment repair, human capital; health, welfare and professional development of 160 Medical Students.• Managed $35 million property account, operating budget of $10 million through two-year budget freeze.• $250,000 annual reduction in overhead through first statistical analysis of utilities.• Reduced operational expenses and enhanced clinical research coordination by introducing telecommunications technology.• Reduced new employee compensation issues 34% through the introduction of process improvements.• Designed and implemented facility renovation plan for 10% budget increase.• Conducted first 100% inventory of all agency equipment; developed equipment replacement program.