Executive management of Northern New England's largest physician-owned multispecialty medical practice comprised of radiologists, pathologists, anesthesiologists, and radiation oncologists with over 200 employees and $85 million in revenue.Responsible for strategic planning, Board and executive leadership development, hospital and payor contracting, business development, joint ventures, practice growth and acquisition, and personnel management.Agenda development and meeting facilitation for Board of Directors, Executive Committee, and Management Team.External customer management including relationship development and interface with seventeen hospital customers in two states.Internal physician relations with medical staff.Leadership and management of professional medical practice support staff including seven direct reports.Management of outsourced billing, collections and information technology relationships.Legislative advocacy and public policy support.

Operational responsibilities include:Oversight of the operations of physician multispecialty practice including billing and reimbursement, compliance implementation, fee schedules and contacting, hospital interfaces, and the monitoring of external billing and collection agencies.Management of administrative staff of 40 personnel including billing, scheduling, quality improvement, risk management, compliance, information technology and administrative services.Provide practice management support in the areas of business unit management, strategic initiatives, quality programs, billing and reimbursement models, new service development, utilization management, and resource/staffing analysis.Improved consistency and predictability of operational performance through the establishment of billing teams and performance standards.Contracting with managed care organizations (fee-for-service and risk-based), hospitals and other facilities.Development of relationships with key third party partners to ensure appropriate reimbursement and establish efficient mechanisms for identifying and resolving claims issues.Oversee and analyze the performance of all third party contracts and developed monitoring tools to track key billing/reimbursement indicators.

provided oversight and leadership in the development of a strategic IT plan and staff management for nation's largest private practice anesthesia groupProvided IT consulting services in the areas of strategic IT plan development; establishment of capital and operating budgets; implementation of hardware and software solutions; and recruitment

Governance and management oversight of coalition of nation's largest anesthesia practices representing over 3,000 anesthesia providers in fourteen states.Negotiation of nation-wide vendor and services contracts.Oversight and management of the development of first ever national clinical registry for anesthesia services.Participation in negotiations and advocacy with national medical specialty societies and federal policy makers.

Management of a dynamic, fast-paced 50 person operational unit with accountability for the operations, client service, and profitability of 18 client units throughout New England. Responsible for $20 million in revenue and $60 million in client accounts receivable.Provided oversight of paraprofessionals in furnishing full financial management services to clients including payroll, A/P, and advise regarding selection of appropriate retirement, health and other company benefit plans.Improved efficiency and both client and internal financial performance through the implementation of billing teams as well as setting up feedback processes to ensure the timely resolution of billing problems with internal and external customers.Worked closely with sales development team and provided on site operational & practice review service to potential clients in evaluating current billing operation and work flow processes. Developed comprehensive summary reports to highlight strengths, weaknesses and opportunities relative to financial performance, compliance, billing processes and internal staff management.

Primarily responsible for customer service and practice management of twelve client medical groups ranging in size from a solo practitioner to a 70 physician practice throughout New England and New York.Performed practice manager functions for medical group clients including hospital and payor contracting, strategic plan development, human resource management, financial management functions, and other business management activities for medical practice groupsProvided consultative services to medical groups in evaluating financial performance, strategic goals, key partner relationships and short and long term business plans.Responsible for the analysis, preparation and presentation of billing and financial information to clients at monthly and quarterly operational and shareholder meetings. Helped develop successful third party payor & hospital relationships to enhance practice revenue on behalf of clients in 5 states.