D. Grant Jones Email & Phone Number

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Greater Pittsburgh Area

Responsible for the direction and oversight of the departmental functions relating to provider reimbursement including: research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies, and fee schedules for all provider types in support of provider contractual arrangements. Additional responsibilities of this job include the development and integration of provider payment policies and guidelines applicable to institutional and professional reimbursements and in concert with the Organization's products and member benefits. This job partners closely in the pay for value reimbursement designs, and contributes to the support other corporate short and long term strategic initiatives. These functions collectively maintain the Organization's reimbursements to all health care providers, and serve as a consulting resource in maintaining the Organization's application service providers (ASP) partner plans.

Nebraska & Iowa Regions

Revenue cycle and performance management for 1000+ providers (monthly gross revenues of ~ $75.0M; active AR ~ $ 150.0M) in two states and two service centers. Performance strategies directed toward educating and improving front end revenue processes to positively drive back end performance, maximizing cash flow, eliminating waste in processes, and improving service quality/ effectiveness. Led project teams from conception, design, planning, implementation, testing, and control phases.• Responsible for monitoring all key performance indicators within three large service/call centers, working with Service Center Directors and client C-Level leadership to ensure effective action plans are in place for all areas where metrics are below targeted result levels.• Responsible for managing items and tasks to resolution/completion.• Presented a consistent interface between the client and the various service operations or projects managed within MedSynergies and assigned client leadership. • Accountable for the delivery of all current commitments to the customers such as SLO performance, reporting requirements, status updates and issue resolution. Coordinated and authorized effective action plans to return performance metrics to within desired productivity and quality tolerances.• Resolved all escalations regarding the client, regardless of area of functional responsibility. • Developed strategies and processes with the account team in areas such as performance metrics and measures, escalation, change management, and communication. • Functioned within a governance structure that comprises comprehensive, coherent processes, and effective communications between the customer, MedSynergies, and other partners. • Lead internal cross functional, intra-organizational teams to drive programmatic improvements with impact throughout the organization.

Bellevue, Ne

Teach healthcare management classes in online graduate and undergraduate environments:MHA 602: Health Information Technology and Administration MHA 648: Leadership and Team Development MHA 661: Healthcare Finance and EconomicsBHMC 313: Health Information Technology

Nationwide

Enterprise Project/Program Management; McKesson Paragon clinical/financial analyst; specializing in rapid implementation methodology, enterprise system/process optimization, change management, and enterprise project management.* Completed a 5.5 month (kick-off to Go-Live) McKesson Paragon/ MPF implementation at a hospital in S. California. Planned and led client leadership and McKesson resources through the non-traditional rapid implementation process. Managed a team of six consultants, fifteen application owners, and forty super-users through the process.* Completed a McKesson Horizon ER12 upgrade project as Testing Coordinator.* Works with C-Level resources to plan, budget, develop, implement, validate, and manage system- wide special projects.

Nationwide

Originated, designed, planned, implemented, tested and maintained a rapid EHR/PMS implementation program, bringing Critical Access and Community Hospitals from kick-off to go-live with six months – completed six successful implementations, saving clients more than $5.0M in implementation costs. Led 26 FTE consultants (project managers and analysts) engaged in Healthcare IT, EHR, and process improvements with divisional revenues of $4.5M annually. • Provided both financial and clinical consulting services to community healthcare providers.• Consulted on strategic planning, operational improvements, project guidance and EMR implementation services to rural and community hospitals and medical practices.

Facilitated online classes for MBA and MHA programs:Health Care OrganizationsChange in Health OrganizationsNegotiation and conflict in the workplace

Hastings, Ne

Led clinical operations for multiple providers and facilities throughout the western Nebraska region with $40M in total gross revenues, including one large OP behavioral health clinic and three Provider-based RHC clinics.• Directed all clinical, administrative and financial operations related to professional medical services.• Led and grew 30+ provider, 85 FTE professional outpatient, medical and mental health clinic programs across 25 locations (including satellite locations).• Served as liaison between medical & clinical staff, corporate/regional offices, and ensured government compliance.• Exceeded corporate goals through clinical program development, quality & utilization management, and education. • Improved processes and workflows for maximize net profits in assigned clinics.

Salem, Or

Business management & revenue cycle responsibilities for ambulatory service line including; Outpatient Infusion center, would care, anticoagulation clinic, Bariatric Surgery, Radiation Oncology, endoscopy, the Sleep Disorder Center and Neurodiagnostics.Key Results:* Co-founded the bariatric surgery program at Salem Hospital.* Redesigned staffing and departmental processes in the Sleep Center to improve affiliated physician relationships and increased gross revenue by 24%.* Remodeled all chargemasters to improve billing compliance and maximize revenue for outpatient departments.* Assisted in the implementation of EPIC hospital information system and electronic medical record.

Anchorage, Alaska Area

Recruited to assist with the management of the critical care processes and education for this Level I trauma center with Level I neonatal nursery and Pediatric Intensive Care. Received training as a Six Sigma Black Belt and functioned as a Green Belt on patient throughput and cycle improvement projects.

Greater Minneapolis-St. Paul Area

Respiratory Therapy, 2002 to 2003Program Director for two year associates degree in respiratory therapy. Redesigned program curriculum from a one-plus-one program to a continuous two year program design to improve student outcomes. Taught respiratory care, health ethics, human disease and anatomy & physiology classes.

Kalamazoo, Michigan Area

Responsible for operations for respiratory care, sleep lab and neurodiagnostics. Key Results:* Designed and implemented a Hyperbaric and Underwater Medicine program including two monoplace chambers and one six person multiplace chamber.* Designed and implemented a therapist driven protocol program allowing independent assess-and- treat procedures for respiratory care treatments and diagnostics.* Assisted in the planning and implementation of the move of all patients from an old facility to new facility* Created change management program for replacing the fleet of mechanical ventilators to Siemens Servo 300s.

Houston, Tx

Responsible for 120+ FTEs in this 1000 bed facility including five Supervisor direct reports. Implemented training program and roll-out of new fleet of PB 840 ventilators.

Charlotte, North Carolina Area

Instructor for Classroom and Clinical instruction including:1. Physical Assessment2. Cardiopulmonary Pathophysiology3. Emergency and Critical Respiratory Care4. Neonatal Respiratory Care5. Advanced Mechanical Ventilation

Charlotte, North Carolina Area

Dha, Health Administration, Program Gpa: 3.87

Dissertation: Jones, D. G. (2013). Provider's Emotional Intelligence: Relationships with Patient Satisfaction and Adherence.

Masters, Business Administration; E-Business, Program Gpa: 3.64

Bachelor Of Science (B.S.), Healthcare Management

Aas, Respiratory Care Technology

Bs Healthcare Management, Health/Health Care Administration/Management