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Have served as the Chief Executive Officer at Kids Health First Pediatric Alliance since 2003 leading more than 200 pediatricians in a strategic and global approach to delivering pediatric healthcare products to physician practices. As the CEO, have also lead initiatives in managed care contracting, network management, financial management, compliance and quality improvements. Through this approach, and working collaboratively with member physicians, have developed creative solutions to both the financial and expense side of the private practice model resulting in mutually beneficial relationships with major health plans.Active in the pediatric healthcare community as a member of the Community Physicians Advisory Council (CPAC) for Children's Healthcare of Atlanta, the Georgia Pediatric Care Network (GPCN) and the Pediatric Health Improvement Coalition (PHIC). Am also a member of The IPA Association of America (TIPAAA).
Kids Health First Pediatric Alliance & Georgia Pediatric Subspecialist Ipa
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CeoKids Health First Pediatric Alliance & Georgia Pediatric Subspecialist Ipa 2003 - Present
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Managed Care Client RepresentativeSchering-Plough Corporation Jul 2000 - 2003Greater Atlanta AreaResponsible for account managment, direct contracting, successful formulary product approval and market share growth for national and regional accounts in the GA and FL markets. Achieved 100% preferred formulary access for multiple products in all states. Integrated with field sales personnel to maximize managed care sales potential resulting in increase in product launch share for major product within six months of launch. Exceeded customer expectations in potential care management decisions regarding therapeutic categories of Hepatitis, Asthma and Allergies.
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Executive DirectorInnovative Clinical Solutions, Ltd. (Formerly Phymatrix Corporation) Jul 1998 - Jul 2000Greater Atlanta AreaA publicly traded integrated medical management company, managing physician relationshps in integrating clinical reserach, outcomes and pharmacy management. Developed and implemented strategic direction of the network. Negotiated and implementd managed care contracts covering more than a half a million lives in Georgia. Designed and implemented the NCQA compliant credentialing program resulting in a significant increase in NCQA compliance. Developed and implemented a network development plan with resulted in a triple increase in network membership.
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Director, Contracting And Networking Management, Atlanta Children'S Health NetworkChildren'S Healthcare Of Atlanta (Formerly Egleston Children'S Hospital) Oct 1995 - Jun 1998Greater Atlanta AreaThe Atlanta Children's Health Network as a pediatric PHO affilated with Egleston Children's Healthcare System, which served as the contracting and support vehicle for the pediatric integrated delivery system including more than 300 primary care and specialty physicians. Negotiated and implemented PHO contracts which included full-risk/global capitation arrangements, risk-sharing and non-risk sharing arrangements. Developed and implemented provider profiling and capitation processing/management systems resulting in improved financial efficiencies.
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Administrator Of Provider OperationsBlue Cross Of Western Pennsylvania/Keystone Health Plan West May 1994 - Oct 1995Greater Pittsburgh AreaLargest health insurers of western Pennsylvania representing nearly 4 million covered lives. Managed all ancillary contracting services including O/P, DME, home health/infusion realizing an annual savings of 15%. Managed capitation payments totaling approximately 13 million. Developed and implemented a provider fee schedule resulting in decrease in provider costs totaling 5 million. Assessed, developed and implemented the provider referral system resuting in a 40% decrease in referral management costs.
Tom Finnerty Skills
Tom Finnerty Education Details
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Univeristy Of PittsburghHealth/Health Care Administration/Management -
Master Of Business Administration (M.B.A.) -
Bachelor Of Business Administration (B.B.A.)
Frequently Asked Questions about Tom Finnerty
What company does Tom Finnerty work for?
Tom Finnerty works for Kids Health First Pediatric Alliance & Georgia Pediatric Subspecialist Ipa
What is Tom Finnerty's role at the current company?
Tom Finnerty's current role is CEO at Kids Health First Pediatric Alliance & Georgia Pediatric Subspecialist IPA.
What is Tom Finnerty's email address?
Tom Finnerty's email address is tf****@****rst.com
What is Tom Finnerty's direct phone number?
Tom Finnerty's direct phone number is +177048*****
What schools did Tom Finnerty attend?
Tom Finnerty attended Univeristy Of Pittsburgh, University Of Pittsburgh, Clarion University Of Pennsylvania.
What are some of Tom Finnerty's interests?
Tom Finnerty has interest in Football, Exercise, Sweepstakes, Home Improvement, Reading, Gourmet Cooking, Sports, Fishing, Home Decoration, Watching Sports.
What skills is Tom Finnerty known for?
Tom Finnerty has skills like Network Performance Management, Managed Care Contracting, Physician Relations, Physician Network Development, Physician Alignment, Strategic Partnerships, Strategic Communications, Medical Malpractice, Operations Improvement, Operations Integration, Quality Management, Medical Liability.
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