Francis Terway Email & Phone Number

Austin, Texas, United States

Enable client navigation of healthcare landscape, particularly Medicaid managed care and behavioral health trends. Develop client/vendor partnerships for early-stage operational infrastructure.

Austin, Texas Area

Executive operational leader focused on developing, implementing, and leading the behavioral health clinical analytics team of 40 FTE to provide data-driven thought leadership for clinical operations, program development, and other key departments to execute strategic and operational initiatives across multiple departments and with industry partners. • Exceeded $100M in annualized savings through organization, management, and measurement of cost reduction initiatives, including operational effectiveness and work-load prioritization, identification of early clinical interventions, and high-performing provider partnerships.• Developed and implemented behavioral health value-based, pay-for-performance model in 19+ states and 200+ network providers.• Created an executive provider enablement framework for strategic national behavioral health provider partnerships for multiple health plans.

Austin, Texas Area

Envolve PeopleCare, a Centene company, provides specialty clinical programs and services to government and private health care clients. Services include behavioral health managed care and specialty programs, employee assistance programs, disease and lifestyle management, nurse advice and crisis triage, and digital health solutions to focus on whole-person health and social determinants.Responsibilities include:* Oversight of Clinical and Call Center operations, Data Analytics, Legal & Contracting. Team of over 2000 awesome employees.* Senior leader responsible for strategic planning and development, business integration, and implementations* Successful development, implementation, and execution on internal quality adherence and cost savings action plans... medical cost savings with improved quality results

Austin, Texas

initial short-term responsibility of consolidation of non-clinical operations of five separate companies into one cohesive shared-services organization to leverage operational economies while executing on long-term strategic plan to integrate clinical programs and services.Oversight of Compliance, Data Analytics & Reporting, Facilities, Marketing & Communication, Training, Project Management, Facilities, Legal & Contracting, Information Technology

Cenpatico, a Centene company, is an NCQA-accredited managed behavioral health organization focused on serving Medicaid managed care programs and specialty programs. Responsibilities include:* Senior Management team member responsible for fiscal oversight of eighteen managed behavioral health contracts for over 4 million lives and over $1.8B in annual revenue.* Development and coordination of annual budget and quarterly forecasts aligned with organizational strategic plan* Financial responsibility for business development from bid development through implementations and ongoing operations* Oversight of alternative payment contracting with key network providers with demonstrated improved clinical outcomes* Met or exceeded budget targets in 10 of 11 years of fiscal oversight responsibility.* Key in effectively transitioning company from a staff-model/managed care organization to a managed behavioral health organization both financially and operationally, including strategic growth from $25M to $1.8B in a 10-year timeframe* Design and implement drill-down tools for reporting utilization and unit costs of behavioral health services for multiple health plans and populations, including deep-dive capabilities to understand drivers and program efficacy* Responsible for creation and oversight of Decision Support Services and related reporting and advanced analytics* Oversight of facility operations for nearly 1,000 employees across the country* Other positions held: Finance Director, Finance Manager, Director of Operations which includes oversight of Human Resources, Accounts Payable, Facilities, and Information Technology

Austin, Texas Area

WGW & Company provides management and operational consulting services to legal practices in the Austin area. Responsibilities include:* Design and implement custom databases and reports for financial reporting* Analyze, develop and implement clients' billing and accounting procedures* Oversee and process monthly billing for clients including processing accounts receivables, reconciling billing questions, and processing client expenses* Train clients on use of time and expense tracking, account billing software* Research and develop feasibility studies and business plans