Francis Terway Email and Phone Number
Data-driven executive serving in senior leadership roles across business intelligence, operations, and finance in Fortune 500 organizations. Strong financial acumen that fosters the achievement of fiscal, economic, and quality objectives in managed care settings. Thought leader in creation of value-based models for payer-provider partnerships within behavioral health. Mission focused with a passion for impacting the quality, affordability, and accessibility of holistic (physical + mental) healthcare in the U.S.• Managed Care Leadership | Financial & Operational Strategy. Bridges the technical aspect of healthcare operations with providers, managed care organizations, and government Medicaid agencies to align incentives and goals and improve quality and cost outcomes. Identify and execute over $100M in annualized cost efficiencies while improving quality metrics.• Business Intelligence | Health Economics. Captures and analyzes key utilization, cost, and quality metrics (HEDIS) to identify and create opportunities, partnership alliances, and programs focused on improving patient outcomes and experience, growing profitability, driving operating efficiency, and delivering cost effectiveness. Conceptualized, implemented, and led Centene’s behavioral health medical economics team. Led development and implementation of Centene’s first nationally scalable value-based contract for behavioral health providers to incentivize quality of care, with over 200 behavioral health provider organizations. • Transformation & Change. Successfully leads major change scenarios while balancing financial responsibility, regulatory obligations, and operating standards. Merged 5 companies to transform Centene into one broader specialty company, removed silos across mental and physical health to foster Centene’s culture shift of treating the “whole” patient, rolled out a value-based contract model in 19 states with 200+ providers, and served as a key leader in Centene’s growth from a $25M organization to a $2B enterprise. • Effective Leadership. Consistently delivers highest employee engagement and DEI scores while leading teams as large as 2,000 across data analytics, operations, compliance, legal, reporting, and clinical operations. Recognized for supportive, engaging, and forward-thinking leadership with dedication to fostering team bonding and community commitment through volunteer work.
Novumhealth
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Senior Vice President, Market OperationsNovumhealth Oct 2024 - Present
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High Performance Driving InstructorGet On The Track 2023 - PresentAustin, Texas, United States -
Healthcare ConsultantSelf-Employed Oct 2023 - Oct 2024Enable client navigation of healthcare landscape, particularly Medicaid managed care and behavioral health trends. Develop client/vendor partnerships for early-stage operational infrastructure.
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Vice President, Behavioral Health Business IntelligenceCentene Corporation 2019 - 2023Austin, Texas AreaExecutive 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. -
Chief Operating OfficerEnvolve Peoplecare 2017 - 2019Austin, Texas AreaEnvolve 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 -
Chief Administrative OfficerEnvolve Peoplecare 2016 - 2017Austin, Texasinitial 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
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Senior Vice President Of FinanceCenpatico 2000 - 2015Cenpatico, 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 -
Account ManagerWgw & Company 1998 - 2000Austin, Texas AreaWGW & 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
Francis Terway Education Details
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University Honors
Frequently Asked Questions about Francis Terway
What company does Francis Terway work for?
Francis Terway works for Novumhealth
What is Francis Terway's role at the current company?
Francis Terway's current role is Behavioral Health | Executive Servant Leader | Value-Based Care | Health Economics | Healthcare Analytics & Operations | Managed Care.
What schools did Francis Terway attend?
Francis Terway attended The University Of Texas At Austin.
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