Gene Rinehart, Mha Email & Phone Number

Atlanta, GA, US

• Strategic Growth Planning – Establish short- and long-term growth goals for the practice identifying opportunities to maximize revenue and growth.
• Contract Analysis and Negotiations - Review existing contracts and negotiate new contracts with payers to ensure optimal reimbursement rates for physician practices.
• Value Based Payment Arrangements – Work with the practice to assist in the transition to value-based payment arrangements from traditional fee for service models.
• Credentialing Support - Assist physician practices with the credentialing process, ensuring that they are able to participate in all relevant networks.
• Payment and Denial Management - Help physician practices manage payments and denials, ensuring that they are paid accurately and on time.
• Compliance Support - Provide ongoing support to ensure that physician practices are in compliance with all relevant regulations and requirements.

Indianapolis, Indiana, US

• Led Product Lifecycle Management process by delivering market-leading integrated products and technology solutions, accelerating membership and earnings growth.
• Executed development and oversight of Commercial Product Roadmap tool, presenting a single source of truth for Product Strategy and informing stakeholders of in market products and products in development.
• Directed Product Excellence team, supporting all commercial business segments that provided project management, performance management, and executive reporting.
• Headed strategic planning process for commercial business segments with focus on development of strategies and tactics, growing membership and financial performance.
• Implemented 1st summer internship program for Commercial Product organization, selecting 5 college interns to participate in 10-week program focused on building bench strength for organization.

Indianapolis, Indiana, US

• Acted as advisor and key point of contact for chief of staff of President of East Region and National Provider Solutions business segments, establishing annual financial and membership targets for 6 commercial state.
• Managed day-to-day operations of organization, including staff meetings, verifying communication of strategic activities, best practices, and progress toward goals.
• Served as Plan of Record lead during commercial strategy planning process, handling project funding / governance, prioritization, IT resources, and delivery date oversight.
• Conducted research and prepared presentations and talking points for Senior Leadership on array of topics for internal and external constituents, identifying trends and opportunities to course correct if results were.
• Led and managed special projects and supervised teams and resources, keeping team on task, negotiating with senior leadership as needed to build consensus, and executing responsibilities consistently on time.

• Partnered with senior management within National Provider Solutions, establishing strategic plans and objectives.
• Recruited qualified staff and developed strong teams through training and effective organizational practices, guaranteeing accuracy and timeliness of output and deliverables for assigned functional areas.
• Coordinated project management across department and divisional lines, reporting project status to senior management.
• Developed new programs to recruit or educate providers, enhancing existing relationships and promoting BCBSGa to community of providers.ADDITIONAL RELEVANT EXPERIENCE:HCA, Atlanta, GARegional Director, Managed Care
• Executed net revenue enhancement plans for 5 HCA facilities in greater Atlanta, increasing annual net revenue over prior years.
• Negotiated HMO, PPO, and employer-direct agreements, obtaining improved financial terms.

Mha, Healthcare Administration

Bs, Biology