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Executive with over thirty five years of senior level experience in Healthcare managing commercial and government programs for both large and small organizations. Kerr Associates, Inc. offers strategic advice, operations management and administrative services business solutions to local governments, health systems, payors and providers including hospital networks, physician group practices, independent practice associations, solo physician practices, pharmaceutical companies, insurers, managed care organizations and healthcare benefits firms with specific focus on Medicare, Medicaid, the Affordable Care Act/Health Insurance Exchanges, ERISA and state insurance domains. Recently retired from CMS where I served as the Administrator of the Centers for Medicare and Medicaid Services (CMS) Consortium for Medicare Health Plans Operations and previously as Administrator for Region II, responsible for Medicare and the Federal share of Medicaid and State Children’s Health Insurance Programs (SCHIP) for New York, New Jersey, Puerto Rico and the US Virgin Islands. Specialties: Medicare, Managed Care, Provider Network Development, Emergency Management, ACA Marketplace Operations.
Kerr Associates, Inc. Healthcare Management Advisors (Https://Www.Kerrassociates
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Ceo And Principal ConsultantKerr Associates, Inc. Healthcare Management Advisors (Https://Www.KerrassociatesNew York, Ny, Us
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Ceo / Principal ConsultantKerr Associates, Inc. Healthcare Management Advisors (Https://Www.Kerrassociatesinc.Com/) Oct 2018 - PresentKERR Associates provides strategic advice, operations management and administrative services business solutions to health systems, payors and providers including hospital networks, physician group practices, independent practice associations, solo physician practices, pharmaceutical companies, insurers, managed care organizations and healthcare benefits firms.
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Administrator, Consortium For Medicare Health Plans OperationsCenters For Medicare & Medicaid Services(Http://Www.Cms.Hhs.Gov/) Jan 2007 - Aug 2018Baltimore, Md, UsCEO of the Consortium for Medicare Health Plans Operations (CMHPO) responsible for leading over 400 field staff in all 10 regional offices nationwide providing day to day account management (oversight, surveillance and first level compliance) to over 600 contracts delivering Medicare Advantage, Prescription Drug, Marketplace Qualified Health Plan and Stand Alone Dental Plan services to over 30 million beneficiaries throughout the country as well as performing outreach and resolving beneficiary casework, In collaboration with CMS Central Office/Center Directors, establish overall policy and strategic direction for the Agency’s programs and operations and guide national implementation of CMS goals and objectives for Medicare Parts C & D and the ACA Marketplace. -
Deputy Center Director, Center For Beneficiary Choices (Cbc)Centers For Medicare & Medicaid Services(Http://Www.Cms.Hhs.Gov/) Jul 2006 - Dec 2006Baltimore, Md, UsTemporary detail as Acting Deputy Director of the CMS Center responsible for managing the Medicare Advantage and Prescription Drug programs during ramp up activities for the 2007 open enrollment and end of year processing. This occurred at a time when Part C and D contracts increased by 18% from 695 to 847. -
Administrator, Region IiCenters For Medicare & Medicaid Services(Http://Www.Cms.Hhs.Gov/) Sep 2003 - Jul 2006Baltimore, Md, UsCEO responsible for CMS Region II Medicare and federal share of Medicaid and State Child Health Insurance Programs totaling $35 billion for 10 Million beneficiaries in New York, New Jersey, Puerto Rico and the U.S. Virgin Islands. -
Deputy Center Director, Center For Consumer Information And Insurance Oversight (Cciio)Centers For Medicare And Medicaid Services (Cms) Aug 2012 - Mar 2014Twenty month assignment as Acting Deputy Center Director and Director of Operations for of the CMS Center responsible for major aspects of the Affordable Care Act, including implementing private health insurance marketplace exchanges in the states and at the federal level with a budget of $4.7 billion dollars. CCIIO’s focus includes: ensuring compliance with new insurance market rules, such as the Patient’s Bill of Rights; helping states review unreasonable rate increases and overseeing Medical Loss Ratio rules; providing oversight for the State-Based Marketplaces and Consumer Operated and Oriented Plan Program (CO-OP); standing up and operating the Federally-Facilitated Marketplaces (including State Partnership Marketplaces) and premium stabilization programs as well as administering the Consumer Assistance Program (CAP), Pre-Existing Insurance Plan (PCIP) and Early Retiree Reinsurance Program (ERRP).
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CeoKerr Associates, Inc. Jan 1999 - Aug 2003KERR Associates provides management and administrative services business solutions to hospital networks, physician group practices, independent practice associations, solo physician practices, pharmaceutical companies, insurers, managed care organizations and healthcare benefits firms. Clients include: eHMO/eInsurancePlatform, Maimonides Medical Center; ULLICO/Devon Health Systems; Women’s Primary Care; Centocor, Inc. and ALLEGIANCE Health Services, L.L.C.. ¨Reorganized Allegiance Health Services, L.L.C. as Interim CEO ¨Analyzed pricing and negotiated fee reductions with network physicians.¨Established physician credentialing verification procedures.¨Developed managed care training programs for providers.¨Negotiated contracts between hospitals, physician networks and insurers.¨Lectured on “Interactions with Managed Care Organizations” at numerous physician and practice manager workshops across the country sponsored by Centocor.
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Vice President, Government Health PlansUnited Healthcare 1994 - 1998UsChief Executive of Government Health Plans, a Medicare and Medicaid HMO with revenues of more than $150 million and a network of over 11,000 private practice physicians, hospitals and other health care providers. Responsible for management of Member Services, Medical Management, Network Services, Claims, Finance, Quality Improvement and Sales and Marketing including profit and loss responsibility for all Government Health Plans’ products. Member of Board of Directors of United HealthCare Insurance Company of New York. -
Deputy Executive DirectorNylcare Sanus Health Plan - A New York Life Company 1989 - 1994Directed the day to day operation of this $100 million Individual Practice Association model health maintenance organization, with more than 85,000 commercial, Medicare and Medicaid members and a network of over 3,000 private practice physicians, hospitals and other health care professionals; including direct management of Customer Relations, Claims, Enrollment and Management Information Systems and management oversight of Finance, Marketing, Provider Relations, Utilization Review and Case Management. Shared profit and loss responsibility with the Chief Executive Officer.
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Executive DirectorNyc Emergency Medical Service 1977 - 1988CEO of the nation’s largest pre-hospital care system with 2,700 employees and an annual operating budget of over $87 million, which serves an average daily population of 10 million citizens and visitors. Managed all aspects of the service, including: responses to over 850,000 emergencies and multiple casualty incidents annually; the operation of 500 daily ambulance tours, including voluntary hospital ambulances operated under contract and a mutual aid program with the volunteer ambulance corps; the design and maintenance of a state-of-the-art “911” communication and dispatch network; and participation with NYPD, FDNY, Port Authority and other response agencies in the design and implementation of disaster preparedness exercises.
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Special Assistant/Mangement AnalystHealth And Hospitals Corp 1973 - 1977
James Kerr Skills
James Kerr Education Details
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Mt. Sinai School Of Medicine/Baruch CollegeHealth/Health Care Administration/Management -
Baruch CollegeHealthcare Administration -
Rpi Lally School Of ManagementManagement -
Rpi Lally School Of ManagementGeneral -
Rensselaer Polytechnic InstituteMechanical Engineering
Frequently Asked Questions about James Kerr
What company does James Kerr work for?
James Kerr works for Kerr Associates, Inc. Healthcare Management Advisors (Https://www.kerrassociates
What is James Kerr's role at the current company?
James Kerr's current role is CEO and Principal Consultant.
What is James Kerr's email address?
James Kerr's email address is ja****@****att.net
What schools did James Kerr attend?
James Kerr attended Mt. Sinai School Of Medicine/baruch College, Baruch College, Rpi Lally School Of Management, Rpi Lally School Of Management, Rensselaer Polytechnic Institute.
What are some of James Kerr's interests?
James Kerr has interest in Science And Technology, Disaster And Humanitarian Relief, Health.
What skills is James Kerr known for?
James Kerr has skills like Medicare, Managed Care, Healthcare, Strategic Planning, Health Policy, Policy, Medicaid, Program Management, Leadership, Health Insurance, Hospitals, Management.
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