Negotiate Managed Care contracts with Health Plans/Payors on behalf of Healthcare Provider Clients

Direct the financial and operational analysis and reporting for multiple customers representing approximately 15% of Company's Health Plan revenue stream:Identify, interpret and report trends occurring in the financial, operational, and clinical metrics to support ongoing operations and clinical decisions.Track monthly performance to contractual performance targets to determine appropriate risk revenue. Provide accurate and timely monthly, quarterly, and annual financial operational reporting analysis to internal and external stakeholders. Develop customer specific business plans to support overall company strategies.Prepare annual revenue budgets for Business Unit and subsequent monthly and quarterly forecasts.Partner with Account Management to develop customer contract renewal strategy regarding pricing, terms, product mix, and performance guarantees and/or bonus targets. Lead customer presentations on contract performance focusing on the value proposition. Provide leadership and direction to a team of Financial Analysts. Key Achievements have included:Successfully negotiated bonus settlements with two clients representing incremental revenues totaling 10% to 30% of annual fees.Settled numerous performance guarantee payback arrangements resulting in minimal revenue refunds.Executed contract renewals resulting in new product sales and/or extended contract terms for six health plan and fifteen hospital customers.

Prepared monthly, quarterly, and annual variance analysis for internal and external reporting.Assisted in preparation of quarterly and annual SEC filings.Performed and coordinated the financial and operational wind-down of divested facilities.Achievements included:Coordinated the transition of Facility Divestiture Accounting to Triad post acquisiton.

Assisted in the development of corporate accounting functions (Accounts Payable, General Ledger, Cash/Intercompany, and Month End Close) for a startup healthcare company.Solicited cash management proposals from banking institutions and implemented cash management system for corporate office and eight subsidiaries.

Lead a team of Decision Support specialists to provide hospital leaders with internal reporting to support hospital operations and managed care negotiations.

Assisted Hospital CEO in rebuilding medical staff. Provided administrative oversight/management to select ancillary and overhead departments representing over $35 MM in revenue and operating expense budget of $15 MM. Accomplishments included:Developed business plans for three capital projects totaling $2 millionImplemented cost reduction plan that represented ~ $350,000 savingsFacilitated the recruitment and execution of 10 physician employment contract, five income guarantee contracts, eleven medical directorship contracts, and thirty medical office lease contracts.Assisted 130 new physicians in obtaining active admitting privileges to facility

Supported six hospitals and four ambulatory surgery centers.Negotiated and executed over twenty new managed care contracts representing ~ 275,000 covered lives. Contracts types include capitation, Fee for Service, and Direct to

Modeled existing managed care contracts in costing system.Evaluated rates and profitability of managed care contracts.Executed six managed care contracts.

Spearheaded the implementation and maintenance of Cost Accounting System.Trained executive management and department managers on system capabilities and applications.Provided physician profiling, critical path development, and product line analysis. Served on UM/QA committee which created approximately 15 clinical pathways and instituted physician report cards comprised of financial and quality indicators.Supported CEO on product line development and package pricing arrangements.

Performed and supervised financial, internal control and compliance audits.