Multiple Projects key to our organization including a large scale implementation ensuring the proper Rx benefits for 12 states health plans, doubling membership to approximately 400,000 members.

Managed Extensive Projects for one of QuadraMed's largest Customers and its facilities in Northern California. Revised scope expectationsImproved customer and vendor relationsAssisted in bringing Meaningful Use Requirements to successful Attestation

National Provider Contracting and Network Management Consulted on Provider Contracting Processes Supported a complex claims analysis, fee schedule modeling and contract production system (McKesson "Contract Symphony" )Analyzed current systems needed modifications for ICD-10 requirements

• Implemented new and replacement multi-million dollar healthcare business and clinical computing systems for three (3) major business units • Expansion activities included: project management, personnel scheduling and management, cost control, project analysis and executive reporting • Managed multiple projects dealing with system integration, data & system security and IT infrastructure upgrades e.g., hardware & software system High Availability (HA), application upgrades and large scale database upgrades with web interactivity• Types of systems implemented: Patient Accounting, Clinical – Orders, Results and Charging, Medical Records, Coding systems, Secure Transport systems, Document Imaging Systems, Physician Scheduling & EHR systems, network upgrades and admin, DB2 database upgrades

Successfully project managed multiple, simultaneous projects including the implementation of a new health care computing system as well as the expansion of Y2K ready systems by 18 Hospitals through:- Industry recognized project management procedures - Detailed planning and execution- Organizing corporate and local resources across the country to accomplish planned tasks for overall system growth

• Expanded business computing systems to include a very advanced and cost effective Wide Area computer Network (WAN) complete with Electronic Medical Records (EMR) for all sites.• Expanded revenues by 10.0% while keeping expenses at no increase• Optimized profitability opportunities by setting up new corporations for the Practice. • Managed thirty (30) personnel for three sites.

- Enhanced the profitability and market value of the HMO in order to take it public through an IPOProvider Contract Negotiator: 1994-1995- Negotiated several agreements to achieve optimal financial goals utilizing fee schedules, “PMPM” amounts, FFS discounts, Per Diems using developed actuarial data and data reports and responsible for identifying operational and legal issues in line with network strategies Manager of Financial Contracting: 1992-1994• Ensured financial growth by developing sophisticated computer based costing models as well as Per Member per Month and Fee for Service Per Diem proposals • Negotiated multi-year agreements for hospital services in major metropolitan areas. • Managed key components in Request For Proposal (RFP) projects• Developed Risk Agreement Proposals for several HMO/Provider arrangements• Negotiated multiple Pharmacy dispensing agreements supporting the Rx Benefit Program • Negotiated several Pharmaceutical Rebate contracts for rebased based on HMO usage.• Audited all aspects of the Rx Benefit programManager, Field Services and Control: 1989-1992• Organized and “Chaired” a company wide committee on computer systems changes. • Developed and managed audit programs for several areas ensuring the planned profitability of the HMO • Expanded profitability by negotiated contracts for several services including pharmaceutical contracts with several pharmaceutical companies with rebates totaling over 4 million dollars. Senior Analyst: 1988-1989• Developed computer based modeling for financial contracting using available PC programs• Protected profitability by developing audit programs for: hospital claims, company financial systems, physician claims and ancillary providers. • Enhanced profitability by negotiating numerous successful agreements for multiple health services.Claims Analyst: 1987-1988• Automated certain modeling and analysis functions• Key team member for health service contract negotiations

• Enhanced profitability in the face declining business statistics by: Implementing Revenue Enhancements (1 new service), Cost reductions, Market driven service changes for Rehabilitation and Skilled Nursing Facility Services and closely coordinated management of: Pharmacy, Quality Assurance & U.R., Cardiology Respiratory Therapy, Environmental Services, (Housekeeping) Bio medical Engineering Maintenance and Food Services• Ensured image and functionality enhancement by managing multiple construction projects totaling 10 million dollars for the medical facilities

• Created enhanced profitability through the roles of: Chief Operating Officer for day-to day operations of the 120 bed hospital as well as Budget Officer for two fiscal years coordinating and compiling a 12 million dollar budget and Chairing a “Chart Audit Committee” achieving a drop in the transaction error rate by 50.0%• Enhanced revenue acquisition by spearheading a business office computer conversion and developing a daily "Flash" reporting system. • Headed up 15 million dollar facility replacement