- Provides direction and oversight of operations, staffing, compliance, and employee relation issues for practices and operations for a multi-practice department with multiple locations throughout Northeast Florida- Created the program for Ascension, with over 20+ physician and staff members- Responsible for 200%+ growth in patient billed services- Direct and oversee practice decisions regarding staffing, hiring, and job design- Developed Diabetes Nutrition Program, the first of its kind for Ascension and now serves as the only successful, practicing diabetes nutritional program in North Florida- Consult as needed with other departments to provide practice management services

- Provided direction and oversight of operations, staffing, compliance and employee relation issues for practices and operations. Specialties included both OB/GYN and Rheumatology specialty physicians- Spearheaded operations for 6 Physicians and 20+ staff members- Directed practice decisions regarding staffing, hiring and job design- Served as a resource to practice on employee relations issues - Reviewed physician and practice performance on quality measures, and worked with physicians, office managers, and staff to meet and exceed thresholds- Reviewed and analyzed practice financial performance, and worked with individual practices on revenue enhancement and expense /cost reduction opportunities- Managed practice compliance issues and served on related hospital committees- Provided assistance and served as a resource to physician offices on billing, coding and patient accounting issues Trained/hired, performed evaluations, and corrective action for office staff

- Managed operations for seven physicians, integrated operational management and staff across phases of care delivery- Assumed total responsibility for rebuilding Global Pediatrics, resulting in practice growth from $2-$6 million- Negotiated and managed contracts with insurance providers/payers- Managed contract care relationships, resulting in >130% to Medicare- Responsible for managing and negotiating all aspects of the vaccine process- Identified revenue growth opportunities resulting in the addition of new patient service offerings- Developed and implemented processes and procedures built on evidence-based protocols for all practice staff- Facilitated the recruitment process for all physician, clinical and administrative staff- Served as the point person between staff, physicians and contracted vendors to ensure proper lines of communication and expedient problem resolution- Measured and improved clinical quality and patient experience- Directed consults and professional development initiatives for high-profile patients, clinical and physician user groups- Added extended patient services to improve access and drive additional revenue- Selected and integrated a new EMR system- Spearheaded transition from paper to electronic medical records- Designed and maintained ongoing website enhancements to increase practice visibility and patient outreach- Planned, redesigned and negotiated prices for the renovation of 8,000 sq. ft. office- Designed new 4,000 sq. ft. medical office building and relocation with minimal disruption to practice operations

- Provided contracted consulting services to 10+ physicians in the tri-state area- Analyzed existing practice operations, providing ongoing evaluation and improvements to care coordination- Reviewed and revised care coordination metrics and processes to identify gaps- Developed and implemented policies and procedures to improve patient workflow- Provide oversight for medical record review, data assessment and coding accuracy- Coordinated with clinical and administrative staff, making staffing and restructuring recommendations- Worked with the extended care team to train on all processes- Provided implementation processes for pre-visit and post-visit care coordination- Incorporated patient education programs into existing and new practice operations- Identified, developed and incorporated local resources to assist the extended care team- Reviewed, initiated and managed vendor relationships and supplier contracts

- Managed all practice operations for 5 physician practice- Developed business plan, evaluated the feasibility and established satellite practice (profitable <1 year)- Maximized income for the practice through creative management and arbitration of managed care and insurance programs- Selected, applied and evaluated the managed care programs, measured performance and continuing profitability- Increased practice revenue by 25% despite a much larger proportion of managed care participants- Spearheaded all patient communications, nurse triage and practice response- Strategically scheduled surgical cases and office hours- Managed staff workflow and personnel- Performed budgeting function, variance reporting and reconciliation of all office accounts and bank statements- Managed purchases for medical and office equipment- Integrated all academic activities with residency programs and private practice- Implemented a robust computer system for patient account management- Developed a system to audit and control account receivables- Contributed to the development of new physician’s practice- Facilitated at the Association of Otolaryngology Administrators Annual Meeting, 1993-2000

- Supervised, hired, and trained staff of 11- Developed new physician’s practice through effective patient allocation methods- Initiated and implemented new systems for hospital billing and accounts receivable