Mark Rogozinski Email & Phone Number

Hartford, CT, US

• Theralent Healthcare Consulting is a sister company to Theralent Executive Search. Together we offer a full array of staffing options including consulting on an hourly/project basis to offering full time placement.
• In depth reimbursement analysis of potential investments/acquisitions for Venture Capital Groups/Investment Bankers
• Working directly with start-ups to analyze their current reimbursement situations and making recommendations for them to be successful with today's vast and fast changing reimbursement landscape
• Extensive work with local, regional and national payers
• Working with the AMA - Experience in gaining approval for new/maintaining existing CPT codes as well as Physician Fee Schedule payment rates
• Work with specialty societies on coding/coverage issues

• Vice President of Reimbursement
• Successfully obtained a CPT Category 1 code for MIST Therapy coverage (97610) in February, 2013; action had been unsuccessfully attempted by others previously and success was highly supported by additional studies and.
• Obtained fee schedule coverage for CPT 97610 in 2015 at the high dollar end of what we had anticipated.
• Successfully got CPT 97610 to map to APC 0015 (previously APC 0013) that paid nearly double the old APC rates.
• Managed process of gaining Specialty Society support for Celleration’s CPT application with 3 key specialty societies (APTA, APMA, ASGS).
• In conjunction with marketing department, created both Reimbursement Guide (sales representatives) and payer Value Dossier.

• Executive Director, HealthCare Economics and Strategy
• Created strategy to work with Neurowave’s products in the Medical, DME and pharmacy settings.
• Created and implemented a strategy to file for a new CPT code for Nuerowave’s Nometex and Reletex products.
• Managed the grant process for Hospital/Physician research/studies on Neurowave’s medical devices.
• Responsible for the formation and management of Neurowave’s Medical Advisory Board and other Medical Consultants.
• Key contributor to the designed 300+ patient 3- arm clinical trial comparing Nometex device and drug combo to drugs alone arm and placebo and drug.

• Worked with customers Brand Marketing teams to implement tools for use with their internal and external facing customers
• Found and recommended opportunities for the customers Marketing team to utilize to grow their brand in the marketplace
• Create slide decks/presentations for their Marketing team to use with Senior Management

• Field Director, East Region
• Liaison between the HealthCare Policy and Economics Department and J&J State/ Federal Government affairs for the East Region. Worked closely with them on targeted projects including grass roots efforts and policy.
• Lead a team of 5 highly motivated Healthcare Policy and Economics Managers located in Eastern US as well as the department administrator. Responsibilities included working with Health Plans, Employer Groups, Employer.
• Coached/mentored my team to attain their metrics with national and regional commercial health plans, Medicare, Medicaid, Employers and Employer Coalitions.
• Worked with team members to develop a market segmentation plan for each region to ensure optimal growth both short and long term.
• Received one of the highest scores out of all EES leaders for leadership style through a Gallup Poll Survey. This was documented through feedback from all direct reports on their direct supervisors at EES.

• Directed San Jose and field based reimbursement team (11 in total).
• Part of the management team that worked towards taking VNUS public.
• Gained reimbursement coverage / payment increases for health plans that did not cover the VNUS technology.
• Worked towards increasing payment rates for physicians performing the procedure in an ASC setting.
• In conjunction with sales met with key physician customers to increase market share vs. our key competitors (laser).

• Created and delivered “State of Healthcare” presentations to internal and external customers.
• Direct management responsibility for 7 MERS Managers in the Northeast and Southeast Regions of the United States. This included making sure direct reports met individual goals for medical device and drug coverage.
• Worked in the managed market space to ensure coverage for Medtronic’s therapies.
• Responsible for making sure that MERS Managers meet or exceed key metric measurements set forth by senior management.
• Project coordination with field representatives, managers and directors.
• Responsible for the development of financial models for Medtronic’s medical device and drug business.

• Worked closely with Medicare, Medicaid, and all Managed Care Plans throughout New England on coverage issues regarding clinical trials as well as Medtronic’s existing modalities.
• Responsible for gaining formulary coverage for Intrathecal Baclofen with managed care plans
• Conducted Case Manager Seminars to educate them on cost data and efficacy rates for all of Medtronic’s neurological products.
• Met with hospital CFO’s, Directors of Managed Care and physicians to educate them on reimbursement strategies and practices.
• Trained new and existing field based employees in the Boston District (New England) on reimbursement.
• Point person on team that created and implemented hospital based pro-forma’s to analyze impact of Medicare APC’s on hospital finances.

• Was member of Aetna’s National Re-Contracting Team in key strategic HMO markets throughout the United States. Key responsibilities included the development and implementation of contracting strategies with providers.
• Point person for major contracting effort of hospital based Radiologists, Anesthesiologists, Pathologists and Emergency Room Physicians.
• Responsible for analyzing market Per Member per Month (P.M.P.M.) data and making contracting recommendations to management / team members.
• Tested financial tools and made recommendations to enhance their performance / soundness.
• Performed cost assessments of all network hospitals and made recommendations to improve overall costs.New York Market, Aetna, 1995 – 1996
• Developed timeline for initiatives undertaken by National Re-Contracting team and New York Market.

• Responsible for final signing-off on all hospital contract rates nationwide once negotiated by my contractors.
• Analyzed hospital Managed Care contracts for language requirements and PMPM estimated discounts.
• Acted as liaison between medical management and contracting staff.
• Developed alternative negotiating strategies to increase profitability.
• Trained staff in various aspects of hospital contracts/negotiations including language for medical device and expensive drug carve-outs.

• Managed production and distribution of case specific health directories for national sized customers, including AT&T, G.T.E., Circuit City and USAir.
• Created accounting system for charging back directory costs to customers.
• Worked with Senior Management to streamline production costs of directories.
• Analyzed cost data to determine levels of income/profitability

• Accounting Analyst, Group Universal Life Accounting Unit, 1990 – 1991
• Managed staff of 6 Accounting Analysts.
• Worked with account specialists in the initial stages of new business to assure accuracy of data and a smooth transition for the customer.
• Worked with field offices, new business and underwriting in the installation of new cases on the Universal Life Computer System.
• Designed and created reports for the Universal Life Unit.

Mba, Concentration In Health Care Administration

Bachelor Of Science (Bs), Business