Mark Sample Email and Phone Number
saint louis, missouri, united states
Mark Sample's Location
Plano, Texas, United States, United States
Mark Sample's Contact Details
Mark Sample work email
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- Valid
Mark Sample personal email
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Mark Sample phone numbers
About Mark Sample
Experienced Finance Director with a demonstrated 30-year history of working in the health care industry. Skilled in Financial Reporting and Analysis, Network Contracting and Reimbursement Analysis, Health Insurance, Management and Medicaid. Strong finance professional with a Bachelor’s Degree focused in Accounting and Management Information Systems from California State University-Sacramento.
Mark Sample's Current Company Details
Centene Corporation
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Finance Manager at Centene Corporation
saint louis, missouri, united states
- Website:
- centene.com
- Employees:
- 17105
Mark Sample Work Experience Details
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Finance ManagerCentene Corporation Sep 2021 - PresentDallas, Texas, United States
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Finance DirectorParkland Community Health Plan Inc Sep 2018 - Mar 2021Dallas, TexasResponsible for all financial functions of the health planEnsures financial records are accurately maintained from a company, statutory and contract perspective Directs the month-end close process and preparation/communication of financial statementsEnsures the timely production of quarterly and annual NAIC and State statutory financial reportsCompany liaison to TDI/HHSC and external auditors regarding financial/internal control mattersResponsible for preparing $550+ million annual company budgetInteracts with HHSC actuaries on annual revenue rate setting processPerforms various analyses on financial statements and medical cost trendsProvides financial input on existing and pending provider/other company contracts -
Director, FinanceCentene Corporation Mar 2007 - Aug 2018Austin, Texas AreaManage 15 employees covering three unique disciplines (financial analysis, contract analysis and position management)Responsible for financial and root cause analysis of trending medical costsManage the analysis and administration of provider incentive models for hospitals and physician groupsResponsible for providing hospital reimbursement analysis models for contract negotiationsDeveloped models to compare hospital reimbursement rates to MedicaidFinance team member responsible for preparing $6 billion annual company budgetCreated and implemented centralized Workday position management system recently adopted Centene-wide
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Senior Contract AnalystCentene Corporation 2007 - 2013Austin, Texas AreaResponsible for estimating $200 million in inpatient costs on a monthly basisProvided rate and other reimbursement analysis for contract negotiations and State inquiriesProvided special analytical support and research project expertise directly to CEOProduced numerous member/claim/provider/authorization ad-hoc reports as requestedDesigned membership/claims databases and related reports still utilized by company todayResponsible for producing several quarterly and annual State report deliverablesFinance team member responsible for preparing $2 billion annual company budgetElected Plan Champion for Enterprise Data Warehouse implementation
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Interim Director/Manager, Managed Care Services & Transplant ContractsUniversity Health System 2004 - 2007San Antonio, Texas AreaNegotiated hospital/physician contracts and transplant letters of agreement with managed care and other interested payorsDesigned and maintained various transplant patient databases for tracking and reporting visits, payments, LOS, organ costs, inpatient days, rehab days, and other vital statisticsPerformed financial analysis of current and potential contracts including volume and revenue/cost impact to UHS and UPGWorked with UHS and UPG Business Office staff to improve the timing/accuracy of managed care contract/LOA reimbursementDeveloped and maintained contract tracking system for all letters of agreement pertaining to transplants and other patientsPerformed Director, Managed Care Services functions until replacement could be found -
Chief Operating Officer/Vice President, Finance & Information SystemsTexas Universities Health Plan Inc. 2001 - 2004Austin, Texas AreaAppointed Chief Operating Officer during company closure.Directed financial and information system operations; developed and monitored budgets for departmentsMonitored contract compliance with vendors, provider groups and affiliated entities Developed proposals and presented material at Board of Director meetingsDirected standard and adhoc financial and utilization analysis and reporting requirementsCompany liaison to the Texas Department of Insurance and external auditors regarding financial/internal control mattersSecretary of the Board of DirectorsMember of the Corporate Quality Improvement Oversight CommitteeContinued functions of Director, Finance & Information Systems position -
Director, Finance & Information SystemsTexas Universities Health Plan Inc. 1998 - 2001Austin, Texas AreaDirected collection and reconciliation of premiums/ASO fees from member groups and the transfer of funds to ASO vendors and provider groupsManaged the exchange/flow of eligibility, utilization and claims data between corporation, member groups, ASO vendors and provider groupsDirected the month-end close process and preparation of financial statementsPrepared quarterly and annual state statutory financial reports Developed and implemented company-wide Y2K work plan, maintained compliance with customers and monitored progress of vendors and affiliated entitiesImplemented transition of accounting functions from outside vendorSupervised accounting and data analysis personnel Acquired, installed and maintained company servers, personal computers and hardware/software
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Manager, Contract AdministrationUt Southwestern Health Systems 1995 - 1998Dallas/Fort Worth AreaManaged review and analysis of managed care contracts from legal, operational and financial perspectivesNegotiated provider contracts with managed care entitiesProvided oversight on managed care contract compliance audits and reportingDirected development of financial/statistical models for individual Letters of Agreement and package prices in areas including Transplants, Epilepsy, Diabetes, Cardiac Care and Breast Care; provided models for allocating and distributing funds receivedProvided initial development and oversight of claims processing unit for UT Southwestern Behavioral Care NetworkSupervised managed care support and financial/contract analysis personnel Directed departmental operations, task assignments, performance reviews and counseled on career advancementsProvided contract administrative support and financial updates to clinical departmentsActed as Managed Care Representative on IDX Managed Care Application Implementation team
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Financial AnalystUt Southwestern Medical Center 1992 - 1995Dallas/Fort Worth AreaAnalyzed financial impact of new and existing managed care contractsProvided financial and statistical analysis support to 19 clinical departmentsDesigned computer-based reporting system that compared billed fees to reimbursement ratesDeveloped capitation models for proposal responses and designed various physician reimbursement allocation models, including sub-capitation and RVU-based methodsConverted clinical department fee schedules to RVU-based feesMaintained department personal computers and software -
Senior Financial AnalystAetna Health Plans 1989 - 1992Dallas/Fort Worth AreaConsolidated monthly financial and statistical data for 17 HMO plansPrepared annual HMO and corporate cost center budgetsDeveloped and implemented key indicator reports for regionDesigned, prepared and presented HMO physician settlementsProvided oversight on numerous special analysis projects for senior management
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AccountantTravelers Health Network 1987 - 1989Sacramento, California AreaMaintained accounting records for two HMO plansSupervised accounts receivable, accounts payable and general ledger personnelPrepared monthly journal entries and financial statementsDesigned and implemented utilization and statistical reports for senior managementPrepared quarterly and annual state statutory financial reports Developed financial settlement reports for contracted hospitals and physician groups
Mark Sample Skills
Medicaid
Managed Care
Healthcare Management
Healthcare
Health Insurance
Medicare
Hipaa
Provider Relations
Healthcare Industry
Health Policy
Disease Management
Healthcare Information Technology
Microsoft Office
Analytics
Network Contracting
Hospital Contracting
Data Analysis
Financial Reporting
Financial Analysis
Process Improvement
Healthcare Information Technology
Business Process Improvement
Insurance
Mark Sample Education Details
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Accounting And Management Information Systems
Frequently Asked Questions about Mark Sample
What company does Mark Sample work for?
Mark Sample works for Centene Corporation
What is Mark Sample's role at the current company?
Mark Sample's current role is Finance Manager at Centene Corporation.
What is Mark Sample's email address?
Mark Sample's email address is ma****@****ene.com
What is Mark Sample's direct phone number?
Mark Sample's direct phone number is +151255*****
What schools did Mark Sample attend?
Mark Sample attended California State University-Sacramento.
What skills is Mark Sample known for?
Mark Sample has skills like Medicaid, Managed Care, Healthcare Management, Healthcare, Health Insurance, Medicare, Hipaa, Provider Relations, Healthcare Industry, Health Policy, Disease Management, Healthcare Information Technology.
Who are Mark Sample's colleagues?
Mark Sample's colleagues are Nick O'rando, Anna Burch, Andrea Renney, Connie Mcgrew, Afton Havelock, Robbie Korte, Matthew Birk.
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