Mark Rieger Email & Phone Number

United States

Davis, California, United States

Advisory healthcare consulting services. Clients include: Intelllihealth (intellihealth.co), HealthPay24(healthpay24.com), and the TriZetto Provider Solutions (NHXS) a division of Cognizant.

San Juan Puerto Rico

• Inmediata is a Puerto Rico-based health IT company with broad expertise in provider and payer business solutions, analytics, and population health.Accountable for the overall growth and performance of the company.
• Transformed company vision and values to support the Triple Aim
• Implemented Lean process improvement methods throughout the company
• Achieved 75% increase in EBITDA in the first year
• Key driver launching value-based medical coding and care coordination solution

Sacramento, California Area

• Sutter Physician Services is a subsidiary of Sutter Health, headquartered in Sacramento CA, and one of the nation’s largest Integrated delivery networks. Accountable for increasing the overall value proposition of.
• Founded the organization’s business analytics department
• Recruited and developed a high-performing team of analysts and problem solvers
• In less than one year, revolutionized claim inventory management for receivables follow up
• Significantly reduced accounts receivable days and cost of collections
• 2014 Experience of Work Leader Award

629 J St Sacramento CA 95814

Responsible for Payment and Reimbursement Strategy for Trizetto Provider Solutions. Provide thought leadership, technical expertise, and integration support for GatewayEDI, NHXS, MDEdge, and ClaimLogic payment and reimbursement business intelligence. Provide strategic and technical consultation to key vendor and provider customers in revenue cycle.

629 J Street, Sacramento, CA 95814

• Sacramento based RCM SaaS application with a sophisticated product suite for contract compliance, denial management, contract modeling and patient responsibility estimation. Acquired by Trizetto Group in May.
• Founder. Raised $3 M in venture capital for launch in 2003
• Recruited a high performing start up team with no attrition in 10 years
• Built a fully functional healthcare claims re-pricing engine
• Developed a suite of solutions including eobResolve®, contractResolve®, pricer®, and Md Edge®
• Grew the company to more than 20,000 providers in 30 States processing more than 5 M claims per month

Sacramento, CA

• Sutter Health, headquartered in Sacramento CA, is one of the nation’s largest Integrated Delivery Networks.Service line accountability for the cardiovascular services at five hospitals in 4 counties. Accountable for.
• Directly and indirectly, accountable for more than $21M in operating budgets, 300 employees and 100 key physician users
• Successfully consolidated a low-volume open-heart surgery program with a larger (1000+ cases) program moving 150 cases/year and reducing operating expenses by more the $500,000 per year
• Achieved certification by Medicare for the heart transplant program. Only program in the country to receive certification without meeting minimum volume requirements. The designation was given due to superior outcomes
• Developed a chronic heart failure monitoring program for managed care patients
• Implemented numerous information technology and capital improvements within the service line to grow market share