Mark Casmer Email and Phone Number
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Mark is a seasoned, multi-faceted healthcare executive with a recent focus on network development. Prior positions include Interim President/CEO, COO/VP of Operations and Senior Director of Client Relations. Mark's expertise spans areas such as provider incentive program design, client servicing, contracting, Health Information Technology, Human Resources, and Financial operations. Mark worked at Blue Cross Blue Shield of Michigan (BCBSM) in the early days of the Physician Group Incentive Program (PGIP). 8 years at BCBSM (4 years at BCN) included projects focused on physician incentive programs and collaborative quality initiatives (CQI) with Michigan hospitals. Mark has significant work experience with physician oriented P4P (Pay for Performance) programs in HMO and PPO provider networks. Mark has spoken nationally on P4P and on the analytics and management activities for ACO's.Mark's healthcare experience started at Detroit's Henry Ford Health System, where he worked in areas from management engineering to corporate purchasing and at Health Alliance Plan (Henry Ford's health plan) in provider contracting and managed care services.Mark's career focuses on developing productive and trusting relationships with physician, medical management, admin and employer leaders to create “win-win-win” scenarios across the entire state of Michigan. He possesses a life-long interest in applying entrepreneurial thinking and technological innovations to healthcare business to enhance healthcare value. He is passionate about working diligently to improve health care processes to achieve the IHI Triple/Quadruple Aim. Mark earned his BS in Industrial and Systems Engineering from the University of Michigan – Dearborn.Specialties: Professional Provider (i.e., MD, DO) Relations, including extensive experience working with physician organizations, Clinically Integrated Networks (CINs) across Michigan. Provider contracting and medical/surgical/hospital supply contracting experience.
Honest Health
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Director Market OperationsHonest Health Sep 2023 - PresentNashville, UsI'm excited to collaborate with my Honest Health colleagues and our Physician Organization partners across the great state of Michigan in focused work on the Quintuple Aim! -
PrincipalMdc Advisory Services, Llc Jul 2019 - PresentManagement consulting, strategic planning, and business development/lead generation for selective partners within the health care industry.
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Director Provider ContractingMolina Healthcare Oct 2022 - Sep 2023Long Beach, California, Us -
Associate Vice President, Provider Network ContractingHealthbridge Oct 2019 - Oct 2022Grand Rapids, Michigan, UsFocusing on developing win-win contractual relationships with providers, thus allowing them to get paid quicker for patient health insurance copay/coinsurance amounts without utilizing any billing/collections resources. -
Co-Owner/CooChase Dental And Medical Supply Jun 2015 - Aug 2021Cottonwood, Az, UsBackroom support for company operations including strategic planning, social media management (LinkedIn, Facebook, Twitter via Hootsuite.com), PPC management (management of external vendor), SEO, and financial reporting for tax and strategic planning purposes. -
Vice President, Network DevelopmentTogether Health Network Dec 2014 - Jul 2019- Facilitated due diligence, supported ERDs (Ethical and Religious Directives) processnecessary for Catholic health systems, and completed contracts to bring Michigan Medicine(University of Michigan Health System) into network as preferred quaternary care provider.- Facilitated negotiations, contracts and operating agreement changes to add Michigan Medicine as minority owner of THN.- Facilitated negotiations and contracts to add (9) rural/community hospitals and one FQHC to THN.- Facilitated on-going monitoring of network adequacy, network performance managementactivities, and other appropriate best-practice sharing opportunities.
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Senior Healthcare ConsultantSelf Employed Oct 2014 - Dec 2014
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Vice President Of Operations And Chief Operating OfficerMedical Advantage Group Jun 2014 - Oct 2014Novi, Michigan, Us -
Interim President And CeoMedical Advantage Group Dec 2012 - Jun 2014Novi, Michigan, Us -
Vice President Of Operations And Chief Operating OfficerMedical Advantage Group Oct 2011 - Dec 2012Novi, Michigan, UsAs the Vice President of Operations and Chief Operating Officer for Medical Advantage Group, Mark focused on keeping MAG’s internal operations running smoothly, including corporate oversight and line management responsibility for MAG’s HIT (Health Information Technology, including desktop/network support, business intelligence, and analytics), Human Resources, Administration, and Management Services areas (management contracts for PCVS and PROM companies). Mark stayed connected to the physician organization and practice client realm via his oversight of the team servicing one of MAG’s largest, high level CIPA clients. Mark also had oversight for MAG’s daily financial operations such as Accounts Receivable, Accounts Payable, and budget variance reporting. Finally, Mark was the executive sponsor for MAG’s Lean program initiative, which was launched in 2010. -
Senior DirectorMedical Advantage Group Nov 2009 - Nov 2011Novi, Michigan, Ushttp://www.crainsdetroit.com/article/20091108/SUB01/311089973Focused on managing a team of Consultants with responsibilities for a range of 20-30 clients (i.e., physician groups/practices). The principle focus of these client relationships is to facilitate their success to deliver the highest quality patient care in the most cost efficient manner, in part by facilitating and encouraging adherence to evidence based medicine guidelines. -
Manager, Provider PartnershipsBlue Cross Blue Shield Of Michigan Aug 2005 - Nov 2009Detroit, Michigan, UsActed as Manager of the Provider Partnerships area within the Clinical Program Development department at Blue Cross Blue Shield of Michigan (BCBSM). Mark managed the team that initially launched, expanded, and solidified the early foundation for the Physician Group Incentive Program (PGIP), including recruiting the first PGIP field team. During his time at BCBSM, Mark's project work focused on the realms of physician incentives, and collaborative quality initiatives (CQI) and centers of excellence (COE) activities with Michigan hospitals. -
Manager, Corporate Provider AffairsBlue Care Network Apr 2001 - Aug 2005Us- Responsible for hiring, evaluating, and managing the daily activities of two analytical staff members.- Managed the annual payouts of $7 million in incentive payments for BCN’s statewide physician incentive plan, known as the Performance Recognition Program and Blue Reward$ incentive programs.- Managed the incentive plan design, analysis, operation, and ultimate calculation and recommendation of incentive payments affecting the payments to 3,000 plus PCPs across the state.- Responsible for annual analysis of provider network adequacy and availability for BCN members.- Responsible for oversight of BCN provider directory content on both web and printed media.- Developed and presented proposal for Senior Management to publish comparative provider performance information to the BCN membership and the general public. -
Special Projects Coordinator, ContractingHealth Alliance Plan Mar 1998 - Apr 2001Detroit, Mi, Us- Key member of team that developed contractual documents facilitating HAP’s acquisition of the SelectCare HMO business. - Negotiated and developed hospital and PHO medical services agreements for PPO and HMO products for several networks including William Beaumont, DMC, Providence and Mercy Port Huron PHO. - Supported significant expansion of HAP’s PPO product lines for various employer groups. - Facilitated conversion of HAP HMO risk networks to full financial risk relationships. - Supported analysis of mergers, new product and new hospital network expansions. -
Corporate Support ServicesHenry Ford Health System 1988 - 2001Detroit, Mi, Us
Mark Casmer Skills
Mark Casmer Education Details
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University Of Michigan-DearbornIndustrial And Systems Engineering
Frequently Asked Questions about Mark Casmer
What company does Mark Casmer work for?
Mark Casmer works for Honest Health
What is Mark Casmer's role at the current company?
Mark Casmer's current role is Seasoned Health Care Exec - Focused on building and nurturing effective provider relationships for over 30 years..
What is Mark Casmer's email address?
Mark Casmer's email address is ma****@****hbf.com
What is Mark Casmer's direct phone number?
Mark Casmer's direct phone number is +124839*****
What schools did Mark Casmer attend?
Mark Casmer attended University Of Michigan-Dearborn.
What skills is Mark Casmer known for?
Mark Casmer has skills like Healthcare, Program Management, Leadership, Managed Care, Healthcare Information Technology, Healthcare Management, Process Improvement, Hospitals, Business Process Improvement, Strategic Planning, Team Building, Budgets.
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