Michael Keyes Email & Phone Number

Toronto, Ontario, Ca

Toronto, Ontario, Ca

St Paul, Mn, Us

Working with hospital, government and commercial payers, I am responsible for the overall ownership of the account including the management of existing and new sales, strategy development, project implementation and fostering productive business relationships with key contacts within each account.Overall accountability for $10million NY book of business Set strategic objectives for engagement in collaboration with client Build and maintain relationships with C-Suite and key stake holders Lead a team in driving outcomes and ensuring client derives value from the engagement Identify and execute on up-sell opportunities

Troy, Ny, Us

I work with health care organizations to to transform their systems in a manner that links quality of care with provider reimbursement. Analyze client claims data to identify opportunities to improve quality and reduce total cost of care Collaborate with clients to design and implement Accountable Care Organizations in the private and public sectors Patient/PCP attribution algorithms Model cost saving projections and report on performance Create risk adjusted budget and expected targets Measure program and provider performance Implement Risk Adjustment strategies using 3M HIS Clinical Risk Groups (CRG’s) Utilize 3M HIS Potentially Preventable Event suite (PPE) to identify opportunities and predict populations to manage Design and project manage the development of an Electronic Master Provider/Patient Index Develop multi-payer claims database and reporting strategies  Assist clients with facility based payment transformations including AP DRG and EAPG conversions

Tampa, Florida, Us

Led a team responsible for managing provider demographic and contract data across three regional health plans.

Tampa, Florida, Us

Responsible for implementation of corporate wide Provider Relations reengineering initiative at the regional levelTrained regional staff on Sales-Force call reporting toolParticipated in the design and implementation of a performance based bonus program Responsible as the face of Corporate PR for over 50 field network personnel including directors, COO's and the regional presidentBridged the gap between corporate and field network operations Managed projects to enhance the capability of SalesForce.com Maintained a rigorous travel schedule across 6 statesNominated and selected as Employee of the Quarter and CEO Choice awards for first quarter 2008Interim Network Director for struggling Ohio operations28,000 members$15m in monthly premiumsRe-organized staff and implemented best practices Network Development Specialist (2005-2007)Successfully manage contracts and relationships with key partner groups representing $21.6 million in annual revenue and 70,800 member months Develop, implement and monitor cost containment strategies Resolve provider related concerns Analyze financial performance of Upstate NY Counties and key partner groups and report to senior management with recommendationsGenerate reports for and advise Provider Relations Representatives on the performance of their key groupsContracted with expansion teams in central and western NY and north eastern OH. Each provider network met or exceeded requirements for a successful market launchContract for key provider specialties to enhance the depth of the provider network and avoid deficienciesActively participate with Risk Adjusted Premium initiative which net an average increase of $130 in per member per month premium dollars for Upstate NY Medicare members over the last 12 monthsNominated and selected as Employee of the Quarter for third quarter 2006Selected to participate on Provider Relations Advisory Board

Tampa, Florida, Us

Tampa, Florida, Us

Saratoga Springs, New York, Us

Saratoga Springs, New York, Us

Business Development Team Leader charged with identifying and capitalizing on new business opportunitiesDeveloped collaborative partnership with local wellness center to create a continuum of care for clients at both facilities

Member of focus group charged with improving and expanding the urgent care businessReported conclusions of the one-year project in a cap stone MBA Thesis Reduced patient waiting time to less than 15 minutes through improved patient flow and mobile registrations unitsIncreased co-payment collection by $50,000 through re-design in waiting area configuration and patient flowImproved net revenue from a projected $78,000 loss to a $280,000 gainBuilt relationships to develop buy in from local primary care physiciansDeveloped improved staff communication flow to maximize employee satisfaction and operational efficiency

Evaluation and treatment - emphasis on out-patient orthopedic and sports injuries - occasional coverage in acute and long term care settingsRecognized as a leader in local sports rehabilitationDesigned and participated in implementation of an athletic rehab and training program Supervised physical and occupational therapy assistants, students and new hiresIncreased patient referrals by 25% at each of two locations through building and maintaining relationships with referring physicians

Led a team of 15 full-time equivalents through a financially tenuous period for the hospitalResponsible for staff leadership, strategic planning and budgetingParticipated on several hospital boards charged with improving organizational direction

Effectively built relationships with the community that led to a 100% increase in out-patient referrals over 4 yearsEvaluation and treatment - emphasis on out-patient orthopedic and sports injuries - occasional coverage in acute and long term care settings

Evaluation and treatment of patients in an out-patient orthopedic setting

Mba, Operations

Bs, Physical Therapy