Matthew L Malin, Mpm Email & Phone Number

Pittsburgh, Pennsylvania, United States

Responsible for the network development, management, servicing, and contracting with physicians, physician groups, integrated delivery systems, health systems, and ancillary providers in Western Pennsylvania. Responsibilities include the development, maintenance and management of an adequate provider network. Maintaining relationships and all provider relations activities. Negotiating and renegotiating contracts. Identifying opportunities to improve provider / member cost and quality performance. Monitoring compliance requirements are met and maintained. Identifying risks and potential opportunities within the service area and supporting assigned groups to improve performance in CMS STAR measures.

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

I strategized and executed talent recruitment and acquisition efforts for an Integrated Health System compromised of a network of ten hospitals. I prioritized quality hiring decisions across service lines including primary care, women’s services, medicine, neurosciences, psychiatry, and hospital-based specialties. I oversaw physician sourcing, interviewing, contracting, pre-boarding, and onboarding to achieve staffing needs of health system, and I managed outside search firm agreements and sourced locums as needs to ensure continuity of service. Select Achievements:★ Directing full-cycle talent acquisition efforts from initial sourcing and screening to negotiations and onboarding; I employed consultative-selling techniques to fill an average of 154 open positions yearly over the past three years. ★ Motivating and mentoring my team to exceed KPIs; I coached staff on best practices in recruitment to create a robust pipeline and decreased outsourcing fees while growing our network by 125 physicians per year.★ Catalyzing change; I innovated workforce acclimation initiatives, facilitated engaging orientations, and standardized trainings to transform onboarding program and lower attrition rates.★ Leveraging technology to maximize productivity and efficiency; I introduced new automated fit assessment recruitment tools including a new physician ATS.

Pittsburgh, Pennsylvania, United States

I provided thought leadership to accomplish corporate objectives related to the new Integrated Development System (IDS) and healthcare provider agreements for a commercial BCBS healthcare insurance company. I managed all aspects of the IDS project including negotiations, compensation planning, practice valuation, and physician/practice contracts to achieve acquisition and employment goals on time and budget.Select Achievements:★ Spearheading negotiations; I applied my understanding of managed care and health plan operations to identify, persuade, and acquire 16 physician practices and corresponding employment agreements. ★ Creating compensation models; I analyzed trends, scanned competitors, applied MGMA standards, and aligned total rewards plans with corporate vision, financial capabilities, and economic conditions. ★ Conducting financial planning and analysis; I developed pro formas to determine 5-year acquisition costs and P&L statements.

Pittsburgh, Pennsylvania, United States

I collaborated with healthcare providers to standardize contractual language. I oversaw hospital and health system commercial agreements as well as ambulance, ambulatory surgery, home infusion, behavioral health, and skilled nursing networks. Select Achievements:★ Utilizing APC, DRG, and discounted FFS methodologies to negotiate favorable terms with urban and rural hospitals; I successfully secured rate increases below budget with hospitals.★ Cultivating and nurturing relationships to maximize profitability; I navigated a change in ownership process to re-negotiate ambulance, behavioral health, and skilled nursing contracts. ★ Driving process optimization; streamlined records management and enhanced scanning procedures to reduce document backlog and increase the accessibility of documents.

Pittsburgh, Pennsylvania, United States

I led day-to-day multi-site operations for the provider relations department consisting of nine staff at two offices. I managed recruitment, education, and servicing of physicians and ancillary providers across a two-state region, and I negotiated reimbursement rates and contract terms with key network physician groups.Select Achievements:★ Delivering superb service and training team to resolve complaints expeditiously and professionally to bolster provider satisfaction and retention; I expanded our network into three additional counties.★ Championing software integrations to enhance performance; I introduced claims editing software for physician services and educated providers on web applications to access claim data. ★ Promoting data integrity and accuracy; I directed statewide implementation of high-tech radiology vendor for utilization management and claims payments.

Masters In Public Management, Finance, 3.97

H. John Heinz III School of Public Policy and Management

Bachelor Of Science - Bs, Heath Services Management, 3.88

Activities and Societies: Founder, Health Services Management Association