Patrick Apodaca Email & Phone Number

Austin, Texas, US

• Development, communication and execution of the company’s strategic vision and driving business initiatives and implementation efforts including:
• Analyzing the market for changes, trends, competitive intelligence & production opportunities
• Identifying potential ventures, targets and strategic partnership opportunities
• Establishing applicable metrics and performance measures to evaluate progress
• Identifying strategic risks and mitigation strategies
• Identification & execution of growth opportunities including new markets, products or services

Chicago, IL, US

Leading the development of Government Network Solutions and Provider Partnerships, a newly formed unit of Enterprise Network Solutions, aimed at expanding HCSC's Government Programs' Value-Based and Alternative Payment Models, building and optimizing provider networks and strategies, and advancing plan performance for managed Medicaid and Medicare.

Chicago, IL, US

Lead a team of 25+ associates responsible for the development of public and custom provider networks throughout the state of Texas for Medicare Advantage, Medicaid/CHIP, and VA/Tricare programs; including recruitment, contract negotiations, credentialing, provider accessibility and adequacy analysis, network development planning and budgeting, provider.

Franklin, TN, US

Coordinator of national healthcare reform initiatives for CHS' Managed Care Department, including development and support of organizational strategies related to: new Federal/State healthcare reform rules/legislation, health system provider contracting for state insurance Marketplaces, market-level expansion of Clinically Integrated Networks and related.

Franklin, TN, US

Director for managed care contract negotiations, modeling, execution of agreements, reimbursement enhancement programs, strategic provider network assessments, development of annual projected managed care revenue targets, and implementation of business development and managed care strategies for 18 acute care hospitals with an annual $2 billion in revenues.

Louisville, Kentucky, US

Led expansion initiatives for target MSAs in the Central U.S. including new UT & AZ commercial & MN Medicare market offices.Directed the assessment of underperforming regional market locations and coordination of growth & improvement strategies. Consultative meetings with prospective broker clients and leaders of partner hospitals in target expansion.

Leader of market development and economic consulting support to surgeon & hospital clients, and health plans/payers.Advisor to distributor sales force including strategic reimbursement expertise, tool development, training & education.Consultant for State Government Affairs local initiatives primarily related to Medicare & Workers Compensation.

Minneapolis, MN, US

Consultant to physicians, surgery centers, hospitals & rehab facilities in the development of product and market strategies.Development of coverage & reimbursement policies with government & private payers re: implantable neurological technology.Advisor to lobbying initiatives for continuity of therapy access for Workers Comp clients – coverage &.

Louisville, Kentucky, US

Promotional transfer to Sales Dept from Provider Network Dept (previously Director of Provider Contracting):Project Manager for launch of Emphesys, Humana's digital on-line PPO health plan, in Austin, TX.Development of Sales and Marketing strategic plan and sales goals for SmartSuite and SmartSelect products in Central TX.Coordination of Sales team in.

Louisville, Kentucky, US

Director of Provider Contracting (Nov 99 - Jul 02)Hospital Contractor (July 98 - Nov 99)Oversight and management of provider contracting in Central TX.Management and administration of risk group contracts.Financial analyses including utilization, funding, risk-reconciliation and reimbursement arrangements for large provider groups.Contracting for all North.

US

Coordinator for full-risk & delegated contracting with Columbia Provider Services 5.01(a) - 10 IPAs with 600+ physicians.Statistical & financial analyses identifying network savings and cost-containment strategies based on claim payment data.Internal expert trainer of risk-contracting for Provider Relations, Medical Management, Marketing & Sales.

Dallas, TX, US

Sales & marketing of business communication services & technology-based products to commercial corporate customers.Contract proposals & negotiations with new and existing clients and maintenance of FCC regulatory compliance.Business consulting services identifying and developing potential strategic, process, data and technological needs.Public relations.

Office administrator of all business & customer accounts (insurance, billing, payment plans, collections, A/R, A/P, taxes).Development and negotiation of contract proposals and agreements for psychological assessment & consulting services.Human Resources (recruitment, training, supervision, performance appraisals, employment contracts, payroll, benefits).