Patrick Bork Email & Phone Number

Responsible for all aspects of new client implementation and managing the initial stages of the client relationship with start-up company focused on post acute care. Activities ranged from working closely with Sales and prospective clients during the closing of the contractual agreement to facilitating collaboration between clients and Operations, Finance, Account Management, Provider Network and I/T during the implementation engagement and subsequent period of operations to ensure program… Show more Responsible for all aspects of new client implementation and managing the initial stages of the client relationship with start-up company focused on post acute care. Activities ranged from working closely with Sales and prospective clients during the closing of the contractual agreement to facilitating collaboration between clients and Operations, Finance, Account Management, Provider Network and I/T during the implementation engagement and subsequent period of operations to ensure program objectives were realized. Show less

Greater Nashville Area, Tn

Leader of the Implementation and Client Connection teams. Directed the implementation of several complex claims management programs focusing on motor vehicle accident (MVA) and workers' compensation patient accounts nationally for hospitals and and hospital systems.Directed the implementation of new complex claims management programs for over 13 hospital systems consisting of over 50 hospitals. MRA projected annual revenue from these new clients topped $12 million.

Key player on the MedSolutions leadership team and instrumental in growing MedSolutions from $116m in revenue in 2007 to nearly $260m in revenue for CY 2010 and an estimated $300m upon departure. Adept at growing business profitably attaining a 27% margin in 2010, improved from 14% in 2007. Created a repeatable implementation process and companion toolkit that increased efficiency, greatly enhanced the new client experience and solidified the implementation success rate. Consistently received… Show more Key player on the MedSolutions leadership team and instrumental in growing MedSolutions from $116m in revenue in 2007 to nearly $260m in revenue for CY 2010 and an estimated $300m upon departure. Adept at growing business profitably attaining a 27% margin in 2010, improved from 14% in 2007. Created a repeatable implementation process and companion toolkit that increased efficiency, greatly enhanced the new client experience and solidified the implementation success rate. Consistently received high marks and praise from clients regarding the implementation experience.Directed the implementation of approximately thirty (30) new client radiology management programs and over sixty (60) implementation projects throughout the United States for MedSolutions, Inc., the leading radiology management solutions company. The scope of implementations included defining clinical programs, orienting market providers, establishing connectivity of information management systems between MedSolutions and clients, and ensuring operational readiness of all parties – all within full compliance of statutory and industry regulatory standards. Provided direct oversight of all engagements and a staff of nine consisting of project managers, I/T developers, business analysts and clinician subject matter experts as well as matrix staff throughout the organization within a $1m budget.Provided consultative guidance for new product development and responses to requests for proposal (RFP). Participated in client contract negotiations. Adept at communicating at all levels within client organizations from CXO’s to front line managerial and production staff. Communicated routinely and effectively with clinicians in addition to account management, operations and technology staff. Developed and enhanced relationships successfully with MedSolutions staff, clients and regulators. Show less

Cigna, Bloomfield, Ct

CIGNA Service Operations Program Manager: Contract placement. Onsite Program Manager for a CIGNA HealthCare Service Operations program aimed at improving coordination of benefits (COB) processing. Multi-year program to deliver 30+ projects in several international locations. Projects encompass eligibility and claims processing, technical enhancements and compliance focused on increasing auto-adjudication, improving quality & productivity while reducing financial exposure and operating… Show more CIGNA Service Operations Program Manager: Contract placement. Onsite Program Manager for a CIGNA HealthCare Service Operations program aimed at improving coordination of benefits (COB) processing. Multi-year program to deliver 30+ projects in several international locations. Projects encompass eligibility and claims processing, technical enhancements and compliance focused on increasing auto-adjudication, improving quality & productivity while reducing financial exposure and operating expenses. CIGNA New Product Project Manager: Contract placement. Participating project manager to enable CIGNA to realize benefits from a business process outsourcing (BPO) arrangement with Accenture in Medicare Private Fee For Service (PFFS) offerings. Scope of engagement included Finance, Accounting and Reporting. Show less

Consultant to Finance, Information Technology & Medical Management Departments. Key contributor to a number of cross-functional strategic initiatives. Created business requirements for health plan's disease management registry. Managed project to compile inventory of strategic applications and data stores for use in migration to a new platform; subsequently authored migration plan. Managed user acceptance testing program for a new enterprise performance dashboard application. Provided… Show more Consultant to Finance, Information Technology & Medical Management Departments. Key contributor to a number of cross-functional strategic initiatives. Created business requirements for health plan's disease management registry. Managed project to compile inventory of strategic applications and data stores for use in migration to a new platform; subsequently authored migration plan. Managed user acceptance testing program for a new enterprise performance dashboard application. Provided automation solutions to executive information systems. Show less

Key resource on professional services, solutions development & market research teams. Assisted The Children’s Hospital of Philadelphia (CHOP) during a one-year engagement. Provided client with leadership training on business process improvement. Established a Project Management Office (PMO). Provided assessment on critical areas of concern in information management and technology strategy. Authored design specifications and provided quality assurance for a large HMO during an 8-month… Show more Key resource on professional services, solutions development & market research teams. Assisted The Children’s Hospital of Philadelphia (CHOP) during a one-year engagement. Provided client with leadership training on business process improvement. Established a Project Management Office (PMO). Provided assessment on critical areas of concern in information management and technology strategy. Authored design specifications and provided quality assurance for a large HMO during an 8-month engagement to deploy an electronic billing and payment solution. Authored business process reengineering methodology and training curriculum for an HMO client. Show less

Active participant in the financial turn-around of Harvard Pilgrim.Director, Enrollment & Billing Operations: Director of Operations for the Member Enrollment, Group Enrollment, Billing, Payment Application, Accounts Receivable, Collections and Group Account Services departments. Steward of a $9m budget; mentor to 7 managers and over 135 staff. Championed corporate effort to bring e-commerce technology to the company in the areas of electronic data interchange (EDI), web-based… Show more Active participant in the financial turn-around of Harvard Pilgrim.Director, Enrollment & Billing Operations: Director of Operations for the Member Enrollment, Group Enrollment, Billing, Payment Application, Accounts Receivable, Collections and Group Account Services departments. Steward of a $9m budget; mentor to 7 managers and over 135 staff. Championed corporate effort to bring e-commerce technology to the company in the areas of electronic data interchange (EDI), web-based enrollment and electronic bill presentment & payment (EBPP). Achieved $2m reduction in run rate through improved resource performance management. Reduced accounts receivable balances by $41m from 36% to 13% of monthly premium in 9 months.Finance Manager: Leader of project to re-engineer enrollment, billing and accounts receivable operations. Managed project to bring enterprise into compliance with New York Health Care Reform Act. Manager of Business Planning and Reporting for IT Division. Coordinated annual strategic business planning and budgeting. Responsible for monthly cost center budget reviews and monthly project status reviews. Implemented and administered resource allocation and time tracking process. Contributing architect to departmental Project Management Office (PMO) and subsequent corporate operating model. Facilitator of the corporate technology steering committee. Show less

Senior Analyst, Finance Division: Supervised staff of 3 and ensured the timely release of cost and utilization reports. Directed the development of new financial and risk reports for alternative risk arrangements. Chaired corporate committee charged with disseminating information to requesting members, employers and agent representatives. Implemented new corporate underwriting and quoting process necessitated by HIPAA Title I. Initiative required new risk classification strategy, new… Show more Senior Analyst, Finance Division: Supervised staff of 3 and ensured the timely release of cost and utilization reports. Directed the development of new financial and risk reports for alternative risk arrangements. Chaired corporate committee charged with disseminating information to requesting members, employers and agent representatives. Implemented new corporate underwriting and quoting process necessitated by HIPAA Title I. Initiative required new risk classification strategy, new pricing methods and development of a new quoting data system. Designed and implemented a system to monitor health care and wellness data for Highsmith, Inc. DeanCare and Highsmith were awarded Astra-Merck Partnership Award by the National Managed Health Care Congress (NMHCC) for demonstrating improved service and controlled costs. (See May, 1997 Business & Health magazine).Software Engineer, Information Services: Chief architect of the HMO data warehouse and project leader of its implementation. Designed, developed and implemented several PC-based decision support systems to synthesize provider service patterns, enrollee distributions and health care/wellness utilization and costs. Mentor to junior staff.Departmental liaison and business systems analyst to Finance Division. Acted as departmental representative to several key committees including one guiding the implementation of the Health Plan Employer Data Information Set (HEDIS). This committee played an integral role in successfully obtaining accreditation from the National Center for Quality Assurance (NCQA). Show less

Matrix position reported to Chief Executive Officer and Chief Information OfficerHealth Care Analyst: Lead consultant for The Employers Health Care Alliance Cooperative and primary contact for other Wisconsin coalitions. Prepared and delivered a number of speaking engagements to area health care purchasing coalitions on the costs & utilization of health care services in Janesville, LaCrosse, Madison and Wausau metro regions. Audience members included leaders of industry, trade… Show more Matrix position reported to Chief Executive Officer and Chief Information OfficerHealth Care Analyst: Lead consultant for The Employers Health Care Alliance Cooperative and primary contact for other Wisconsin coalitions. Prepared and delivered a number of speaking engagements to area health care purchasing coalitions on the costs & utilization of health care services in Janesville, LaCrosse, Madison and Wausau metro regions. Audience members included leaders of industry, trade associations, health plans and delivery networks. Prepared business plan proposal for sister coalition in Janesville, WI.Created a comprehensive financial reporting system that provided return-on-investment information for Alliance clients. The system’s core database was used by four other employer coalitions in Wisconsin as a basis for strategic health care planning. Analyzed market share and prices for Alliance participating providers. Resulting statistics were used during contract negotiations between the Alliance CEO and the provider community. Created, implemented and managed revenue cycle operations. Show less

Reported to the Vice President of Customer ServicesOperations & Budget Analyst: Facilitated operational research initiatives. Served on management team. Coordinated employee performance management for the Claims and Membership Administration Departments. Performed work analysis, simplification and implemented performance standards for 100+ employees. Estimated work volumes and staffing projections. Created and maintained operational budget with Vice-President. Served as a… Show more Reported to the Vice President of Customer ServicesOperations & Budget Analyst: Facilitated operational research initiatives. Served on management team. Coordinated employee performance management for the Claims and Membership Administration Departments. Performed work analysis, simplification and implemented performance standards for 100+ employees. Estimated work volumes and staffing projections. Created and maintained operational budget with Vice-President. Served as a bookkeeper and coordinator of special projects for the Accounting Department. Show less