Phil Liebschutz's Location
Pomona, California, United States, United States
Phil Liebschutz's Contact Details
Phil Liebschutz work email
- Valid
- Valid
- Valid
Phil Liebschutz personal email
n/a
About Phil Liebschutz
Small Business owner selling high end fashion and kitchenware items.Contracts Manager with more than ten years of increasing experience in managed care network development and contract administration seeking position within growing managed care organization.Specialties: Contract management and administration. Analyzing a portfolio of contracts, and negotiation of hospital and medical group agreements with health plans, TPA's, Medical Groups for language and rates.
Phil Liebschutz's Current Company Details
Entrepreneur & Experienced Managed Care Contract Negotiator
Phil Liebschutz Work Experience Details
-
CourierPostmates Sep 2015 - Nov 2017Los AngelesDelivered more than 2,500 orders...to high end clients. Customer approval rating of 4.8 out of 5.
-
Contract ManagerDavita Healthcare Partners Medical Group Apr 2014 - Jun 2015Responsible for the timely implementation of electronic contract management system, to include all professional, ancillary, and hospital contracts for the organization. System to serve as the vehicle for improved efficiencies in negotiations, tracking and documentation of all contractual provisions. Also, participating as a key member of a National Contracting Best Practices Committee to develop alternative language provisions as well as approved rate ranges for both California and National Agreements. -
Analyst, Ca Medi-Cal & State Sponsored ProgramsKaiser Foundation Health Plan Jan 2012 - Apr 2014Burbank, CaAnnual review of 15 separate Medi-Cal EOCs for changes, print production and tracking. Implementation of five new Medi-Cal EOCs in 2013. Responsible for Monthly, Quarterly and Annual reporting for Medi-Cal, Healthy Families and AIM in the areas of UM, Claims, Finance, Legal, Health Education and Cultural and Linguistics to Plan Partners statewide, DHCS and MRMIB.Organization and development of an improved tracking system for reporting as well as implementation of a Member Informing Materials database to track submission for regulatory approval and Plan Partner approval. -
Compliance CoordinatorL.A. Care Health Plan Mar 2009 - Jan 2012Los Angeles, CaResponsible for DMHC and DHCS monthly, quarterly and annual health plan compliance reporting, and internal training. Assisting in the Medicare Advantage – CMS Reporting and documentation.Project Leader on Member Balance Billing tracking and reporting. Project Leader on Fraud, Waste and Abuse training and tracking for all contracted providers and vendors. Initiated process to select new vendor for Fraud, Waste and Abuse Reporting, after selection of vendor, negotiated Agreement and implemented transition process for new vendor to begin on January 1, 2010 (EthicsPoint). Developed presentation for Compliance Training Vendor to participate in our internal RA&C selection process.Analyzes and compiles Provider Group Report Cards and data for Health Plan. -
Contracts ManagerUcla Healthcare Aug 2003 - Jun 2007• UCLA Healthcare, the clinical component of the UCLA academic medical enterprise, consists of UCLA Medical Center, UCLA Medical Plaza, Santa Monica - UCLA Medical Center, Resnick Neuropsychiatric Hospital at UCLA, Mattel Children's Hospital at UCLA, as well as the many primary care and specialty care offices throughout the western Los Angeles area. • Responsible for the management and negotiation of contracts with health plans, medical groups and other ancillary providers covering 1,500,000 members and resulting in a revenue of $75,000,000 for the hospitals.• Recently completed a tertiary referral and transplant negotiation with a large health plan for an overall 17% increase on a $34 million dollar annual book of business.• Primary Contracts Manager supervising the Resnick Neuropsychiatric Hospital at UCLA contractual arrangements.• Participated as a member of a number of revenue enhancing multi-disciplinary teams within UCLA Healthcare. -
Contracts ManagerLandmark Healthcare Aug 2001 - Oct 2002• Landmark is a third party administrator contracting with health plans to provide chiropractic and acupuncture services to members through a network of established providers within California and eleven states covering approximately 1.2 million lives.• Reporting directly to the General Counsel, managing a team consisting of sales staff, finance, provider relations, and clinical on contract input and implementation.• Responsible for development, modification, production and regulatory approval of updated practitioner agreements in 12 states. • Managing the negotiations and renewal of contracts with Landmark’s Health Plan partners in California (Health Plan) as well as 11 other states (TPA, Fiscal Intermediary). Developing a database and strategy for contract renewals, as well as a template of standard language to be used in health plan contracts. -
Contract AdministratorPacificare Of California Feb 2000 - Mar 2001• PacifiCare is a managed care organization within California covering approximately 3 million lives with a range of products including HMO, PPO and ASO.• Development and implementation of negotiation strategy and goals within the East Bay Sub-region from Fremont to Antioch covering approximately 30,000 lives. Reporting to the Northern California Senior Leadership. Within the Sub-region maintaining and exceeding budgetary goals for a fiscal year.• Managing a team of 4, with primary responsibility for maintaining and building relationships with medical groups and hospitals.• Negotiation of medical group and hospital contracts within sub-region, both capitated and fee-for-service/per diem arrangements, covering approximately 30,000 members. • Implementation of contracts through internal and external communications, as well as inputting deal parameters into internal systems.
-
Contract ManagerKaiser Permanente Nov 1998 - Feb 2000• Kaiser is a staff model HMO operating nationally with 6 million members within the California market.• Development and negotiation of contracting strategy for out-of-network East Bay providers including hospital, SNF, psychiatric, and chemical dependency agreements covering approximately 300,000 members.• Analysis of contractual performance per budgeted goals making use of utilization and financial data.• Participation in Continuing Care Committees addressing purchasing strategies, operational needs and data reporting.• Statewide, as well as regional implementation of new regulatory requirements into existing agreements.
Phil Liebschutz Skills
Managed Care
Healthcare
Hospitals
Medicare
Healthcare Management
Health Policy
Healthcare Industry
Leadership
Hmo
Program Management
Provider Relations
Medicaid
Healthcare Consulting
Contract Negotiation
Clinical Research
Training
Software Documentation
Frequently Asked Questions about Phil Liebschutz
What is Phil Liebschutz's role at the current company?
Phil Liebschutz's current role is Entrepreneur & Experienced Managed Care Contract Negotiator.
What is Phil Liebschutz's email address?
Phil Liebschutz's email address is pl****@****cla.edu
What is Phil Liebschutz's direct phone number?
Phil Liebschutz's direct phone number is +132378*****
What skills is Phil Liebschutz known for?
Phil Liebschutz has skills like Managed Care, Healthcare, Hospitals, Medicare, Healthcare Management, Health Policy, Healthcare Industry, Leadership, Hmo, Program Management, Provider Relations, Medicaid.
Free Chrome Extension
Find emails, phones & company data instantly
Find verified emails from LinkedIn profiles
Get direct phone numbers & mobile contacts
Access company data & employee information
Works directly on LinkedIn - no copy/paste needed
Aero Online
Your AI prospecting assistant
Select data to include:
Total price:
$0.00
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial