Work with state government and Missouri providers to ensure the highest quality healthcare at the lowest cost ensuring the best patient experience.

Optum/EHR is a physician adviser outsourcing company comprised of over 500 physicians and 1200 support staff. Optum provides daily service to over 2300 hospitals in three primary areas: Medicare/Medicaid compliance, commercial denials and retrospective appeals.• Currently responsible for building Optum’s On Site Physician Advisor (OSPA) program. Including: sales support, recruiting, training and oversight of physicians at over 50 hospitals. Grew program from 6 to 55 hospitals in last 12 months. Average 100% revenue increase per client site following implementation.

Weekly clinical practice with ten physician private pediatric practice.

• Oversee client management. Department made up of 4 teams: physician subject matter experts, nurse implementation directors, non-clinical account managers and consultants.• Grew hospital clients from 100 to over 2400 during employment• Performed/supervised over 600 clinical chart audits for current client and perspective client hospitals of all sizes (50 to over 1000 beds). Following an Optum audit, hospitals and physicians adopted the Optum product solution over 90% of time. • Performed and presented over 500 compliance and billing data analyses to senior leadership. Projects include review of hospital claims 835/837 data, PEPPER and Medpar data. • Designed and coordinated nationally recognized PAA (Physician Advisor Academy). A 2 day CME session for physician advisors/UR medical directors at 12+ locations across the county.

• 30-40 daily reviews of hospital and physician’s claims for medical necessity and appropriate billing.• Achieved a 20% decrease in unnecessary healthcare expenditures for client employers. • Performed root cause analysis for key drivers of cost expenditures and staff reviews. Project results reduced medical reviews by 25% and achieved cost savings of over 10%. • Physician expert for client sales visits. Presentation topics include: medical review process, medical loss ratio and health management programs. • Closed and implemented 2 largest clients employers.• Weekly presentations for nurses and coders on high cost and utilized medical services. Weekly presentations for nurses and coders on high cost and highly utilized medical services.

Outpatient pediatric services for satellite offices, as well as medical student education.

Educational presentations for physicians and nurses to drive sales.Evaluated and provided updates/upgrades for the professional suite on www.meadjohnson.com.Worked with sales leadership to develop and test sales programs of untapped sales opportunities and better understand physician practice patterns.

Inpatient and outpatient private practice pediatric medical care as a partner of a 4 physician group.

Provide pediatric hospitalist service, including NICU coverage, ER staffing and medical floor.