Randy Setzer Email & Phone Number

Waukesha, Wi, Us

Waukesha, Wi

Adminstrative Services division Head responsible for the daily operations of the accounting, budgeting, billing, administrative support, contracting, medical records, inpatient utilization review, admissions and the Economic Support Unit. Division unit staffing of 100 plus FTEs with a Departmental Operating Budget of $102 million plus.

Madison, Wisconsin Area

Developed, Proposed & monitored Division of Long-Term Care State Budget of $190 million at the Department of Health Services. Reviewed and monitored MCO annual financial plan and acuity retro rate adjustments. Reported and monitored on Children waiver programs for federal compliance. Managed the nursing home rate setting process and Medicaid cost report auditing.

Greater Milwaukee Area

Managed the daily operations of the Reimbursement Services Department including 35 plus staff My duties included the review of multiple State cost reporting and Medicare cost reporting, facilitating and negotiating Managed Care contracts, managed the Medical Review and Denial unit, development of fiscal divestitures packets, reviewed and facilitated acquisition fiscal proforma

Greater Milwaukee Area

Milwaukee, Wisconsin

Mba, Business Administration, Management And Operations

Bachlor, Accounting

Graduated Cum Laude

High School, High School