Rex Mccully Email & Phone Number

Available for advisory, consulting, and board involvement opportunities. Please contact Rex McCully at RexMccully@gmail.com.

Chicago, Il, Us

• Oversight of HCSC’s multi-market health advocacy product, Health Advocacy Solutions (HAS)--a high touch/concierge product designed to assist members in navigating the complex health care landscape through benefit navigation, transparency and cost-of-care oversight and management.• Grew multi-market adoption of HAS to nearly 90 clients representing 1.2MM in three years. Introduced to the market in 2017 with 1 client, Health Advocacy Solutions • Responsibilities included P&L/Operational oversight; leadership of multi-disciplinary team of non-clinical/clinical staff delivering HCSC's 'flagship' member/care management offering; sales support/presentations to prospective employer groups; adherence to performance guarantees, including aggressive ROI and engagement targets.

Chicago, Il, Us

Chicago, Il, Us

• Oversight of the Illinois Medical Management team servicing approximately 5.5/MM lives and an annual budget of more than $40/M. • Responsibilities included operational management of clinical program consisting of 600+ staff, ensuring all CM/UM/DM functions were managed efficiently with a focus on delivering an evidenced based value and ROI. • Migrated all operational areas into business units where respective leaders took full ownership of their business unit through the understanding and development of monitoring tools/reports, implementing successful interventions for clinical improvement and ongoing staff development. • Fully implemented several new products lines (Group/Exchange), focusing primarily on National Accounts client retention efforts, enhancing clinical integration capabilities and successfully delivering on commitments.

Chicago, Il, Us

• Oversight, development and completion of the implementation of behavioral health program for HCSC (9/M lives). • Developed and implemented and managed behavioral health utilization, care, and disease management programs including Federal Employee Program and state Medicaid/Medicare lines of business. • Full budgetary responsibility for operational unit consisting of 140+ clinical and non-clinical staff and oversight of 11 Cost Centers. • Developed and trained staff on established medical necessity guidelines with emphasis on ensuring coordination of care, quality of reviews, clinical decision making, and production metrics. • Developed strong Med/Psychiatric integration program, creating systems to better co-manage the member and development of tracking outcomes.

Chicago, Il, Us

Frisco, Texas, Us

Served as contract manager/liaison between Magellan Health Services and HCSC, servicing more than 8 million lives (PPO/POS, FEP, HMO).

Frisco, Texas, Us

Supervision of clinicians, claims processors and support staff who performed utilization management, post-service claim and chart reviews. Developed clinical and claims policies and procedures in accordance with NCQA/URAQ standards.

Satellite Beach, Florida, Us

Therapist Individual/Family therapy with severely and persistently mentally ill adults, emotional /behavioral disordered adolescents; Social skills training for ADD/ADHD children; Individual and group therapy to geriatric population-in patient setting; Medical Social Worker for long term acute care patients.Consultant (various facilities)Program development for Gero-psychiatric unit; Consultation services in the development of programs to various in/out patient programs; Director of Social Work department for acute care unit; Establish Social Work Department for a center for developmentally delayed children.

Master Of Social Work - Msw, Social Work

Bachelor Of Science - Bs, Psychology