Richard (Rick) Reeves, Mba

Richard (Rick) Reeves, Mba Email and Phone Number

Retired Healthcare Executive @ Page Retired
chicago, illinois, united states
Richard (Rick) Reeves, Mba's Location
Omaha Metropolitan Area, United States
Richard (Rick) Reeves, Mba's Contact Details

Richard (Rick) Reeves, Mba personal email

n/a
About Richard (Rick) Reeves, Mba

Experienced executive who builds and leads collaborative teams who play a critical role in achieving the mission of improving healthcare for Americans through ensuring high quality care in the most appropriate setting, improving access to care, including overcoming barriers to access to care while having a positive impact on the overall cost of care. I have extensive executive leadership experience across Medicaid and Medicare managed care, Medicare fee-for-service, and commercial health plan operations and administration. Passion for building strong collaborative relationships and partnerships with all stakeholders in the healthcare delivery system, including providers, payers and other public stakeholders.Evolent Health Market President in Louisville, KY, August 2018 to present. Independent management consultant during 2017 and 2018.Market Vice President for WellCare of Nebraska during the implementation of the Nebraska Medicaid program until December 2016. Served as the Chief Operating Officer for UnitedHealthcare Community Plan of Tennessee until March 2016. Held CEO and COO roles at the UHC's Maryland Medicaid MCO until October 2014. Held positions with CSC as VP & Account Executive for CMS, and President of Capstone Government Solutions, LLC in Nashville.Also served previously in a variety of executive-level positions at Mutual of Omaha and Blue Cross Blue Shield of Iowa. Bachelors Degree in Accounting from Simpson College in Iowa and an MBA from Drake University. Executive leadership w/ govt-sponsored & commercial health plans, incl Medicare, Medicaid, FEHB; responsibility for large organizations with 700+ employees; health insurance and health plan administrative operations, including claims processing, member enrollment, customer service, provider relations, medical review, coordination of benefits, systems support, business development, strategic planning, and financial management; health care payment, reimbursement, & financing

Richard (Rick) Reeves, Mba's Current Company Details
Page Retired

Page Retired

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Retired Healthcare Executive
chicago, illinois, united states
Employees:
50
Richard (Rick) Reeves, Mba Work Experience Details
  • Page Retired
    Retired Managed Health Care Executive
    Page Retired Jan 2020 - Present
  • Evolent Health
    Market President
    Evolent Health Aug 2018 - Jan 2020
    Louisville, Kentucky Area
  • Independent Consultant
    Management Consultant
    Independent Consultant Jan 2017 - Aug 2018
    Greater Omaha Area
  • Wellcare Health Plans
    Market Vice President & Coo
    Wellcare Health Plans Jun 2016 - Dec 2016
    Greater Omaha Area
  • Unitedhealthcare Community Plan Of Tennessee
    Chief Operating Officer
    Unitedhealthcare Community Plan Of Tennessee Aug 2014 - Mar 2016
    Brentwood, Tn
    Chief operating officer of UnitedHealthcare’s TennCare managed care state-wide health plan in Tennessee serving Medicaid, Long Term Care and Dual-Special Needs members.Broad accountability for all health plan operations and contractual performance requirements within a complex matrix environment, including claims processing performance; community outreach & member engagement; customer & provider service; provider relations & network strategy; provider credentialing & provider contract maintenance; business intelligence & data reporting.
  • Unitedhealthcare
    President & Ceo, Maryland State Sponsored Programs
    Unitedhealthcare Jun 2010 - Oct 2014
    Elkridge, Md
    Profit/loss accountability for UnitedHealthcare Maryland & Delaware Medicaid Managed Care health plan operations. Profit/loss and sales/growth accountability for UnitedHealthcare Medicare/Medicaid Dual Special Needs Plan in District of Columbia.Primary accountability for state of Maryland client relationship, establishing and maintaining strong professional relationship with state Medicaid Director and Secretary of Health as well as key members of the Maryland legislature
  • Unitedhealthcare
    Chief Operating Officer Maryland Medicaid Managed Care
    Unitedhealthcare Oct 2009 - Jun 2010
    Elkridge, Md
    Accountable for operations performance in a complex matrix management organization; direct line authority for health plan operations, marketing, and provider relations functions; accountability for provider network management and contracting, administrative operations (claims processing, provider and member customer service, enrollment)Demonstrated effective provider relations skills in dealing with high-profile and sensitive provider issues
  • Computer Sciences Corporation
    Vice President
    Computer Sciences Corporation Jan 2007 - Apr 2009
    Baltimore, Md
    Chief Account Executive accountable for operations and profitable performance for $56 million annual book of business with the Centers for Medicare & Medicaid Services (CMS)
  • Capstone Government Solutions
    President
    Capstone Government Solutions Apr 2005 - Dec 2006
    Nashville. Tn
    Chief executive and member of Board of Governors of start-up company owned jointly by BlueCross BlueShield of TN and CIGNA Government Services to contract with the federal government to administer the Medicare fee-for-service program
  • Mutual Of Omaha
    Vice President
    Mutual Of Omaha Oct 1994 - Apr 2005
    Certifying (chief executive) officer, Medicare Fiscal Intermediary operations; 4th largest Medicare Part A contractor nationally; annual operating budget of $72 million; 670 employees; 6,800 providers nationally; 10 regional field offices; processed 19 million claims; $24 billion benefits paid.Primary executive responsibility and accountability for all division operations and performance of Medicare contract obligations and Medicare Part A program requirements, including claims processing, customer service, cost report audit and settlement, medical review, provider relations, appeals, Medicare Secondary Payer, etc.
  • Blue Cross Blue Shield Of Iowa
    Various Leadership Roles
    Blue Cross Blue Shield Of Iowa 1981 - 1994
    Des Moines, Ia
    Various Roles:Aug. 1992 – Oct. 1994; Director, Medicare B & Government Programs Business Development May 1991 – Aug. 1992; Manager, Provider Audit & ReimbursementDec. 1986 – May 1991: Corporate Strategic Planning CoordinatorMay 1981 – Dec. 1986; Various Finance & Accounting Management Roles

Richard (Rick) Reeves, Mba Skills

Medicare Leadership Managed Care Strategic Planning Program Management Health Insurance Strategy Healthcare Medicaid Management Health Policy Insurance Business Development Project Management Customer Service Training Employee Benefits Analysis Process Improvement Provider Relations Enterprise Architecture Sdlc Pmp Forecasting Healthcare Management Business Intelligence Team Leadership Crm Collaborative Problem Solving

Richard (Rick) Reeves, Mba Education Details

Frequently Asked Questions about Richard (Rick) Reeves, Mba

What company does Richard (Rick) Reeves, Mba work for?

Richard (Rick) Reeves, Mba works for Page Retired

What is Richard (Rick) Reeves, Mba's role at the current company?

Richard (Rick) Reeves, Mba's current role is Retired Healthcare Executive.

What is Richard (Rick) Reeves, Mba's email address?

Richard (Rick) Reeves, Mba's email address is ri****@****ast.net

What schools did Richard (Rick) Reeves, Mba attend?

Richard (Rick) Reeves, Mba attended Simpson College, Drake University, Drake University.

What are some of Richard (Rick) Reeves, Mba's interests?

Richard (Rick) Reeves, Mba has interest in Sailing, Golf, Hunting, Fishing.

What skills is Richard (Rick) Reeves, Mba known for?

Richard (Rick) Reeves, Mba has skills like Medicare, Leadership, Managed Care, Strategic Planning, Program Management, Health Insurance, Strategy, Healthcare, Medicaid, Management, Health Policy, Insurance.

Who are Richard (Rick) Reeves, Mba's colleagues?

Richard (Rick) Reeves, Mba's colleagues are Fred Golden, Lisa Cardwell, Christene Evanochko, Belen Cabatian, Chris Mcdonald, Timothy Wolf, Cindy Pennell.

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