Rick Mclaughlin Email & Phone Number

Fort Worth, Texas, Us

• Serve on Executive team as a representation of Sales and Account Management • Lead, inspire, and manage a team of account managers and sales professionals, fostering a high-performance culture and ensuring alignment with company objectives.• Develop and execute comprehensive sales strategies to achieve revenue targets and market expansion goals.• Build and maintain strong relationships with key clients, providing them with expert advice and guidance.• Collaborate with cross-functional teams to present new products and services to meet the needs of our clients.• Analyze market trends and customer feedback to identify new business opportunities and areas for growth to develop overall company strategy.• Accounts Receivable - Act as a point of escalation for collections and negotiations• Client Stewardship - Support Account Management team in a consultative role identifying trends and providing CERIS solutions to identified challenges.• Client Retention - Maintain communication with customer(s) to ensure that all SLA and service expectations are met. Communicate and engage Executive leadership team in account status, challenges, and goals.• Surface issues or potential issues to appropriate members of the Executive leadership team proactively to remedy immediate concerns before they become issues.• Coordinate and attend customer and prospect meetings. Ensure appropriate CERIS participants are engaged.• Monitor team performance, track sales metrics, and provide accurate and timely sales forecasts and reports to senior leadership.• Provide clear direction, performance feedback, and ongoing coaching to team members to enhance their skills and drive results.

Nashville, Tennessee, Us

GENERAL MANAGER/ VICE PRESIDENT, PAYMENT ACCURACY │2019 - CURRENTExecutive sponsorship accountable for 400M P&L, operations, sales, account management, systems enhancements, finance (budgeting and forecasting), compensation management and compliance. Achieved 100M+ sustainable revenue growth in first three years by Installing a growth-minded positive culture, re-organizing people, process and product/service direction while leveraging technology (AI/RPA). Payment Accuracy Division doubled the Annual Company growth rate (2020 - 2022). Responsible for success of all facets of Payment Integrity/Payment Accuracy including Editing Solutions (ClaimsXTen), COB, Data Mining Recovery Audit, Chart Review in Post-pay and Pre-Pay settings. Participate and establish new business and increase PI branding. Created winning Strategies to sustain high growth.

Worldwide, Oo

Develop Recovery Audit Payment Integrity Unit, design and enhance Fraud, Waste and Abuse capabilities. Create a high functioning team to drive results, gain client confidence and achieve financial targets. Enhance operations, sales, account management, systems capabilities, reporting controls, finance (budgeting and forecasting), compensation management and compliance. Created Growth Strategies that lead to 5x or greater outcomes for Clients.

Highlights of my qualifications • Knowledgeable Executive. After inheriting underperforming functions, I have led SWOT analyses, restructured teams, enhanced training, and standardized performance management turn these units around within the first 12-months. My initiation of formal development plans, recognition process, and high-potential training development programs resulted in higher engagement scores, greater retention and increased productivity.• Experienced operations leader and results-driver. I understand the value of mitigating risks, communicating effectively and addressing issues critical to the success of operations. During my tenure with Cotiviti, I built a 14-year record of delivering end to end solutions, meeting expectations and driving business expansion. • Active & Visible Change Agent. I am committed to continuous improvement, and high performance. An advocate for the process changes and talent management strategies, my approach is to ensure alignment between the metrics, and the operational goals that are intended to improve the overall health of the organization. • Critical-thinker and root-cause problem solver. I take a hands-on approach to risk mitigation and change management. I have successfully engaged with employee and clients to understand, re-vamped processes and procedures implemented systems, and assisted in the renegotiation of contracts to optimize terms. My efforts have resulted in decreased redundancies and increased profitability.

South Jordan, Ut, Us

Principal – Responsible for starting the Northeast business unit bringing on multiple BCBS and Regional clients. Developed an entire new business process which included planning all aspects of creating a new business from the ground-up. This included P&L, compensation, facility, recovery process, client relationship, reporting and root cause analysis. Secured new sales and independently sold additional scope and services from clients after initial sale. Operational leadership including strategy, client analysis, analytical review of new opportunities along with operational execution to begin auditing Healthcare claims for potential overpayments. Created the Connolly brand of excellence in results and partnership in the BCBS arena that led to securing over 20 BCBS payers.

Manager of Internal Auditing - Oversee Auditors in all four sites across the United States. Responsible for customer and internal quality controls.