Rick Howells Email & Phone Number

Victorville, Ca

Senior leader of IT, data infrastructure, data mining and reporting, Contracting, Claims, Eligibility, Provider Relations, Finance and Capitation. Accountable for the overall performance of the Group. Administrator/Chair of the HCC Steering Committee (Implemented program raising group RAF from .829 to 1.558 in 4 years), Administrator of the CMS STARs/P4P Quality Program, group achieved 5 STAR rating.

San Dimas, California

Primary MSO liaison to 5 hospital clients providing complete operational oversight of purchased services including but not limited to contracting, claims processing, risk pool reporting, encounter data, and utilization analysis. Managed HCC and P4P/STAR data collection and extraction processes, health plan reporting, IPA and hospital client reporting. Oversight and management of encounter data extraction and analysis. Managed error reconciliation process with clearinghouse vendor and health plan reporting.

Pasadena, California

Performed as project manager and senior analyst for Vice President of external hospital contracting at Kaiser Permanente producing contract models as well as a database for use by the provider services coordinators in negotiating letters of agreement (LOA’s).