Robert S. Email & Phone Number

Florida, United States

Director for strategic growth and initiatives assisting National Payor organizations.

Philadelphia, Pennsylvania, United States

Responsible for working with national payers and organizations to determine growth opportunities, strategies and operational priorities.

North Carolina, United States

Provide guidance for North Carolina Lead organizations for implementation activities around Medicaid Transformation Pilot. Managed implementation of MCO and Cherokee Indian Health Authority data exchange. Assisted in development of response to North Carolina DHHS deliverable’s.

Responsible for leading implementation for CommuniCare Advantage (CCA) as part of an integrated delivery system, the CommuniCare Family of Companies (CFC), that specializes in post-acute care solutions.CommuniCare Family of Companies (CFC) include Long Term Acute Care hospitals, Psychiatric hospitals, Substance Use Disorder facilities, Senior Living.

Columbia, South Carolina Area

Health Plan President and Executive for Health Blue partnership with Blue Cross Blue Shield of South Carolina's Blue Choice Plan. Responsible for leadership and management of the operational, administrative, fiscal, and team leadership objectives of the Health Plan. Achieved 38% member growth moving from fourth to second largest MCO in first 10 months of.

Wisconsin, United States

Grew plan to 72 counties statewide to support additional membership and benefit types to become the first statewide Managed Care plan in Wisconsin. Responsible for fiscal and operational management of state Health Plan. Develop, direct, plan and evaluate the goals and objectives for health plan operations working with various stakeholders and partners..

Virginia Beach, Virginia

Responsible for projects and budgets that encompass company expansion in new or existing markets, new lines of business and products. Manage and coordinate implementation activities among various stakeholders and areas of business within the company and external partners. Supported Kansas, New York and New Jersey markets for implementation and growth..

Virginia Beach, Virginia

Managed financial operations interpreting regulations and policy for Medicaid and Medicare programs in 11 states.Provided leadership for the redesign of returned payments for health care operations in 11 states resulting in a 78% improvement in processing time and cost savings of 70%.Managed day to day operations for cash disbursements to providers in.

Richmond, Virginia

Chairman for the Virginia Board of Social Services serving with 10 additional members from throughout the Commonwealth responsible for promulgating regulations for all of the programs that fall under the Department of Social Services. Provide direction and oversight to the Department of Social Services Temporary Assistance for Needy Families, Medicaid.

Califirnia Healthy Families, Folsom, CA

Managed financial operations for the California Healthy Families program covering 785,000 clients. Responsible for department budgets, reconciliations, forecasts and variance analysis. Managed operations for statewide claim reimbursements.

Bachelor’S Degree, Business Management

Political Science And Government

Political Science And Government