Roger Spivey Email and Phone Number

Manages monthly contractual and reimbursement calculations for all hospital financial systems. Performs complex managed care and government contract modeling and analysis as necessary. Maintains reimbursement modeling systems both internal and external using Medassets aka NThrive. Negotiates and updates managed care contracts in the Epic system. Prepare reimbursement and financial analysis for new services, product lines, and existing operations. Audits managed care contract expected… Show more Manages monthly contractual and reimbursement calculations for all hospital financial systems. Performs complex managed care and government contract modeling and analysis as necessary. Maintains reimbursement modeling systems both internal and external using Medassets aka NThrive. Negotiates and updates managed care contracts in the Epic system. Prepare reimbursement and financial analysis for new services, product lines, and existing operations. Audits managed care contract expected reimbursement. Epic Certified in Contract Management and Contract Administration. Show less

Produced annual operating and capital budgets for multi-entity healthcare system with over $1 billion in gross revenue. Modeled and prepared five year strategic forecast. Performed financial analysis for new services, equipment, and product lines. Managed hospital cost accounting system.

Created and maintained managed care contract reimbursement models using Excel. Recommended contract rate strategies, reimbursement methodologies, and contract terms.

Analyzed and modeled proposed hospital, physician, and ancillary managed care reimbursement terms using highly advanced techniques in Excel and Access for large academic 20 plus hospital and physician integrated network. Created complex hospital, physician, & ancillary reimbursement models for financial analysis. Recommended contract terms and negotiation strategies to Managed Care Contract Analysts. Prepared hospital and physician Medicare and Managed Care physician fee schedules.

Financial Analysis and Reporting, Monthly oversight of departmental operation variance reports, capital and operating budget coordinator.

Provided financial support in a variety of areas including financial analysis, budgeting, cost accounting, contracting, chargemaster maintenance, market analysis, Medicare cost reporting, and product line development.

Managed department, negotiated contracts, and developed new business initiatives for 365 bed academic tertiary care facility and physician group practice. Developed, negotiated, and implemented fee-for-service and capitated managed care contracts utilizing financial modeling. Negotiated, prepared, and reviewed contract language in hospital and physician healthcare agreements.

Financial Analysis, Capital and Operating Budgeting, Financial Projections, Cost Accounting, Medicare Cost Reporting, and Managed Care Contract Analysis.