Ron King Email & Phone Number

Tampa, FL, US

Tampa, Florida, United States

Effectively manages regional key business development functions through the use of quantitative and qualitative data systems and sources to evaluate, expand and align services throughout the organization. These functions include business plan development, business plan implementation, physician referral development, strategic planning, reporting of.

Manage analytical contracting support Analyzes, evaluates, and negotiates network management and provider contracts related to and within scope of job responsibilities, and implements plan changesWorks with the financial, operational and delivery aspects of network management and provider contractsReviews fee schedules to determine appropriateness and.

Liaison between provider claims and internal data systemsensure accuracy of provider data loadsanalyze claims data to determine appropriateness of billingassess and maintain monthly capitation payments to providersresponsibility for accuracy capitation paymentsDesign of new risk based payment modelsmodel revitalization of HMOs via patient risk.

Provide necessary analysis to determine success in meeting strategic goalsdevelopment of system dashboardrecommend appropriate measures and benchmarksdetermine appropriateness of goalsassess individual and enterprise strategic initiative successmanagement of system reporting initiativesResearch, analyze and develop Environmental Assessmentsforecasting of.

Tampa/St. Petersburg, Florida Area

Process Improvement AnalystProvided technical and analytical support for monitoring and evaluationUsed SAS and SAS/SQL to manipulate large databasesProvided support for all CQI activitiesUtilized statistical analysis to determine business unit driversServed as administrator of Improvement OpportunitiesServed as the liaison for data integrity co-existence.

Tampa/St. Petersburg, Florida Area

Developed methodologies of measurement for quality improvement projectsDeveloped appropriate criteria and selection of random samples of medical recordsOversight of medical record data abstraction, reliability and validationPerformed statistical analysis, formal testing and regression modeling of dataLed all technical and analytical aspects of multiple.