Scott J Backer

Scott J Backer Email and Phone Number

Leesburg, FL, US
Scott J Backer's Location
Leesburg, Florida, United States, United States
About Scott J Backer

Managed Care - ACO Leader with over 20 years experience In senior management, contracting, Startup and network management. Extensive experience with Managed Care and Ancillary Senior Leadership with top Managed Care Organization(HMO sold for over 650 million) and Top ACO Executive Management with over 40 million in Savings.

Scott J Backer's Current Company Details
Pathways Health Partners, LLC

Pathways Health Partners, Llc

View
Partner
Leesburg, FL, US
Website:
pathwaysaco.com
Employees:
46
Scott J Backer Work Experience Details
  • Pathways Health Partners, Llc
    Partner
    Pathways Health Partners, Llc
    Leesburg, Fl, Us
  • Pathways Health Partners, Llc
    Chief Executive Officer
    Pathways Health Partners, Llc Jan 2020 - Present
    Leesburg, Florida, Us
  • Aac - Air Ambulance Caribbean, Inc. / Aeromd
    Sr Advisor Managed Care
    Aac - Air Ambulance Caribbean, Inc. / Aeromd May 2019 - Jul 2020
    Charlotte Amalie, St. Thomas, Vi
    AeroMD provides high-acuity Critical Care services to patients needing Air Medical Transport to off-island medical facilities with rapid response times, twenty-four hours a day, seven days a week.Based in St. Thomas, USVI, and serving patients in need throughout the Caribbean, AeroMD is able to meet the full spectrum of medical needs, from routine transports to cutting-edge ICU and Trauma Care.
  • Rham Group, Llc
    Advisor
    Rham Group, Llc Oct 2017 - Jan 2020
    Healthcare Advisor for Accountable Care Organizations, Managed Care Organizations and all provider types to move into a risk based environment. Our Leadership team has over 20 year of success in Network Management, Population Based Payment Initiatives and Managed Care/ACO turnaround. Significant success in the following areas:1) ACO startup and turnaround(40 million+ in ACO savings success)2)Managed Care Network Contracting and Management(Developed multiple cost effective networks for HMO, International Insurance organizations and other medical network organizations).3)HealthPlan startup contracting, hiring seasoned professionals and implementing departments(Developed 2 startup Medicaid and Medicare plans)4)Cost Containment review and implementation of Provider Contracting Network (implemented many delegated cost containment strategies with national organizations)5)Board participation for advisor services(Provider side and Managed Care.
  • Medical Care Associates
    Sr Advisor Managed Care
    Medical Care Associates Oct 2018 - Apr 2019
    Medical Care Associates is leading provider organizations to support financial partnerships and clinical capabilities they need to improve health outcomes and lower cost for patients at both the individual- and population-level. Our company leadership has successfully managed health plan organizations and top ACOs in the country, moving from a fee for service medicine to a value-based business model.
  • Baroma Health Partners Nka Uniphy Aco
    Chief Executive Officer
    Baroma Health Partners Nka Uniphy Aco Apr 2006 - Jul 2017
    Baroma Health Partners was a healthcare management organization specializing in Medicare Accountable Care, managed care, network management and cost containment for government programs and private pay insurance. Baroma companies have agreements with the Centers for Medicare and Medicaid Services, Humana Health Plans and other payors.Baroma Health Partners was one of 18 Next Generation ACO in the CMS Innovations program and achieved the highest savings in 2016 and 2017. Formerly, Baroma Health Partners participated in three MSSP ACO that successfully achieved shared savings.As the CEO and one of the founding members, develop participant and preferred provider relationships, new payor partnerships to support growth and goals of organization, and deploy management staff to implement program requirements and initiatives to meet shared savings requirements. Directly managed all contracting efforts for all PCP's, Specialist and Ancillary Service providers for 40,000 Medicare lives.Developed all contracting and provider network for large national organizations.This includes: Baroma Healthcare(ACO), Baroma Healthcare International(MSSP ACO), Baroma Healthcare Holdings(MSSP ACO), Baroma Accountable Care(Next Generation ACO) and Baroma Healthcare Partners(IPA-MSO).Baroma Health Partners MSSP ACO's in 2014 and 2015 achieved 28 million in savings to CMS.Prior to ACO’s, Baroma Healthcare was a consulting company for the following organizations:1) BMI Insurance2) Univita Healthcare3) Citrus Healthcare4) Little Havana Activities and Nutritional Center5) PsychCare
  • Trsnetwork
    Chief Operating Officer
    Trsnetwork Jan 2001 - Oct 2008
    Oversee all aspects of operations, including the design and execution of program for therapy patient management, disaster recovery systems development and new contract implementation. Manage daily business operations to incorporate clients into company’s procedures. Establish and maintain relations with clients to improve productivity. Investigate medical cost and institute procedures to reduce costs. Handle all network contracting for various types of providers including, outpatient rehabilitation centers, Skilled Nursing Faciltiies, hospitals and many other types of providers.Managed over 35 million in annual revenue and over 50 employees
  • Careplus Health Plans
    Vp Of Ancillary Services - Network Contracting
    Careplus Health Plans Jun 1995 - Jan 2001
    Miami, Fl, Us
    Oversaw all ancillary management for the state of Florida. Investigated medical cost, and executed procedures to decrease over expense. Maintained relations with ancillary vendors and providers, enhancing partnerships. Supervised three employees. Established relations with physicians and provided solutions and in-service assistance; instructed physicians on plan policies and procedures, and informed them of cost-effective ancillary providers. Collaborated with finance division to reduce high-volume services.Managed Member Enrollment Department, Provider Services Department and Oversight Review.

Scott J Backer Skills

Managed Care Medicare Healthcare Healthcare Management Medicaid Healthcare Industry Healthcare Consulting Leadership Hospitals Healthcare Information Technology Physicians Hipaa Management Physician Relations Provider Relations Health Insurance Insurance Executive Management Home Care Quality Improvement Practice Management Long Term Care Health Policy Process Improvement Emr Revenue Cycle Medicine Disease Management Accreditation Ehr Policy Nursing Ppo Business Process Improvement Program Development Risk Management Informatics Revenue Cycle Management Medical Billing Electronic Medical Record Employee Benefits Performance Improvement U.s. Health Insurance Portability And Accountability Act Negotiation Contract Negotiation Organizational Leadership Executive Leadership Communication Strategic Planning Team Building

Scott J Backer Education Details

  • Harvard University
    Harvard University
    Contract Law
  • Florida International University
    Florida International University
    Health/Health Care Administration/Management

Frequently Asked Questions about Scott J Backer

What company does Scott J Backer work for?

Scott J Backer works for Pathways Health Partners, Llc

What is Scott J Backer's role at the current company?

Scott J Backer's current role is Partner.

What is Scott J Backer's email address?

Scott J Backer's email address is sb****@****aco.com

What is Scott J Backer's direct phone number?

Scott J Backer's direct phone number is +178620*****

What schools did Scott J Backer attend?

Scott J Backer attended Harvard University, Florida International University.

What are some of Scott J Backer's interests?

Scott J Backer has interest in Kids, Gardening, Electronics, Home Improvement, Sports, Travel, Home Decoration.

What skills is Scott J Backer known for?

Scott J Backer has skills like Managed Care, Medicare, Healthcare, Healthcare Management, Medicaid, Healthcare Industry, Healthcare Consulting, Leadership, Hospitals, Healthcare Information Technology, Physicians, Hipaa.

Who are Scott J Backer's colleagues?

Scott J Backer's colleagues are Michelle Copp, Kyle Burgess, Jacob Halpern, Chrystal Hindman, Nhi Hoang, Connie Driver, Brandon Bradford.

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