Terence L. Byrd Email and Phone Number
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Results-driven healthcare and insurance executive, strategist, and business development expert with extensive executive-level experience. Served in senior leadership roles for top healthcare organizations including Aetna Better Health of Kentucky, Healthfirst NJ, Americhoice of NJ/United Healthcare, and Blue Cross/Blue Shield of NJ.Throughout my career, I have led several startup and established Managed Care Organizations through rapid growth and complex organizational change within an increasingly competitive and regulated marketplace. My achievements include:➤ Transforming an underperforming operation into the most profitable Medicaid MCO in Kentucky, achieving the highest operating margins in the state for two consecutive years. I developed management work teams that focused on strengthening the cultural infrastructure and service levels, building stronger networks, and achieving operational excellence.➤ Serving as a member of Kentucky’s first Healthcare CEO Council. I partnered with healthcare leaders from diverse sectors, including hospitals, long-term care facilities, and multi-product MCOs, to make Louisville a central hub for the delivery of innovative healthcare in the region/state.➤ Cultivating strategic relationships in the provider and executive communities to form alliances and position Healthfirst Plan of NJ as a major MCO in the state. I spearheaded the growth of the only new MCO to enter the Medicaid business in NJ in the past 10+ years. We generated a 700+% increase in annual revenue in five years for Healthfirst Plan of NJ, becoming one of the fastest-growing MCOs in the state.➤ Contracting with 30 hospitals, 4000 physicians, and numerous ancillary vendors including Labcorp, Quest, and Medco in 18 months for a startup Medicare Advantage Special Needs Plan for chronically ill Medicare beneficiaries.➤ Building, developing, and leading first-rate, cross-functional management teams for several organizations.
Tlb Byrd & Associates
View- Website:
- byrdassociates.net/en_US
- Employees:
- 7
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Chief Executive OfficerTlb Byrd & AssociatesWarren, Nj, Us
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Principal OwnerTlb Byrd & Associates Sep 2017 - PresentProvide high-level consulting services to senior executives of national and regional healthcare companies, including Managed Care Organizations (MCOs), a health technology company, a laboratory, and a telehealth organization. Consult in diverse areas: Business development, member acquisition, provider recruitment, operations, technology, and P&L management. Partner with executives to formulate long-term strategic plans and goals. Clients and results include:■ Health Technology Company: Strategic advisor to a company with an innovative AI and data analytics platform that enables early identification of pregnant women who are at risk for pre-term labor, thereby reducing adverse maternal and prenatal outcomes.■ Regional Managed Care Organization: Led the planning and execution of plans to enhance member and provider acquisition efforts for this startup PSO. Set up separate PSO health plans with three major hospital systems in the state.■ National Managed Care Organization: Played a key role in preparing an established, $16B MCO for an RFP to enter the Kentucky market. Assisted in crafting a provider strategy that introduced MCO executives to key providers and decision-makers in the state.■ Multi-Service Level Organization: Provided extensive consulting services to a senior executive of an organization that focuses on lab services, telehealth, and wellness. Worked with technical and business teams in developing a new telehealth product.
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Chief Executive Officer, Aetna Better Health Of KentuckyAetna Apr 2015 - Aug 2017Planned and executed strategies to increase efficiency and overall profitability of a statewide Medicaid managed care health plan in the Commonwealth of Kentucky. Full P&L responsibility for a plan that services approximately 270,000 individuals (25% market share) in eight regions, with annualized revenue of $1.2 billion. Oversaw operations, health services, financial management, quality assurance, strategic planning, network management, and provider relations.
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PresidentHealthfirst Health Plan Of New Jersey, Inc. Feb 2009 - Mar 2015Recruited by this non-profit, provider-sponsored health plan to build a comprehensive operational, administrative, and business development infrastructure. Maintained full profit/loss responsibility for all lines of NJ business, and directed all community outreach, marketing/sales, and regulatory affairs functions. Oversaw financial, human resources, and clinical performance management operations. Reported to Board of Directors and President/COO of Healthfirst.
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Regional Vice President Of OperationsPinnacle Practice Management Services 2007 - 2009Directed all operational functions throughout the Mid-Atlantic Region for an anesthesiology practice management company that included 600+ anesthesiologists and CRNAs. Provided leadership, planning, and vision to ensure the region had proper operational controls, administrative and reporting procedures, and human resource systems to meet new business objectives, grow existing accounts, and maintain financial strength and operational efficiency.
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PrincipalTlb Byrd & Associates 2005 - 2009Established and managed a thriving a multi-specialty healthcare consulting practice specializing in all aspects of health insurance operations. Provided high-level consulting services in the areas of strategic business plan development and implementation, management of network operations, provider services and communications, contract negotiation strategies, provider outreach, marketing, regulatory compliance, and budget development/cost reduction strategies.
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Executive Vice President & Chief Operating OfficerQmedcare Of Nj 2006 - 2007Senior Operations Officer responsible for the development of all non-clinical aspects of a startup Medicare Advantage Special Needs Plan for chronically ill Medicare beneficiaries with cardiovascular disease, congestive heart failure, stroke, and diabetes. Developed and managed network/provider relations operations such as contract administration, reimbursement methodology, provider services/outreach, credentialing, and educational /communication materials.
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Vice President Of Contracting & Provider ServicesAmerichoice Of Nj/United Healthcare 2002 - 2005Senior Network Management Officer who led all contracting and provider relations activities associated with delivery of managed care services for 175,000 Medicaid and Medicare+ Choice (dual eligible) members. Developed and directed a staff of 25 contracting and provider relations staff in the network management of 70 hospitals, 2,500 primary care physicians, 6,000 specialists, 900 dentists, and 1,000 ancillary providers with an annual spend of $300 million+.
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First Vice President/Accident And Health Claim OperationsCombined Insurance 1999 - 2002Executive Claims Officer that managed ad coordinated all claims administration and other ancillary services for an A&H Department with annualized revenue in excess of $300 million. Coordinated the delivery of services through more than 50 Third Party Administrators, Managing General Underwriters, and ancillary cost containment and repricing vendors.
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Senior Vice President - Government Programs DivisionPhysician Health Services Of New Jersey (Formerly First Option Health Plan, Inc.) 1995 - 1999Government Programs Senior Executive responsible for business development and startup of a Medicaid Managed Care Operation for one of the fastest growing provider-owned HMOs in the nation. Managed all administrative services including recruitment of senior staff, operating budget, claims processing, member services, network development, utilization management, quality management, regulatory compliance, community outreach, and marketing. Enrolled more than 20,000 new members in eighteen months with annualized revenue in excess of $40 million.
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President/Chief Operating Officer: Mercy Health Plan Of New JerseyHorizon Blue Cross Blue Shield Of New Jersey 1993 - 1995Newark, Nj, UsLed the startup of a Managed Care Organization (MCO) and the development of a five-year strategic and operational business plan. Coordinated contracting of hospitals, primary care physicians, specialists, and ancillary healthcare vendors. Developed a primary care physician-based healthcare delivery system to improve access and quality of care for Medicaid recipients. Improved quality scores by implementing and continuous quality improvement programs. -
Assistant Vice President Information SystemsHorizon Blue Cross Blue Shield Of New Jersey 1992 - 1993Newark, Nj, UsProject Officer of an Implementation Team for a New Claims Reimbursement and Administration System. Managed corporate implementation plan of a comprehensive claims system across all product lines, converting approximately 2.3 million subscribers and 14 thousand providers to a new system. Directed implementation of New Claims System.
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Executive Vice President/Chief Operating Officer: Total Plan AdministratorsHorizon Blue Cross Blue Shield Of New Jersey 1988 - 1992Newark, Nj, UsChief Operating Officer of a group health third-party administration organization. Responsible for the organizational development, financial management, market research, product development, advertising, cost containment, and sales of a fully integrated administrative services organization. Directed all daily operations.
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Director Of OperationsGab Business Services, Inc. 1983 - 1988
Terence L. Byrd Skills
Terence L. Byrd Education Details
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Lafayette CollegeEconomics -
Atlantic School Of InsuranceAccident And Health Insurance License In New Jersey
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Monmouth UniverstyParticipated In Mba Program
Frequently Asked Questions about Terence L. Byrd
What company does Terence L. Byrd work for?
Terence L. Byrd works for Tlb Byrd & Associates
What is Terence L. Byrd's role at the current company?
Terence L. Byrd's current role is Chief Executive Officer.
What is Terence L. Byrd's email address?
Terence L. Byrd's email address is tl****@****ail.com
What schools did Terence L. Byrd attend?
Terence L. Byrd attended Lafayette College, Atlantic School Of Insurance, Monmouth Universty.
What skills is Terence L. Byrd known for?
Terence L. Byrd has skills like New Business Development, Operations Expertise, Proven Leadership Skills, Healthcare, Medicare, Healthcare Consulting, Medicaid, Health Insurance, Practice Management, Hipaa, Long Term Care, Physician Relations.
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