Tim Temperly Email & Phone Number

Ft. Worth, Texas

The firm assists health plans, physician groups and health systems develop strategic plans maximizing their business model by taking full advantage of the Affordable Care Act. The firm’s services range from strategic consulting; developing stand-alone risk sharing models in partnership with health plans; planning and executing rapid financial improvement events; and temporary assignments as an interim CFO, COO or President.

Menasha, Wi

Responsible for finance, underwriting, legal services (corporate department) and facility management.• Led discussions with WI Department of Insurance to redesign not-for-profit HMO resulting in savings of $8M annually.• Managed annual small/large group rate re-basing by external actuarial consultant. Main components for review were:* Age/Gender rate slopes; geographic adjustment factors; Specific Industry Code (SIC) adjustment tables; catastrophic case pooling; group size… Show more Responsible for finance, underwriting, legal services (corporate department) and facility management.• Led discussions with WI Department of Insurance to redesign not-for-profit HMO resulting in savings of $8M annually.• Managed annual small/large group rate re-basing by external actuarial consultant. Main components for review were:* Age/Gender rate slopes; geographic adjustment factors; Specific Industry Code (SIC) adjustment tables; catastrophic case pooling; group size creditability factors; determine the required and / or optional data/information for underwriting small and large groups.• Created formal exception process when sales disputed underwriting results (usually rates were too high).* Implementation of process reduced internal negotiations between departments and enabled faster resolution leading to timely presentation of proposals to customers.* Created formal CEO approval process for any rate guarantee request. Policy eliminated revenue reduction risk and firmly set the expectation on the part of sales team and customer base.• Developed senior executive underwriting reporting package by product line (small, large, self-funded). Reports allowed team to monitor plans and take corrective action as needed.• Instituted conservative cash management policy resulting in zero market-based losses during severe market fluctuations. Show less

Greater St. Louis Area

Managed finance, underwriting, provider network development and contracting, IT and claims operations.• Served as key financial contact with Medicaid and Medicare agencies at state and federal levels.• Developed financial plans for each state licensure and led financial review during each licensure site visit with regulators from each state.• Managed Independent Physician Association contracting activities in MO, AK, IL and TX.• Managed implementation of claims processing system… Show more Managed finance, underwriting, provider network development and contracting, IT and claims operations.• Served as key financial contact with Medicaid and Medicare agencies at state and federal levels.• Developed financial plans for each state licensure and led financial review during each licensure site visit with regulators from each state.• Managed Independent Physician Association contracting activities in MO, AK, IL and TX.• Managed implementation of claims processing system on time and under budget.• Provided oversight of internal Third Party Administrator operations. Show less

Menasha, Wi

Managed finance, underwriting, provider network development and contracting, IT, claims and customer service.• Managed claims processing system and financial system conversion. Both completed on-time and under budget.• Developed capitation pools in conjunction with external actuarial and updated pool’s performance on a monthly and annual basis (pharmacy, physician, and hospital services).• Served as key financial contact with state and federal governmental agencies (Department of… Show more Managed finance, underwriting, provider network development and contracting, IT, claims and customer service.• Managed claims processing system and financial system conversion. Both completed on-time and under budget.• Developed capitation pools in conjunction with external actuarial and updated pool’s performance on a monthly and annual basis (pharmacy, physician, and hospital services).• Served as key financial contact with state and federal governmental agencies (Department of Insurance and Health Care Financing Administration). Show less