Timothy Hart Email and Phone Number
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With over thirty years of experience in the health care industry, I am an expert in creating and implementing value-based contracts (VBCs) and alternate payment models (APMs) in the physician and home care space. I have a proven track record of securing and managing VBCs/APMs with national and regional payers, resulting in substantial savings for the payers and increased revenue for the providers. I have also developed and implemented a physician-led population health program, including palliative care, that aligns with the goals and outcomes of the VBCs/APMs.As the Vice President of Payor Relations at Team Select Home Care, I oversee all managed care and commercial payers in 11 states, with an annual revenue of $400 million. I also negotiate and execute direct contracting entity (DCE) contracts, which are a new type of APM that allows providers to take on more financial risk and reward for Medicare beneficiaries. My mission is to shift the perception of the company from a commodity to a valued partner who drives outcomes, quality, and satisfaction for the payers and the patients.
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Vice President Of Payor RelationsTeam Select Home CarePhoenix, Az, Us
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Vice President Of Payor RelationsTeam Select Home Care Feb 2021 - PresentPhoenix, Arizona, Us -
Director Payor StrategyBayada Home Health Care Oct 2015 - Feb 2021Pennsauken Township, New Jersey, Us• Develop and implement outcomes driven reimbursement models.• Create and implement a physician lead population health program, including palliative care.• Meet with plan executives to present value based contracting opportunities.• Ensure captured HEDIS measures are submitted to plans.• Collaborate with all practices within the organization to structure and execute business initiatives, lead analysis, develop and communicate final recommendations for growing partner relationships with payers.• Manage relationships with payers in multiple states.• Deliver professional sales presentations to plans, persuade and close business contracts.• Provide timely and accurate reporting of pipeline, strategic partnerships and management activities to leadership team.• Research trends, competition and funding sources to strategically drive the business development pipeline.• Manage and negotiate DCE (Direct Contracting Entities) contracts.• Manage a team of Account Managers.• Interview, hire and train employees; plan, assign and direct work, appraise performance, reward performance and discipline employees, address complaints and resolve problems.• Create, implement, and manage an annual budget. -
Director Account ManagementComplex Care Solutions May 2014 - Oct 2015• Met with c-suite team at insurance plans in order to secure clients.• Promoted and sold population health programs to clients including but not limited to product development, to meet regulatory compliance.• Expanded client base and created strategic plans.• Created and maintained account budget plans in coordination with operations departments to ensure clients value of products/services demonstrated favorable returns in investment.• Defined scope and pricing for client requests for analytics and services beyond their scope of work as described by their contract.• Maintained client weekly and monthly communication meetings through agendas and minutes. • Served as a client and operations liaisons creating a bridge of communication to promote excellence in service. • Initiated and maintained project plans related to client issue resolution, quality improvement plans and program enhancements in coordination with client stakeholders. • Developed and maintained growth opportunities with the plans.
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Business Development SpecialistHospice Advantage, Llc Mar 2013 - May 2014• Leads development and implementation of regional and program specific sales plans.• Trains/Coaches/Mentors Community Relations Managers.• Oversees the recruitment, hiring, training and evaluation of CRM's.• Responsible for fostering relationships with decision makers at key accounts.• Actively participates in the implementation of the local sales plans through direct sales calls with Administrators and Regional Vice President.• Meet with insurance providers to ensure we are on preferred provider list.• Prepares and proposes contracts with hospitals and skilled nursing facilities.• Develops and maintains a close working relationship with appropriate members of the corporate team.• Directs regional sales meetings -
OwnerHart Medical Equipment Jan 2007 - Mar 2013Grand Blanc, Us• Created business plan to start company.• Secured investors for start up.• Marketed to referral sources.• Obtained all insurance contracts.• Manages all aspects of business.• Achieved revenues of $568,000 in first year. -
Vice PresidentSheldon Medical Supply Sep 1995 - Sep 2005Vice President of Operations, Sales and Billing of Durable Medical Equipment.• Increased revenue from $2.9 million to over $12 million.• Doubled locations from 3 to 6.• Managed marketing staff.• Managed billing staff.• Served on Board of HME at quarterly Medicare meetings.• Planned, organized, directed day-to-day operations.• Educated and enforced all staff members on FDA, DOT, OSHA, JCAHO and HIPPA.• Oversaw budgets for all locations.• Completed personnel evaluations.• Conducted educational meetings and seminars for physicians, nurses, caregivers and family.• Complied and secured Managed Care contracts with HMO's and Third Party Payors.• Interviewed, appointed and directed department managers -
Director Of Customer ServiceBlue Cross And Blue Shield Of Utica, Ny Jan 1990 - Sep 1995I handled all letters from insured or providers who filed a complaint with the State of New York Insurance Commission involving non-payment of claims. I also worked with our Vice President of Claims to resolve claims processing issues which arose.
Timothy Hart Skills
Timothy Hart Education Details
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Central Michigan UniversityHealth/Health Care Administration/Management
Frequently Asked Questions about Timothy Hart
What company does Timothy Hart work for?
Timothy Hart works for Team Select Home Care
What is Timothy Hart's role at the current company?
Timothy Hart's current role is Vice President of Payor Relations.
What is Timothy Hart's email address?
Timothy Hart's email address is th****@****ada.com
What is Timothy Hart's direct phone number?
Timothy Hart's direct phone number is +120385*****
What schools did Timothy Hart attend?
Timothy Hart attended Central Michigan University.
What skills is Timothy Hart known for?
Timothy Hart has skills like Customer Service, Healthcare, Home Care, Managed Care, Business Development, Medicare, Marketing Strategy, New Business Development, Training, Marketing Management, Ownership, Purchasing.
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