Wesley Wang, Mha, Mpa Email & Phone Number

Us

- Renegotiated commercial and Medicare Advantage payer contracts for 20+ wholly owned and joint ventured ambulatory surgery centers in the Washington, Oregon, and California markets. These negotiations yielded an additional $4.6 million in annualized net revenue.- Identified and addressed opportunities for improved revenue capture through chargemaster redesign, revenue cycle optimization, and self-pay policy redesign for Providence's portfolio of surgery centers, imaging centers, and urgent care clinics - resulting in an additional $2.3 million in annualized net revenue.- Led the strategic planning efforts around the migration of hospital-based services to an ambulatory setting. Developed financial models to forecast impact to net revenues, EBIDA, and cost.- Managed the development of a High-Performance Network (HPN), a multi-state physician practice organization designed to deliver value-based care. Coordinated the efforts of our Contracting, Finance, and Information Systems teams to negotiate risk-based shared savings payment models on top of fee-for-service contracts.

Bellevue, Wa, Us

- Led the planning, budgeting, and execution of a comprehensive patient experience for high-acuity cancer survivors. This innovative program proactively directs patients to Cancer Centers of Excellence and assigns them a case manager, resulting in reduced medical waste, improved clinical outcomes, and increased patient satisfaction.- Led a collaboration between software developers and clinicians of a Seattle-area hospital to develop a machine learning algorithm that correctly identifies medication errors with 90% accuracy.- Developed business plan, analyzed market trends, profiled competitors, identified strategic partners, and researched regulatory considerations for an IoT-enabled health and wellness device.- Co-led the creation of a cloud-enabled SaaS platform that uses natural language processing to categorize thousands of open-text in real time. Supervised a team of analysts in the creation of a training set used by the machine learning algorithm to improve output accuracy.- Supported the Microsoft Customer Success Unit PMO (Project Management Office) in the launch of three Azure cloud architecture pilots. Defined deliverables, tracked KPIs, and reported progress to senior executives.- Scoped, designed, built, and maintained business intelligence dashboards connected to SQL server database in collaboration with UI/UX experts.

San Diego, Ca, Us

- Created revenue models for 50+ ambulatory surgery centers, hospitals, and medical groups. Forecasted the impact of contract restructuring on incremental revenues and drove increases in net incomes for key clients.- Assisted hospitals, physician groups and health systems in contract negotiations with major US payors, including UnitedHealthcare, Cigna, and Blue Cross Blue Shield, among others. Conducted analyses of negotiated reimbursement rates against regional benchmarks and Medicare RBRVS.- Provided thought leadership and guidance to clients on CMS regulatory changes and its impact on surgery center operations and revenue.- Co-developed the business plan, strategy, operating model, and payor contracts for a de novo surgical hospital.- Assessed the business model, case mix, payor mix, RVUs, and chargemaster of 30+ ambulatory surgery centers to identify opportunities for increased revenue. - Mentored and trained new employees in contract analysis, data models, and revenue forecasting.

Bloomfield, Ct, Us

- Developed detailed reports on Cigna's competitive unit cost position in the Pacific Northwest relative to other commercial payors in the market.- Reviewed medical claims of Cigna customers to identify trends and opportunities for improved continuity of care. Identified over $10 million in spend that could be saved through steerage.- Compiled competitive data from public and internal sources to support contract negotiations- Created Powerpoint documents and presented research findings to the Provider Contracting team.- Calculated medical spend based on DRG, NDC, CPT4, and ICD9 codes.- Provided analytical support on projects related to Medical Economics, Total Medical Cost, Case Management, and Cigna Collaborative Accountable Care.

Virginia Beach, Virginia, Us

- Serviced the Medicaid and Medicaid Expansion population in the state of Washington by providing education, outreach materials, and resources to help people enroll in insurance plans on the Exchange.- Conducted community outreach events that helped educate low-income populations on their insurance options under the Affordable Care Act.- Represented Amerigroup at community events, health fairs, and clinics – helping over 300 individuals understand their insurance options.

Seattle, Wa, Us

- Supervised a team of student volunteers on daily tasks around the rehabilitation center at UW Medical Center.- Devised strategies around use of volunteer time, task assignments, and increasing motivation of inpatients.- Assisted physical therapists in performing rehabilitative exercises with over 20 patients per day.

Washington, Dc, Us

Coordinated the efforts of a team of 9 environmental science and policy professionals on improving the efficiency and environmental performance of the US EPA Region 10.• Spearheaded efforts to streamline the waste management process at the EPA Region 10 Seattle office in accordance with ISO 14001 standards. Successfully consolidated the recycling system in all 12 offices.• Facilitated the development of a Plan-Do-Check-Act (PDCA) cycle on all 9 Environmental Management Systems (EMS) to ensure continuing compliance with federal standards.

Master Of Health Administration (Mha), Hospital And Health Care Facilities Administration/Management

Master Of Public Administration (Mpa)

Bachelor Of Arts, Environmental Studies