Expert Details

Expert in Healthcare (Supply Chain, Revenue Cycle and Reimbursement)

Expert ID: 735469 Florida, USA

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Successful, strategic and transformative executive with extensive leadership experience in strategic sourcing, administration, operations and revenue cycle. Effective leader in change management for hospitals, physician practice management, durable medical equipment (DME) and managed care organizations. Expertise in developing people, processes and technologies to increase revenues, market share and profitability. Over 25 years transforming and strategically leading healthcare organizations in a variety of capacities. Key competencies include:
Strategic Sourcing
Value Analysis
Account Management
Contract Negotiations
ERP Implementation
Project Management
Group Purchasing Organization
Value-Based Purchasing
Competitive Bidding Process/Award
Turnaround Expertise
P&L Management
“Big 4” Healthcare Consulting

Education

Year Degree Subject Institution
Year: 1995 Degree: Executive MBA Subject: Health Administration Institution: University of Miami
Year: 1989 Degree: Bachelor of Arts Subject: Industrial Psychology Institution: Loyola University

Work History

Years Employer Title Department Responsibilities
Years: 2016 to 2019 Employer: Promise Healthcare, Inc./Success Healthcare, Inc. Title: Corporate Director Department: Supply Chain Management Responsibilities: Corporate leadership and direction of the Supply Chain for a nationally Integrated Delivery Network (“IDN”) of 20 LTACH hospitals and $900 million in spend.
• Led successful design and implementation of corporate-wide ERP system (Oracle) for Accounts Payable, Fixed Assets, General Ledger, Learn Management System and Materials Management, including EDI in 7 months
• Implemented over $2 million in savings through the conversion and negotiation of GPO and local contracts
• Provided direction to GPO consulting team to recognize and implement an additional $2 million in savings for purchased service categories
Years: 2011 to 2016 Employer: MEDASSETS, INC. Title: REGIONAL CLIENT MANAGER-FLORIDA Department: Responsibilities: Overall client management and same-store growth for 67 acute care hospitals and over $75 million in administrative fees.
• Achieved double digit revenue growth for all accounts in 5 consecutive years
• Contributed with consulting team to achieve $50 million in savings in 18 months for a FL-based health system
• Implemented commodity savings initiatives to yield over $7 million per year for a GA-based IDN
• Increased contract compliance and penetration by 80 percent for a Puerto Rican purchasing alliance
Years: 2009 to 2010 Employer: COVENTRY HEALTHCARE OF FLORIDA, INC. Title: DIRECTOR OF NETWORK OPERATIONS-CAPITATED PROVIDER NETWORKS Department: Responsibilities: Responsible for the management of the specialty provider and capitated networks for 300,000 participating members.
• Created and converted provider contracts to capitated networks, to achieve a savings of more than $350,000
• Increased member and physician satisfaction by 25 percent through negotiating provider contracts
• Managed operational budget to be in compliance within 3 percent of budgeted plan
Years: 2007 to 2009 Employer: JACKSON HEALTH SYSTEM Title: ASSOCIATE ADMINISTRATOR- HOLTZ WOMEN’S AND CHILDREN’S HOSPITAL Department: Responsibilities: Responsible for the daily administrative, operational and financial management of a 640-bed hospital.
• Developed and implemented the Jackson Air Ambulance Transport program, yielding a 35 percent increase in admissions
• Designed, developed and led the expansion of the Pediatric Intensive Care Unit, resulting in a 50 percent increase in admissions
• Prepared and managed capital and operational budgets and monthly variance reports
Years: 2005 to 2006 Employer: CP MOTION, INC. Title: SENIOR VICE PRESIDENT OF OPERATIONS Department: Responsibilities: Overall daily management of the marketing, revenue cycle, finance and accounting teams for a national DME provider. Responsible for the creation and management of the strategic and operational plans and their respective budgets.
• Developed and implemented the organizational corporate compliance program, including the policies and procedures, hotline and benchmarking reports
• Constructed the process improvement design and training plans to the revenue cycle team, leading to an increase in collections of $4 million
Years: 2003 to 2005 Employer: INTEGRAMED AMERICA, INC. Title: VICE PRESIDENT AND EXECUTIVE DIRECTOR Department: Responsibilities: Overall daily management and strategic planning for the network infertility physician practices in the Southeast area.
• Direct daily oversight of the network’s largest IVF practice in Florida
• Increased revenues by 50 percent in the first year through mergers and acquisitions of competing practices
• Increased patient satisfaction scores by 30 percent each year
• Realized and increased shareholder net income by 100 percent in each year
Years: 2000 to 2003 Employer: LIBERTY HOME PHARMACY, CORP. Title: VICE PRESIDENT OF THIRD PARTY OPERATIONS Department: Responsibilities: In charge of all revenue cycle functions with a staff of 125 FTE’s for a national mail-order DME and pharmacy.
• Responsible for the performance of the accounts receivable of over $50 million
• Developed and implemented the organization’s Corporate Compliance program, including the formation of the hotline and internal audit and policy and procedures
• Developed and monitored the key performance indicators for the patient access, order intake, claims management, accounts receivable and collection departments
• Negotiated provider payer contracts
Years: 1996 to 1999 Employer: ERNST & YOUNG LLP Title: SENIOR HEALTHCARE CONSULTANT-REIMBURSEMENT AND PHYSICIAN INTEGRATION PRACTICE Department: Responsibilities: Led numerous physician network transformation and operations engagements for hospital owned and academic practice plan physician groups for a “Big 4” accounting and consulting organization.
• Designed and implemented revenue cycle strategies and benchmarking tools for numerous academic, profit and not-for-profit hospital organizations and physician groups
• Led numerous cash acceleration engagements for healthcare organizations to realize improved collections and accounts receivable for healthcare providers
• Extensive experience in the initial evaluation, selection, testing and implementation of ERP and EMR/EHR systems
• Served as interim Chief Compliance Officer for an Alaskan integrated delivery system
Years: 1992 to 1996 Employer: PALM SPRINGS GENERAL HOSPITAL Title: EMERGENCY DEPARTMENT ADMINISTRATOR/PHYSICIAN PRACTICE ADMINISTRATOR Department: Responsibilities: Overall administrative responsibilities of an Emergency Department and the hospital-based physician network.
• Administrative and operational functions of a for-profit hospital's emergency department
• In charge of the physician network operations of the hospital-based physician group, including the negotiating, credentialing, administering and implementing of third party payer contracts
• Responsible for the revenue cycle activities for the hospital-based physician group

Fields of Expertise

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