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Yyyyyy x. yyyyyy

                                                                                                                                           xxx-xxx-xxxx   

                                                                                                                                            abc@xyz.com

 Healthcare Operations / Financial Analysis Executive

Reimbursement Policies ~ Managed Care Contracts ~ Facility & Practice Management

 

Healthcare Operations Professional with expertise in productivity and efficiency best practices eager to contribute and make an immediate impact on a progressive organization.  Consistently employs out of box creative approaches to problems as well as identifies potential costly issues in a proactive manner. 

 

  Operational Oversight 

  Negotiations Expertise

  Expense Reduction

  Conflict Resolution

  Technology Proficient

  Training & Development

  Business Analysis

  Negotiation Strategies

  Problem Solving

  Employee Relations

  Healthcare Administration

  Marketing Expertise

  Financial Review/Budgets

  Change Management

  Controllable Expenses

 

Qualifications Profile

 

Ø  Strong multi-tasking background with the ability to work independently on multiple projects simultaneously, including formulation of policies and procedures, client services and customer resolution techniques, organization development, project management, strategic negotiations, in-depth problem analysis and solutions, operational process implementation, as well as development and execution of strategies to increase client retention and loyalty. 

Ø  Excel in defining and implementing policies, procedures and operational systems that boost productivity, efficiency and quality of operations.

Ø  Effectively work with clients of all ages, socioeconomic, and cultural backgrounds.

Ø  Consistently focus on ensuring development of high-standard delivery methodologies. 

Ø  Effectively manages large projects as well as provides in-depth documentation.

Ø  Skilled at communicating and working cross-functionally in order to ensure knowledge sharing is prevalent between departmental lines.

Ø  Embraces corporate culture and actively promotes and leads company initiatives.

 

Functional Competencies

 

Ø  Effectively manage staff and coordinate information sharing between departmental resources.

Ø  Employ knowledge of various facets of operations to control and minimize unnecessary expenses and increase bottom line revenues. 

Ø  Effectively collaborates with team to resolve complex organizational issues. 

Ø  Proactively identify potential employee issues and design creative solutions to resolve problems. 

Ø  Regularly schedule reviews and track progress of particular projects.

Ø  Compile and disseminate various monthly project reports for executive management.

Ø  Skilled at developing and implementing efficiency best practices to increase productivity and reduce labor costs.

Ø  Frequently acts as a liaison between customers and various organization departments to ensure smooth communication process.

Ø  Deliver employee programs to increase employee retention, enhanced engagement and improved operational efficiency.                    

           

Academic Training & Additional Information

 

Ø  Master of Business Administration C Finance, University of Houston

Ø  Master of Science C Health Education, University of North Texas

Ø  Bachelor of Science C Health Education, University of North Texas

Ø  Chairperson / Vice President: St. Luke s Episcopal Hospital Physician Hospital Organization

Ø  Member: St. Luke s Sugar Land Hospital and St. Luke s Hospital at the Vintage

 

 

Select Accomplishments (St. Luke s)

  Doubled facility net revenue (multi-million dollar portfolio), through growth and rate increases.

  Created Clinical Integration Program, including electronic data submission, warehousing

  Executed Clinical Integration contracts with managed care payers.

  Served as champion for physician Electronic Medical Records strategy development and implementation.

  Substantiated the value and reignited International program.

 

Professional Career Track

 

Vice President and Chief Managed Care Officer, St. Luke s Episcopal Health System      2003-Present 

                     

- Key System Facts:  6 hospitals. Texas Medical Center based tertiary teaching hospital and three community hospitals; two additional to open Fall 2010.  Four of these are joint ventures.

- 5,300 beds; 3 emergency centers, an outpatient diagnostic and treatment facility, joint venture cardiac catheterization and endoscopy centers; 4 PET imaging facilities.  

- Listed in U.S. News & World Report top ten cardiovascular facilities for twenty consecutive years; first hospital in Texas to be designated a Magnet hospital for nursing excellence;  primary adult teaching facility for Baylor College of Medicine.                                                                                  

  Main responsibilities: Develop and implement Clinical Integration Program for St. Luke's Episcopal Hospital ($1.3B annual revenue).

  Negotiate and manage facility and physician managed care contracts for multi-hospital system, including large tertiary care hospital in the Texas Medical Center (multi-million dollar portfolio).

  Direct International Business Development and Operations Program (multi-million dollar portfolio.)

  Acted as Administrator for: Physician Network Development, Physician Referral Service, IPA Administration, Committees, Delegated Credentialing, Medical Malpractice, Electronic Medical Records.

Executive Director, Bone and Joint Clinic of Houston                                                               1997-2003

  Main responsibilities: Oversight and direction of financial and operational aspects of seven physician orthopedic practice, including physical therapy and imaging.

  Completely replaced and updated financial controls, financial reporting, accounting firm and practices, personnel management, health insurance and retirement plan, practice management system, electronic medical records, managed care contracts. Workman s Compensation practice, suppliers, information technology, partnership agreement, and website.

 

Vice President, St. Luke s Episcopal Health System                                                                   1991-1997

  Primary responsibilities: Negotiated and managed facility managed care contracts for large tertiary care hospital located in Texas Medical Center.

  Developed and negotiated contracts for St. Luke's Episcopal Hospital Independent Practice Association.

  Created St. Luke's Episcopal Hospital Physician Hospital Organization.

  Managed comprehensive international portfolio. 

Additional Experience

Consultant, St. Luke s Episcopal Health System                                             

-  Director C Financial Planning and Analysis, CIGNA Healthplan of Houston            

-  Director C Educational Resources, St. Luke s Episcopal Hospital             

-  Director C Program Development, American Lung Association            

 

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