Brian Schein
Practice Coordinator
314 SE 21st Ln. Cape Coral
Summary
Experienced Program Coordinator at Better Health Group currently assisting 9 affiliate provider offices in Medicare Advantage and Accountable Care Organization lines of business. A motivated professional with IPA and MCO experience able to quickly adapt to systems, policies, and procedures with strong focus on quality and performance improvement in a clinical setting.
Overview
25
25
years of professional experience
Work History
Practice Coordinator
Better Health Group
08.2023 - Current
- Established strategic partnerships with affiliate providers and staff to improve focus on quality of care.
- Monitored provider performance metrics closely to evaluate areas requiring attention or adjustment.
- Facilitated monthly meetings with providers addressing trends in financial surplus/deficit, HEDIS measures, MRA scores, and high cost patients due to ER/hospital admissions.
- Assisted Panhandle market by training local ACO team members on MA line of business and introducing them to their clinics.
- Trained office staff on HEDIS/Quality measures that need addressed for patients.
- Educate office staff and providers on the importance of addressing care gaps and the impact on the MRA score which impacts funding for future care.
Program Coordinator I
Centene Corporation (Sunshine Health)
01.2023 - 06.2023
- Triage assigned task queue and duties according to turnaround time and escalations accordingly.
- Conduct thorough record reviews to determine documentation inaccuracies and communicate corrective actions to appropriate departments.
- Perform authorization entry with focus on quality and special attention to utilization management department actions to prevent issuance of inappropriate authorizations.
- Trained on common authorization errors and how to perform corrections per UM protocols.
- Participated in special projects to improve provider and customer relations by transitioning 143 members to new provider related to contracting challenges.
Team Leader
Southwest Florida Moving And Delivery
08.2020 - 01.2023
- Conducted training and assist team members to promote productivity and commitment to friendly service.
- Researched invoices for coding and accuracy in order fulfillment.
- Verified appointments and coordinated services between multiple vendors and customers to confirm appointment times and outcomes.
- Escalated issues to appropriate department for resolution.
Owner/Operator
Schein Lawn And Landscape
10.2012 - 08.2020
- Developed foundational procedures for business operations for sole proprietorship.
- Managed, scheduled, and maintained consistent schedule for 50 weekly accounts.
- Conducted all customer service functions: intake, quotes, accounts payable and accounts receivable, complaint resolution.
- Assessed ongoing individual account needs, utilization of service program, cost-benefit analysis, and propose optimal solutions.
Field Service Representative
ICX Technologies (FLIR Systems)
09.2009 - 11.2011
- Developed curriculum and training course for explosive detection devices.
- Trained groups of 12-25 on proper operational utilization and implementation of detection equipment.
- Coordinated travel for personnel and equipment overseas to conduct training with U.S. and host nation forces.
Military Training Instructor
United States Air Force
08.2006 - 08.2009
- Held classroom instruction for up to 100 students as well as field instruction for 12-25 students.
- Developed lesson plans and instructional materials for Security Forces pre-deployment training.
Security Forces Team Leader
United States Air Force
09.1999 - 08.2006
- Investigated threats against U.S. and allied forces in multiple regions around the world.
- Led, managed, and performed force protection duties to protect personnel and resources.
Education
No Degree - Criminal Justice
Community College of The Air Force
Montgomery, AL 05.2001 -
No Degree -
American Public University System
Charles Town, WV 05.2001 -
No Degree - Core Credits
University of Maryland - University College
Hyattsville, MD 05.2001 -
No Degree - Political Science
Oklahoma State University
Stillwater, OK 05.2001 -
Skills
Process Improvements
Effective Communication
Attention to Detail
Interpersonal Communication
Teamwork and Collaboration
Staff Development
Timeline
Practice Coordinator
Better Health Group
08.2023 - Current
Program Coordinator I
Centene Corporation (Sunshine Health)
01.2023 - 06.2023
Team Leader
Southwest Florida Moving And Delivery
08.2020 - 01.2023
Owner/Operator
Schein Lawn And Landscape
10.2012 - 08.2020
Field Service Representative
ICX Technologies (FLIR Systems)
09.2009 - 11.2011
Military Training Instructor
United States Air Force
08.2006 - 08.2009
No Degree - Criminal Justice
Community College of The Air Force
05.2001 -
No Degree -
American Public University System
05.2001 -
No Degree - Core Credits
University of Maryland - University College
05.2001 -
No Degree - Political Science
Oklahoma State University
05.2001 -
Security Forces Team Leader
United States Air Force
09.1999 - 08.2006
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