James Capozzi
Hanover,MA
Summary
Results-driven sales executive with 17 years of experience in the healthcare industry. Proven track record of driving revenue growth, building high-performing sales teams, and developing strategic partnerships. Skilled in identifying market opportunities, creating effective sales strategies, and exceeding targets.
Overview
17
17
years of professional experience
Work History
Vice President of Sales
iDoc Telehealth Solutions
03.2022 - Current
- Establish Sales Strategy for company that covers all phases of business development
- Grow Tele-ICU & Tele-Neuro ICU business by partnering with community Hospitals, LTACH's, Trauma Centers & Community Health Centers
- Establish relationship with Federal Bureau of Prisons (BOP) in order to provide outpatient specialty services via existing Third Party Administrator and BOP relationships
- Establish National Tele-Behavioral Health Network to meet the needs and requests of existing and potential clients
- Establish connections within County Jail and State Department of Corrections operations in order to provide outpatient specialty services.
Sr. Sales and Business Development Director
Seven Corners, Inc.
12.2019 - 03.2022
- Managed team of 8 Inside Sales Specialists responsible for selling travel medical insurance and trip cancellation products to domestic and international customers
- Managed team of 15 consisting of: Operations Manager, Correctional Account Coordinators, Claims Analysts and Contract Specialists
- Established and maintained National Provider relationships including Hospital Systems and key Government personnel
- Responsible for more than 50% of the company's gross profit
- Key Accomplishments: Submitted 101 RFP responses (52 original solicitations & 49 Discussion Letter responses) and awarded 19 FBOP contracts during tenure & increased FBOP business annual gross profit by 67%.
Business Development Director
Seven Corners, Inc.
12.2017 - 12.2019
- Identified and bid on RFPs for FBOP Comprehensive Medical Services and other Government opportunities
- Built Comprehensive Provider Networks for each Prison (incumbent and non-incumbent) based on utilization data and base negotiation strategies on Hospital/Provider relationships
- Managed team of Contract Specialists responsible for Provider Contract negotiation and management of Provider relationships
- Account Manager for US Dept
- Of State student travel program.
Director, Network Development & Credentialing
LifePlans, Inc.
01.2015 - 12.2017
- Proposed and implemented procedures for network growth and development, 1099 and agency recruitment and contract negotiations
- Established new provider rate structure to ensure substantial savings on a year over year basis according to geo-location
- Developed relationships with job boards and agencies to ensure proper coverage based on Network Gaps
- Monitored operational performance, contractual compliance, recruiting marketing, provider development, contracting and Provider Relationship management
- Oversaw a team of 8-12 Network Relations Representatives and Recruiters, ensuring efficient and effective operations
- Led Recruiting operations in 50 states plus Canada and Puerto Rico.
Director of Network Development
Correct Care Solutions
10.2013 - 01.2015
- Directed all Hospital and Specialty Provider contract initiatives throughout the organization while developing and maintaining relationships with existing Hospitals and Providers
- Managed Claims Department staff and Contract Specialists totaling 9 employees
- Negotiated terms of subcontractor agreements for on-site care, including National Agreements with vendors such as dialysis, mobile x-ray, medical waste, etc
- Established policies and procedures for Network Development department to be used in all contracting activities going forward
- Contracting responsibilities spanned over 450 jail/prison locations and over 200,000 patients in 37 States.
Contract Specialist
Correct Care Solutions
03.2010 - 10.2013
- Negotiated agreements with hospitals, ancillary facilities and specialty physicians as well as finding and implementing cost savings opportunities on existing agreements
- Provided support for pre-bid assessments for the business development team, securing Letters of Intent and establishing preliminary relationships
- Managed/negotiated high dollar claims for out of network providers in established markets
- Negotiated savings of over $2.5 million via claim negotiations over a 3 year period.
Senior Provider Contractor
Prime Health Services, Inc.
03.2007 - 03.2010
- Identified and contracted with hospitals, ancillary facilities, physicians, and other medical provider groups (such as PHO's and IPA's)
- Negotiated contracts with physicians, ancillaries and hospitals, ensuring a cost effective contract in compliance with all state, provider and corporate requirements
- Contracted for multiple product lines including Workers' Compensation, Group Health, Auto-Liability, Medicare, Medicare Advantage and Indigent Care
- Served as mentor to less experienced Provider Contractors through on-going instruction, coaching, modeling, and counseling aimed at developing the type of skills and behaviors that resulted in successful resolution of provider contracts.
Education
Bachelor of Arts - Business Management and Human Relations
Trevecca Nazarene University
Nashville, TN01.2008
Skills
- Contract Negotiation
- Lead Generation
- Business Development
- Sales Management
- Communication
- Healthcare Reimbursement
- Excel
- Word
- Outlook
- Provider Relations
- Network Development
- Networking
- Sales Team Leadership
- Sales Strategy Execution
- Customer Portfolio Management
- Marketing Strategy Development
- Strategic account development
- Account Management
- Deal Closing
- Bid Request Management
Websites
Timeline
Vice President of Sales
iDoc Telehealth Solutions
03.2022 - Current
Sr. Sales and Business Development Director
Seven Corners, Inc.
12.2019 - 03.2022
Business Development Director
Seven Corners, Inc.
12.2017 - 12.2019
Director, Network Development & Credentialing
LifePlans, Inc.
01.2015 - 12.2017
Director of Network Development
Correct Care Solutions
10.2013 - 01.2015
Contract Specialist
Correct Care Solutions
03.2010 - 10.2013
Senior Provider Contractor
Prime Health Services, Inc.
03.2007 - 03.2010
Bachelor of Arts - Business Management and Human Relations
Trevecca Nazarene University
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