Very experienced healthcare executive leader with tremendous experience in healthcare contracting and financial management with a proven track record of organizational and revenue growth, provider engagement, performance management and team leadership development.
Overview
31
31
years of professional experience
Work History
Chief Executive Officer
Compass Medical, P.C.
04.2004 - 06.2023
Led one of the largest independent multi-specialty / primary care-driven physician-owned medical groups in New England for 19+ years.
Developed and managed an excellent high-performing clinical and management leadership team.
Established foundational processes for all business operations.
Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.
Built productive relationships with industry partners and competitors to support strategic business objectives.
Made large-scale financial decisions and supervised company spending to reduce material losses and maximize profits.
Director of Contracting
Partners Community HealthCare, Inc.
12.2001 - 04.2004
Led all aspects of third-party payor contracting for several of the largest payor contracts, including Blue Cross / Blue Shield of Massachusetts, Harvard Pilgrim Health Care, and Tufts Health Plan and Medicare Advantage Plans for one of the largest Integrated Delivery Systems in the country (Partners Healthcare, now MGB).
Directly responsible for all aspects of financial and risk performance in Partners' third-party contracts.
Leveraged data and analytics to make informed decisions and drive business and contracting initiatives across a challenging and diverse organizational network structure.
Maintained positive relations with payors by addressing problems head-on and implementing successful corrective actions when needed.
Recruited, hired and managed the contracting team and set the team's priorities, and monitored individual and team performance to improve skills.
Vice President / General Manager
Wellspace, Inc.
08.1998 - 12.2001
Served as the Chief Executive of a for-profit $3 million per year, 100+ provider complementary healthcare company that was one of the largest revenue organizations of its kind, at the time, reporting to the owner and Board of Directors.
Worked closely with the investor Board of Directors to define and deliver growth and revenue goals.
Demonstrated proficient leadership skills to motivate employees and build competent teams.
Hired and managed employees to maximize productivity while training staff on best practices and protocols.
Clarified roles, responsibilities and expectations of staff.
Collaborated with senior management to develop strategic initiatives and long term goals.
Negotiated successfully with the provider community to prevent a unionization
Director of Managed Care Contracting
Brockton Hospital
06.1997 - 08.1998
Negotiated and managed all third-party payor contracts for the hospital system.
Tracked contracts for management and issued regular tracking reports covering current status and upcoming milestones.
Mitigated business risks by analyzing contracts' potential impacts and avoiding unfavorable terms.
Worked closely with physician and hospital leadership to ensure maximum financial and quality contractual performance.
Compiled required documentation to keep contracts compliant with all healthcare regulatory requirements.
Onboarded and trained new staff to keep team efficient and prepare team members to effectively handle demands of simultaneous and large-scale contracts.
Worked with the community and payors to promote the organization within the community and region.
Contracting and Reporting Manager
Private Health Care Systems
02.1996 - 06.1997
Led an organizational initiative to create an actionable reporting platform and create contractual evaluation and enhancement initiatives for a national Preferred Provider Organization, covering millions of patients and more than 800 hospitals and 10,000 physicians.
Prepared and distributed internal reports and financial statements and coordinated company's audits prior to deadline dates.
Provided expert advice on budgeting processes, effectively initiating revenue increases and bolstering business opportunities.
Generated financial and operational reports to assist management with business strategy.
Contract and Financial Analyst
Harvard Community Health Plan
05.1992 - 02.1996
Led a team to develop, negotiate and implement one of the first regional Medicare Advantage plans in New England.
Collected data and developed detailed spreadsheets to identify trends and create revenue, profitability, and expense forecasts.
Performed complex financial and budget analyses to determine requirements and justify requested funding.
Used relevant financial technology to generate reports and recommended courses of action to upper management.
Conducted detailed financial analysis to identify and evaluate changes in operations, trends and potential areas of improvement.
Education
Bachelor of Arts - English Literature
Salem State University
Salem, MA
Skills
Experienced Top-Level Healthcare Executive
Superior Business Development Leadership
Strategic Direction Leadership
Hospital and Physician Network Development
Expert Level Healthcare Contracting Negotiation and Performance Management
Physician Assistant- Family Medicine/Pain Management at Onyx Medical Practitioner P.C./NuWave Medical PLLCPhysician Assistant- Family Medicine/Pain Management at Onyx Medical Practitioner P.C./NuWave Medical PLLC
Medical Receptionist/Certified Medical Assistant at Throgs Neck Medical Services P.CMedical Receptionist/Certified Medical Assistant at Throgs Neck Medical Services P.C