Mark E. Hobgood
Haughton,LA
Summary
Ambitious executive who creates strategic relationships and effectively lead team members to reach personal, professional goals and objectives. Through building quality, motivated teams of skilled professionals with a culture of servant leadership. Experience Medicare, Medicare DME Enrollment Fully insured health benefit sales Medicaid Enrollment Team development and empowerment Credentialing/Enrollment Commercial Payors Product development fully and self-insured Contracting Government and Commercial CAQH
Overview
20
20
years of professional experience
3
3
Certifications
Work History
Director
Credentialing Services, CredentialingONE
Elgin, IL
- Medical provider credentialing and compliance services nationwide for commercial and government payers
- Managed enrollment and credentialing team members to ensure accurate, completeness, timely application submissions and demographic updates
- Develop credentialing process and standards to create work flows that promote best practices
- Sales and client development for individual, group, facility, and hospital credentialing and compliance services.
Director of Contracting and Credentialing
Practice Success
Texarkana, TX
- Medical, Management of a team of 40 FTEs for medical billing, contracting, credentialing and consulting
- Clients in 7 states with over $40 million in annual billing
- Long Term and annual planning for product development, managed care reimbursement, credentialing/contracting compliance, leadership development, and budgeting
- Speaker to leadership conferences leadership, credentialing and contracting
- Master Minds committee for strategic development for providers and facilities.
Director of Sales
FirstCare Health Plans, Inc
Lubbock, TX
- Management of regional sales managers, key account executives and insurance brokers
- Annual membership goals, objectives and budget for fully insured membership
- Marketing of Individual and SHOP products for the Federal Marketplace, ASO services and
- Medicare products
- Presented to civic organizations, provider organizations, and brokers concerning ACA, state and federal laws and regulations, insurance changes and financing options.
Director Provider Network
HealthFirst TPA
, TX
- Duties include developing and managing broker relations for self-funded employers
- Annual budget, managing website, collateral materials, brand development, sales managers, key account executives, broker and provider relations
- Responsible for client on-boarding and retention.
Executive Director
Healthcare Partners of East Texas
Longview, TX
05.2003 - 08.2009
- Reported to Board of Directors of senior level hospital administrators
- Develop and implement long term strategy of retaining and increasing member months
- Management of provider network compliance, credentialing, delegated credentialing, provider data integrity, monthly data files to insurance carriers
- Broker relations for fully insured health benefits products.
Education
Bachelor of Science - Public Administration
West Texas State University
Skills
Credentialing State, Federal, and Commercial Payers
CAQH Registrations and Attestations
Provider Compliance and Maintenance
Multi-state experience for provider enrollment/credentialing
Maintaining Provider Data Base
Organizational and Multitasking Work Flow
Budget and Management of Team
Experience with MD, DO, DC, NP, PA, ST, OT, PT credentialing
Certification
Consumer Directed Health Care Certified – NAHU
Affiliations
Business Mastery – Robbins Research International, Inc.
Heart of a Leader – Brandon W. Johnson
Success Summit – Living Every Minute
Leadership Lubbock – Lubbock Texas Chamber of Commerce
PROFESSIONAL MEMBERSHIP
National Association of Health Underwriters
Texas Presidents Council – NAHU
President – East Texas Health Underwriters
Chapter Memberships – Austin, Houston, Dallas, East Texas, Lubbock, Amarillo
NAHU Capital Conference Delegate
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Executive Director
Healthcare Partners of East Texas
05.2003 - 08.2009
Director
Credentialing Services, CredentialingONE
Director of Contracting and Credentialing
Practice Success
Director of Sales
FirstCare Health Plans, Inc
Director Provider Network
HealthFirst TPA
Bachelor of Science - Public Administration
West Texas State University