Summary
Overview
Work History
Education
Skills
Presentations Seminars Trainings
Hobbies and Interests
Timeline
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Mike Rominiecki

Summary

Performance-driven Vice President with excellent employee development, customer service and analytics skills coupled with more than 25 years of healthcare experience. Comfortable giving engaging presentations to clients to drive new business, expand accounts and establish brand profile. Excellent team builder and leader of initiatives.

Overview

33
33
years of professional experience

Work History

Vice President, Business Development

ixlayer
02.2023 - Current
  • End-to-end remote lab testing solutions to close HEDIS and Star quality gaps in care for health plan customers
  • Closed largest payer contract in company history in first 6 months worth $5.4M
  • Developed Salesforce Payer Sales Dashboard to track pipeline KPIs for payer team.

Vice President, Business Development

CertifyOS
06.2022 - 02.2023
  • Early stage start-up delivering API-first credentialing, monitoring, licensing, and enrollment to payers, health systems, and rapidly scaling digital health companies
  • Developed enterprise pipeline of $35M+ in 6 months primarily with payors
  • Closed and negotiated contract terms for a national provider network that resulted in a $1.2M multi-year contract
  • Developed Go to Market Strategy, sales playbook, and sales KPI dashboard

Vice President, Payer Sales

Prognos Health
01.2021 - 06.2022
  • Business development for healthcare analytics solutions including risk adjustment and quality gap closure with a primary focus on predictive analytics for underwriting
  • Closed second new product sale and developed a robust pipeline of opportunities of $15M+ in < 1 year
  • Lead strategic partnership with BCBS subsidiary to sell into BCBS plans.

Business segment sold to another company driving departure

Sr. Vice President of Business Development

Drugscan
11.2016 - 01.2021
  • Recruited to turn around sales and position company to be sold
  • Senior leadership team member to pitch company to 12 different suitors and successfully closed sale on 12/31/17 to ACM Global Laboratories, a wholly owned subsidiary of Rochester Regional Health System
  • Strategically expanded business from a small regional lab to covering 30+ states to drive continued growth
  • Responsible for business development, marketing, training, managed care, and customer service
  • Provide strategic vision to a team of 10 direct reports and 40 sales professionals
  • Implemented a CRM and additional tools to manage sales opportunities and drive growth
  • Drove overall business growth 161% over 4-year period despite decreasing market reimbursement.

Director, Health Plan Clinical Informatics

Quest Diagnostics
01.2016 - 11.2016
  • Selected to drive innovative strategic partnership with leading healthcare analytics company for new technology solution for gaps in care, medical history, and risk accuracy
  • Collaborate with analytics partner and integrated sales team to present unique solutions to C-suite health plan executives.

Executive Sales Director

Quest Diagnostics
01.2013 - 01.2015
  • Responsible for driving growth and retaining a $463M book of business across all channels (physician, hospital, specialty)
  • Inspirational sales leader accountable for a team of 10 direct reports and an organization of 90 sales professionals
  • Led team with vision and focus through unprecedented period of change including new positions, territories, compensation plan, and CRM tool positioning the sales team to execute a new growth strategy.
  • Developed short and long-term sales strategies to gain market share, uncover new sales opportunities and increase revenue.

Sales Director

Quest Diagnostics
01.2011 - 01.2012
  • Hired, coached and built high-performing team of sales representatives.
  • Responsible for growing and retaining $395M book of business
  • Accountable for all aspects of sales, marketing and business development, including planning and forecasting
  • Identified and developed strategic action plans for unique opportunities to increase sales in a challenging marketplace.

District Sales Manager

Quest Diagnostics
01.2009 - 01.2011
  • Responsible for growing an $84M annual book of business with $80K/month quota
  • Front line sales manager for a team of 10 sales representatives to drive results & exceed goals.

Senior Account Executive, Health Plans

Quest Diagnostics
01.2003 - 01.2009
  • Increase health plan revenue by negotiating new contracts, renewals and targeted test pricing (Achieved 167% of revenue growth goal in 2008 for assigned book of business)
  • Secured several national and regional contracts that were previously exclusive to primary competitor
  • Collaborate with physician sales team to identify opportunities to improve contract penetration and capture additional volume.

Director of Network Management

Fidelity Insurance Company
01.2002 - 01.2003
  • Establish start-up Commercial PPO Health Plan expansion into the Delaware Valley building provider network
  • Created cost effective provider network of 59 hospitals and 12,000 physicians in one year

Manager of Provider Relations

AmeriChoice of Pennsylvania
01.2001 - 01.2002
  • Effectively supervised staff of 10 external and 2 internal provider relations representatives to ensure compliance with corporate and departmental goals
  • Analyze and evaluate provider issues and feedback from provider reps to develop creative solutions


Manager, Provider Contracting

AmeriChoice of Pennsylvania
01.1999 - 01.2001
  • Negotiate cost-effective contracts with health systems, hospitals, behavioral health facilities, and skilled facilities for Medicaid, Medicare, and Children's Health Insurance Program (CHIP) products
  • Rate analysis of DRG, per diem, case rate, fee schedule, and % of charges reimbursement


Sr. Health Plan Service Representative

AmeriChoice of Pennsylvania
01.1995 - 01.1999
  • Educate and audit providers and staff regarding company policies and procedures
  • Resolve complex provider problems including claims, capitation, and quality issues
  • Active participant in CMS, NCQA, and HEDIS audits
  • Point person for critical projects including network analysis, provider directories, and hospital orientations.

Sales Manager

The Fitness Source, Inc.
01.1991 - 01.1995

Education

Board Certified Healthcare Executive (CHE) -

American College of Healthcare Executives (ACHE)
01.2003

Strategic Decision Making and Critical Thinking Program -

Cornell University
01.2001

Post Graduate MBA Certificate in Information Systems -

Saint Joseph's University
01.2001

MBA in Health and Medical Services Administration -

Saint Joseph's University
01.2000

BS in Health and Physical Education -

Rutgers University/Cook College
01.1989

Skills

  • Sales & Marketing Leadership
  • Sales Operations
  • Health Plan Sales & Contracting
  • C-level Negotiation
  • Healthcare Technology
  • Pipeline Development & Forecasting
  • CRM Implementation and Adoption
  • Sales Expansion and Integration
  • Strategic and Channel Partnership Development
  • Cross Functional Team Leadership
  • Sales Training
  • Go to Market Strategy

Presentations Seminars Trainings

  • Richardson Accelerate Consultative Selling (2019)
  • Executive War College Presenter (2018)
  • Hc1Healthcare Sales & Growth Summit Presenter (2018)
  • Leading Quest Academy (2015)
  • Integrity Selling Training (2014)
  • M62 Presentation Skills Training (2008)
  • Miller Heiman Sales Training (2007)
  • ACHE Persuasion Skills and Strategies (2004)

Hobbies and Interests

  • Spartan, Tough Mudder, MS Bike Ride & Families Behind the Badge Bike Ride
  • Cheltenham Panthers Middle School Ice Hockey Team (2015-2017) Co-founder, Executive VP, & Treasurer
  • Cheltenham Sports Roller Hockey Coordinator, Coach, & Board Member (2003-2015)
  • Board member, Southeast Pennsylvania Area Health Education Centers (AHEC) (2000-2011)
  • Vice-Chairman of the Board of Directors (2001-2004)
  • Gift of Life Donor Program (1999-2004)

Timeline

Vice President, Business Development

ixlayer
02.2023 - Current

Vice President, Business Development

CertifyOS
06.2022 - 02.2023

Vice President, Payer Sales

Prognos Health
01.2021 - 06.2022

Sr. Vice President of Business Development

Drugscan
11.2016 - 01.2021

Director, Health Plan Clinical Informatics

Quest Diagnostics
01.2016 - 11.2016

Executive Sales Director

Quest Diagnostics
01.2013 - 01.2015

Sales Director

Quest Diagnostics
01.2011 - 01.2012

District Sales Manager

Quest Diagnostics
01.2009 - 01.2011

Senior Account Executive, Health Plans

Quest Diagnostics
01.2003 - 01.2009

Director of Network Management

Fidelity Insurance Company
01.2002 - 01.2003

Manager of Provider Relations

AmeriChoice of Pennsylvania
01.2001 - 01.2002

Manager, Provider Contracting

AmeriChoice of Pennsylvania
01.1999 - 01.2001

Sr. Health Plan Service Representative

AmeriChoice of Pennsylvania
01.1995 - 01.1999

Sales Manager

The Fitness Source, Inc.
01.1991 - 01.1995

Board Certified Healthcare Executive (CHE) -

American College of Healthcare Executives (ACHE)

Strategic Decision Making and Critical Thinking Program -

Cornell University

Post Graduate MBA Certificate in Information Systems -

Saint Joseph's University

MBA in Health and Medical Services Administration -

Saint Joseph's University

BS in Health and Physical Education -

Rutgers University/Cook College
Mike Rominiecki