Result-driven executive with 15+ years of experience directing end-to-end organizational functions, developing impactful HR strategies, leading cross-functional teams, and fostering a positive and cohesive culture across hospitals and the healthcare industry. In depth experience leading process improvements and data-driven strategies to optimize business opportunities and increase revenue. Tactful in negotiating contracts and cultivating key client relationships using strong communication.
Hi, I’m
Yohandra Fuentes
Miami,FL
Summary
Overview
27
years of professional experience
Work History
Baptist Health of South Florida
AVP, Development and Physician Network Services
12.2021 - 10.2023
Job overview
- Managed the ‘overall' (e.g., cost, revenue, quality, retention, and growth) performance of provider network, including ensuring year over year improvements on key performance indicators
- Consolidated physician payments system wide to improve communication, claims adjudication process, contract management and productivity for 12 hospitals and 90+ outpatient locations
- Leveraged ERP technology to monitor, analyze, optimize productivity, and ensure timely turnaround of reimbursements
- Developed and managed a team of professionals, providing mentorship, training, and performance evaluations to ensure a high-performing and motivated team
- Championed Cancer Center Campaigns and fundraisers in collaboration with various departments resulting significant participation of key donors, raising over 150K annually.
Health System Solutions, JV of Baptist Health and Guidehouse
VP, Human Resources and Operations
07.2018 - 12.2021
Job overview
- Effectively transitioned Baptist Health Revenue Cycle Division to the creation of a new Joint Venture (JV) between Guidehouse and Baptist Health South Florida
- Directed the E2E human resources functions, including employee relations, compensation, payroll, benefits, talent acquisitions, talent management, and technology integration
- Partnered with CEO, CFO, and Executive Board members to develop internal growth, expand services, build people, and implement process capabilities in the areas of budgeting and incentive programs, using tactful issue resolution and proactive problem-solving
- Managed and organized efforts related to marketing, compliance requirements and IT capabilities.
Baptist Health South Florida - Corporate Offices
AVP, Value Initiatives and Physician Network Services
06.2012 - 07.2018
Job overview
- Centralized physician reimbursements resulting in cost savings and effective and timelier processes ______
- Partnered with CEO's, physicians, and business executives to drive electronic optimization and increase payment integrity awareness
- Established a physician network in alignment with international services, legal, managed care to deliver competitive contracts, effective negotiations, and increased revenues
- Partnered with Managed Care and Legal Counsels to gather and examine fair market pricing to ensure adequate fee schedules for bundled agreements
- Developed pricing strategies for new business programs and/or enhanced service offerings for International Payers, employers, TPA's and self-pay programs
- Developed and executed a system wide rewards program specific to the Medicare Advantage population.
AVP, International Insurance, Business Development and Patient Services
03.2010 - 06.2012
Job overview
- Authored and directed the implementation of Third-party services system-wide, serving a clinically integrated approach for International self-insured groups, foreign governments, and maritime
- Generated annual revenue base of $124M and managed 12K patients by expanding client base
- Cultivated strong ties with global insurance payors, employers, government insurance, physicians, and air ambulance companies by negotiating competitive fee schedules and quality service
- Negotiated contracts according to business needs and department strategy
- Managed the hiring of international in country representation targeting new business opportunities
- Maintained oversight of international contracts and relationships
- Served on the International Travelers Insurance Conference (ITIC) Advisory Committee
- Managed teams' performance, providing coaching, mentoring, and professional development opportunities.
Baptist Health of South Florida
Director, Operations and Patient Services
06.2006 - 02.2010
Job overview
Baptist Health of South Florida
Manager, Finance and Patient Services
09.2003 - 06.2006
Job overview
Baptist Health of South Florida
Supervisor, Operations and Patient Services
10.1999 - 09.2003
Job overview
Baptist Health of South Florida
Patient Financial Counselor
11.1996 - 10.1999
Job overview
Education
Florida International UniversityMiami, FL
MBA from Business Administration
University Overview
Barry UniversityMiami
Bachelor of Science from Business Administration And Management
University Overview
Skills
- Business Development
- Strategic Planning
- Contract Negotiation
- Budget Planning
- HR Strategy
- Leadership/Collaboration
- Project Planning
- Growth Planning
- Revenue Generation
Languages
English
Full Professional
Timeline
AVP, Development and Physician Network Services
Baptist Health of South Florida
12.2021 - 10.2023
VP, Human Resources and Operations
Health System Solutions, JV of Baptist Health and Guidehouse
07.2018 - 12.2021
AVP, Value Initiatives and Physician Network Services
Baptist Health South Florida - Corporate Offices
06.2012 - 07.2018
AVP, International Insurance, Business Development and Patient Services
03.2010 - 06.2012
Director, Operations and Patient Services
Baptist Health of South Florida
06.2006 - 02.2010
Manager, Finance and Patient Services
Baptist Health of South Florida
09.2003 - 06.2006
Supervisor, Operations and Patient Services
Baptist Health of South Florida
10.1999 - 09.2003
Patient Financial Counselor
Baptist Health of South Florida
11.1996 - 10.1999
Florida International University
MBA from Business Administration
Barry University
Bachelor of Science from Business Administration And Management
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