Experience

Global Healthcare Alliance

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Account Manager

  • Sep 2014 - Present

  Responsible for the accounts receivable management of client medical practices applying best of practices achieving maximized economic opportunity. Responsible for the accounts receivable management of client medical practices applying best of practices achieving maximized economic opportunity.



EMPLOYERS

• United States
• Insurance
• 700 & Above Employee

• Director, Provider Services - Program/Project Manager

  • Feb 2012 - Feb 2014

  Responsible for the development/implementation of a national provider network based on economic and medical outcomes “OBN”, assigned claims operation and managed all federal and state statute compliance. Network penetration and claims cost projections met. Responsible for the development/implementation of a national provider network based on economic and medical outcomes “OBN”, assigned claims operation and managed all federal and state statute compliance. Network penetration and claims cost projections met.



Houston Independent School District

• United States
• Education Administration Programs
• 1 - 100 Employee

• Senior Manager, Workers Compensation and Claims Management

  • Jul 1999 - Dec 2011

  Responsible for the Workers’ Compensation Program and Unemployment (former Group Health, Retirement and Disability Benefits) for the seventh largest school district in the nation. The program success was achieved with the use of a data driven matrix (measuring critical medical and financial provider outcomes) for the selection and steerage to an elite network of providers, transitional duty and effective TPA colaboration. Reserve requirements reduced by 45% in eight years. Responsible for the Workers’ Compensation Program and Unemployment (former Group Health, Retirement and Disability Benefits) for the seventh largest school district in the nation. The program success was achieved with the use of a data driven matrix (measuring critical medical and financial provider outcomes) for the selection and steerage to an elite network of providers, transitional duty and effective TPA colaboration. Reserve requirements reduced by 45% in eight years.



Managed Health Care, Inc.

• United States
• Medical Practices

• Vice President, Operations and Business Development

  • Apr 1991 - Jul 1999

  Responsible for the operations of a mid-size multi-state network of occupational medicine providers for statutory and non-statutory carriers and Utilization Review for group and workers’ compensation. Responsible for the operations of a mid-size multi-state network of occupational medicine providers for statutory and non-statutory carriers and Utilization Review for group and workers’ compensation.



Memorial Hermann Health System

• Hospitals and Health Care
• 700 & Above Employee

• Occupational Medicine / Employer Relations

  • Apr 1990 - Apr 1991

  In the busiest Level 1 Trauma Hospital in the country; Medivac hub for Southeast Texas crafted program to effectively provide for the work-related injury needs of industry and municipalities. In the busiest Level 1 Trauma Hospital in the country; Medivac hub for Southeast Texas crafted program to effectively provide for the work-related injury needs of industry and municipalities.



UroTech Surgical

• Medical Device
• 1 - 100 Employee

• Director of Operations

  • Sep 1985 - Apr 1990

  Led FDA preparation for acceptance of the kidney stone lithotripsy into the United States for commercial distribution for Dornier and joint venture with hospital and urology community. Led FDA preparation for acceptance of the kidney stone lithotripsy into the United States for commercial distribution for Dornier and joint venture with hospital and urology community.



Practice Management Services

• Business Consulting and Services
• 1 - 100 Employee

• Vice President Senior Consultant

  • Jun 1980 - Feb 1987

  Consulting Firm for medical practice management in four states with practice analysis, instituting operational best practices, accounting and tax preparation for 60+ practices. Consulting Firm for medical practice management in four states with practice analysis, instituting operational best practices, accounting and tax preparation for 60+ practices.