Angelica Estrin, MHA, CHFP
Manager, Managed Care Finance at Verity Health System- Claim this Profile
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English Native or bilingual proficiency
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Russian Native or bilingual proficiency
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German Limited working proficiency
Topline Score
Bio
Credentials
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CHFP / Certified Healthcare Financial Professional
Healthcare Financial Management Association (HFMA)Apr, 2017- Oct, 2024 -
Certified Simultaneous Interpreter
St. Petersburg Chamber of Commerce, Center for Business and Professional Education, Russian FederationMar, 2010- Oct, 2024
Experience
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Verity Health System
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Manager, Managed Care Finance
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Apr 2018 - Present
* Facilitating data gathering and analysis for the purpose of bankruptcy/sale of a multi-location health system* Assisting leadership and potential buyers in managed care related inquiries* Participating in account receivable/payment variance meetings: assisting in validation of payor codes, contracted rates and expected reimbursement which resulted in identifying more than $2M in reimbursement* Facilitating payer issues management meetings: assisting in managed care contract interpretation that relates to reimbursement* Conducting an impact analysis of payor contracts transition to APR DRG * Developing a systemwide Contribution Margin analysis for all payors* Participating in contract negotiation process improvement: streamlining the process, re-designing selection criteria, creating a modeling template with a sensitivity analysis * Managing capitation claim audit and check register funding* Leading an automatization of capitation reporting* Tracking and analyzing of capitation Revenue-Expense report and Out-of-Network payments
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Financial Analyst, Managed Care
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Jul 2016 - Apr 2018
* Accessed, extracted and analyzed utilization data from various managed care information systems for the purpose of modeling and reporting financial statistics to drive managed care strategy and decision making: nThrive/TrendStar FY15-FY18 Data Cross Match, VHS Payor Mapping * Performed contract reimbursement terms modeling to determine expected financial impact in support of payer negotiations: Anthem, United, Health Net, HPSM, SCFHP, LA Care, SCAN, Kaiser* Developed and generated reporting templates for monitoring managed care contract performance (both capitation and FFS): Capitation Risk Pool Reports, Capitation Trend Report, Capitation Membership Report, Capitation Dashboard report, VHS Contract Performance report, Payor Volume Increase report, Payor Budget report, Zero Balance Reports, VHS Dashboard* Evaluated and responded to data/statistical reporting requests from hospitals and system office: SCCIPA UCC Analysis, Board Packet, OCH Top Payers, Volume Reports, MCCPR Contract/Agreement Negotiation Outcomes Tracking, CDM - Contract Terms Reports, CDM - Fee Schedules, SMC MD Volume and Payor Mix, OCH OP Service lines, SVMC Kaiser Rejected Claims analysis* Prepared and submitted Capitation Stop Loss Reinsurance Premium reports on a monthly basis
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Financial Analyst, Decision Support
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Aug 2015 - Jul 2016
* Worked with system CMO and ACMO in developing and implementing new business strategies* Assisted with quality reporting and metrics monitoring * Conducted a physician performance analysis by service line* Facilitated business development meetings* Coordinated and monitored of a new physicians onboarding process* Lead the assessment of current physician contracts and structure re-design* Assisted in Dashboard templates development: daily census, financial census, daily surgical report* Participated in creating a new surgical scheduling format and template
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Children's Hospital Los Angeles (CHLA)
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United States
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Hospitals and Health Care
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700 & Above Employee
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Administrative Resident, Financial Analysis
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Jun 2014 - Jul 2015
* Evaluated monthly performance of 20 divisions’ financials to assess the variance between actuals and budget* Participated in development of the Fiscal Year 2015 budget for 20 divisions of the Dept. of Pediatrics* Participated in managed care contract rates negotiations: Health Net proposal analysis; Aetna Playbook development* Conducted the profit and loss analysis of 31 physicians in four CHLA’s satellite ambulatory clinics to determine the utilization and profitability trends* Prepared profitability downstream for the departments and individual physicians to identify the contribution margin and profit/loss of particular procedure, CPT code and payer group.* Managed grant funding: consolidated and monitored awards to ensure the correct project number and cost center* Implemented Point of Care Survey Pilot for three CHLA satellite clinics to enhance patient satisfaction* Optimized satellite clinics’ Patient Referral System to maximize utilization of CHLA’s services
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Solotechs Information Services
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United States
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IT Services and IT Consulting
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1 - 100 Employee
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Managerial Consultant, Data Analytics and Financial Analysis
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Jan 2011 - Jun 2014
* Collected, audited and analyzed data for the purpose of determining budgets, productivity and costs* Developed models to identify trends and develop forecasts* Identified and analyzed inefficiencies and prepared recommendations to the manager to improve financial and operating results* Processed and reconciled invoices, deposits, refunds, adjustments and other financial charges* Managed the monthly expense reports and prepared P&L analysis * Collected, audited and analyzed data for the purpose of determining budgets, productivity and costs* Developed models to identify trends and develop forecasts* Identified and analyzed inefficiencies and prepared recommendations to the manager to improve financial and operating results* Processed and reconciled invoices, deposits, refunds, adjustments and other financial charges* Managed the monthly expense reports and prepared P&L analysis
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Public Relationship Specialist
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Apr 2010 - Jun 2010
* Conducted marketing and public relations* Interpreter for visiting international participants * Organized and supervised Forum's activities * Conducted marketing and public relations* Interpreter for visiting international participants * Organized and supervised Forum's activities
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LUKOIL
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Oil and Gas
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700 & Above Employee
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Assistant to the Head of the Department of Economic Development
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Sep 2009 - Jun 2010
* Assisted in structuring and implementing economic plans* Ran economic forecast* Prepared budgeting and accounting reports* Researched financial and economic data * Assisted in structuring and implementing economic plans* Ran economic forecast* Prepared budgeting and accounting reports* Researched financial and economic data
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Support Center Manager
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Apr 2009 - Jun 2009
* Organized and supervised Forum's support center activities* Interpreter for visiting guests * Organized and supervised Forum's support center activities* Interpreter for visiting guests
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Education
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2013 - 2015
University of Southern California
Master's degree, Health/Health Care Administration/Management -
2006 - 2010
St. Petersburg State University of Economics and Finance
Bachelor of Business Administration (BBA), Finance and Financial Management Services
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