Experience

Mclaren Medical Management

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director Of Finance And Accounting

  • Jan 2016 - Present

  Responsible for the overall planning, direction, and operation of financial services for the organization. Responsible for directing the financial and accounting functions and providing strategic and operational analysis to ensure success related to organizational goals and objectives. • Director of 17 team members located in Flint and Lansing, MI.• Facilitates the creation and monitoring of annual operating and capital budgets.• Responsible for the monthly close process including presentation of key statistics to senior leadership.• Analyzes income, expenditures, and capital asset values with comparisons to trends.• Produces and distributes multi-tier production-based provider compensation models.• Works closely with Revenue Cycle teams to ensure data integrity.

• Finance Manager

  • Jan 2014 - Jan 2016

  Assisted Director of Finance in all general financial activities. Responsible for financial reporting, budget development and allocation, and managing the operations of the department. Assisted in the identification and resolution of variances. Incorporated process improvements through key metric monitoring to reduce month end process inefficiencies.



Health Alliance Plan

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Manager - Financial Analysis and Budget

  • Mar 2009 - Jan 2014

  Assist the Director of Financial Services in coordinating and directing the activities of the Financial Analysis & Budget department to ensure timely and accurate reporting of the financial activities of HAP’s provider system. To provide the appropriate service and act as liaison with Health Care Management. Timely and appropriate recognition of the Corporation’s medical claims expense and liabilities and to direct and monitor revenue and medical expense budget development, financial forecasting, and financial analysis.• Incorporated employee engagement plan resulting in department becoming top decile in the organization.

• Financial Operations Specialist

  • Apr 2004 - Mar 2009

  Responsible for advising the CFO on the development and implementation of business plans, special projects, and activities related to the financial management/administration of cross-functional initiatives. This includes development of procedures and infrastructure to support these functions; the facilitation of inter-departmental cooperation on major endeavors/projects; and the representation of the Chief Financial Officer in designated situations.

• Supervisor - Accounts Receivables

  • Jun 2003 - Apr 2004

  Primary objective is to coordinate and supervise the activities of the Receivables Department including the collection, application, and safeguarding of corporate funds, as well as the development, planning, staffing, and coordination of activities as they pertain to divisional and corporate goals, objectives, and strategies. My role within the Receivables Department is as follows:- Supervise, develop, coordinate and control workflow activities.- Coordinate, control and safeguard the collection and deposit of all corporate funds including control and maintenance of subsidiary accounts receivable ledger for HAP, PHP and AHL.- Coordinate the activities of the monthly delinquency process including interaction with customer groups to ensure timely collection of funds to include report and letter generation on a monthly basis.- Prepare and coordinate the activities related to the month end closing for HAP, PHP and AHL, to include cash posting and balancing, revenue recognition, approval of journal entries, preparation and review of associated monthly analysis schedules to include Receivables and unearned revenue schedules.- Coordinate the monthly Commissions Payable process to ensure that payment information is processed timely for agent accounts.- Evaluate employee performance, initiate appropriate coaching and development and implement disciplinary action as required.

• Lead Financial Analyst

  • Aug 2000 - Jun 2003

  Supervise the monthly Capitation process that included running thirty-three network models, creating and verifying multiple capitation reports, and analyzing all Diamond generated transactions to ensure compliance with current contractual arrangements. The knowledge gained during the prototyping, configuration, training, and implementation phases of the HAP integration to Health System Design Diamond 950 c/s has allowed me to keep the finance area knowledgeable of the Diamond system and its benefits and limitations. - Liaison between Provider Finance and I/S in resolving discrepancies such as capitation and claims over or under payments.- Supervise the monthly Capitation process which entails verifying Cap Model calculations, frozen membership extract and claims extracts.- Analyze internal software and contractual arrangements to find new ways to increase efficiency in processing capitation and reporting claims information.- Work with upper management to resolve provider disputes.- Analyze production membership to ensure members are aligned to contracted networks and product lines to eliminate erroneous payments.- Instruct finance personnel as to how membership, capitation and claims are processed within the Diamond system.- Analyze Diamond system performance and develop system performance measures to alert Provider Finance when optimum processing is not being met. When problems arise, work with I/S to quickly develop a solution.- Review new contracts and new HAP business. Make recommendations as to how the new business or contract can be integrated into the Diamond system.- Identify, evaluate, and implement other opportunities to automate current manual processes.- Review monthly network financial statements along with network contracts to ensure Provider Finance reporting is in agreement with the terms of the various contracts.

• Business Consultant

  • Feb 1998 - Aug 2000

  - Lead role in coordinating and supervising monthly processes as they relate to the Diamond system for Finance.- Evaluate new business requirements through system tests and implementation.- System test new versions of Diamond to incorporate enhancements and new functionality to the current structure. - Maintain Diamond system to accommodate contract ammendments.- Prepare and maintain all performance support materials such as procedure manuals, training documentation, and quick reference tools.- Configure and maintain all network contractual information for input into the Diamond system.- Assist in the design of all reports/programs needed for the entire finance area.- Review of reports/programs for accuracy.

• Financial Analyst II

  • Aug 1996 - Feb 1998

  Provider Finance Department responsibilities included monthly preparation and distribution of network financial statements along with supporting documentation, medical and pharmacy claim reconciliation, financial reporting, adhoc reporting, and preparation of monthly published membership report.



Consumers Energy

• United States
• Utilities
• 700 & Above Employee

• Accountant

  • Sep 1994 - Aug 1996

  CMS Energy’s Accounting Department. Responsibilities included maintaining tire recycling plants 30 year financial plan with monthly and quarterly budget updates, evaluation of financials, accounts payable, and bank reconciliation. CMS Energy’s Accounting Department. Responsibilities included maintaining tire recycling plants 30 year financial plan with monthly and quarterly budget updates, evaluation of financials, accounts payable, and bank reconciliation.