Carlous Ivey, MBA, MHA, CHFP
Manager, Financial Consulting Services at Panacea Healthcare Solutions- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
-
English -
Topline Score
Bio
Experience
-
Panacea Healthcare Solutions
-
United States
-
Hospitals and Health Care
-
1 - 100 Employee
-
Manager, Financial Consulting Services
-
Jan 2023 - Present
-
-
-
Southwestern Health Resources
-
United States
-
Hospitals and Health Care
-
200 - 300 Employee
-
Senior Pricing Analyst
-
May 2020 - Jan 2023
Manage the analytics of assigned commercial payers. This includes developing and modeling commercial reimbursement proposals, assisting in the execution of the contracts with the payers, and auditing and trending the performance over the term of the contract. Support continuous improvement of operational efficiencies of the agreement during the term of the contracts. Monitor and compare estimate reimbursement with actual payments. Audit the systems that feed the revenue into the general ledger. Provide analysis and recommendations around service line pricing and margins. Prepare monthly/quarterly/annual net revenue reports; identify and report on exceptions. Show less
-
-
-
Centene Corporation
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Contract Analyst III
-
Jan 2020 - May 2020
-
-
Contract Analyst II
-
Mar 2018 - Jan 2020
Provided analytical support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future business, and new products. Utilized applications and tools to support network performance management reporting. Performed financial analyses to identify medical cost improvement opportunities to develop and execute contracting action plans to achieve results. Completed detailed contract analysis for executed contracts to evaluate if contract terms and rates are meeting expected targets. Collected data requirements from internal and external customers to prepare financial analysis or develop analytic tool/model.Achievements:Established various work processes and executive summaries.Assisted the department’s Director in establishing KPIs.Created the department’s performance dashboard for the Director and VP to review and submit to Corporate.Named point of contact within the department for the new DHS Medicaid Provider-led Arkansas Shared Savings Entity (PASSE) product.Crafted provider directories of contracted providers participating in the new DHS Medicaid PASSE product.Invented Reimbursement Fee Schedule documents for hospitals, psychiatric and rehabilitation unitsProduced project task list tools to allow the department Director and VP to keep track of tasks and deadlines.Aided in the development of a participating provider agreement contract checklist. Show less
-
-
Business Analyst
-
Dec 2015 - Mar 2018
Performed various analysis and interpretation to link business needs and objectives for assigned function. Supported business initiatives through data analysis, identification of implementation barriers, and user acceptance testing of new systems. Identified and analyzed user requirements, procedures, and problems to improve existing processes. Executed detailed analysis on assigned projects, recommended potential business solutions, and assisted with implementation.Achievements:Advanced to the reconciliation team within a year to assist with more complex issues and special projects.Became the subject matter expert and point of contact over the ongoing Data Quality project.Managed a team of 5 Business Analyst as the Point of Contact.Assigned daily tasks to team of analysts and generated reports to track trends relative to project. Show less
-
-
-
Wesco
-
United States
-
Wholesale
-
700 & Above Employee
-
Financial Analyst
-
Jan 2015 - Dec 2015
Monitored past due invoices and made a high-volume of collections contacts via phone, e-mail, or customer portals. Worked with the customer to determine root cause of dispute for unpaid or short-paid invoices. Performed customer account reconciliations, including research of unapplied cash, and credits and unearned discounts. Evaluated collectability of unearned cash discounts, finance charges, small dollar invoices, etc. and performed write-offs of uncollectable amounts within my level of authority. Obtained appropriate credit information to rate credit worthiness of new and existing accounts within assigned portfolio. Worked cross-functionally with sales, operations, finance, contract administration, and customer master administration teams to gather and review documents, including purchase orders, credit applications, etc. Reviewed orders on credit hold by assessing credit worthiness of customers, including financial ratings, open invoices, in-process payments and backlog, and made recommendations for order release to supervisor. Achievements: Managed the largest portfolio of all my coworkers (approximately $45 million). Trained new financial services and branch employees as appropriate. Forecasted and collected the accounts receivable in accordance with the term of sale and department objectives. Show less
-
-
-
Dassault Falcon Jet
-
United States
-
Aviation and Aerospace Component Manufacturing
-
700 & Above Employee
-
Accountant Coop
-
Mar 2013 - Jan 2015
Prepared, analyzed and organized large amounts of cost data for analysis of actual cost vs. budget for aircraft. Structured monthly reports and presentations that were used by management to review Aircraft Costs. Developed and analyzed data to identify and isolate trends, anomalies etc. that will assist in assuring proper cost reporting of aircraft when delivered..Researched Accounting and Production Systems to identify issues in processes that were affecting cost. Achievements: Conducted inventory audits of parts and materials within the company’s warehouse. Reconciled indirect and direct man hours and employees major travel programs to Paris, France. Discovered the correct cost and average cost of inventory not given a cost or given an incorrect cost. Show less
-
-
Education
-
University of Arkansas at Little Rock
Master of Business Administration (MBA) -
Walden University
Master of Healthcare Administration -
University of Arkansas at Little Rock
Bachelor of Business Administration (BBA), Finance