Experience

Healthcare Financial Management Association (HFMA)

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Director, Healthcare Finance Policy, Perspectives and Analysis

  • Jan 2009 - Present

  Director, Healthcare Finance Policy, Strategy and Development 2010 – 2017Manager, Healthcare Finance Policy, Strategy and Development 2009 – 2010• Work with members to create and execute the advocacy agenda for a 56,000 member professional association by drafting comment letters and testimony to CMS, other agencies, and Congress.• Develop and maintain collaborative relationships with representatives from Federal agencies, key industry groups, health policy consultants, and industry thought leaders• Lead taskforce of 23 health systems to develop policy recommendations to CMS that remove charges from the calculation of Medicare payments to facilitate hospital charge rebasing.• Present approximately 15 briefings annually on regulatory and market events, including alternative payment models, for HFMA’s executive members that identify key strategic implications. • Develop and facilitate workshops engaging 250 finance executives annually in discussions focused on strategic, operational, and payment policy issues.• Model the financial impact of legislative and regulatory changes on the hospital industry.• Manage analysts to create legislative and regulatory summaries for 3,000 member executives.• Author whitepapers and articles defining core capabilities necessary for healthcare organizations to succeed under bundled payments and population health management payment systems.• Represent HFMA and its members during media inquiries related to healthcare finance policy issues.• Collaborate with internal departments to develop a measurement framework improving the impact of HFMA’s Healthcare Finance Practice function on influential external stakeholders.• Partner with internal business development to create and market new products offerings to business partners. • Serve as a subject matter expert on the HFMA strategic planning team providing insight into the opportunities and challenges industry trends pose to HFMA and its members.



Navvis (healthcare)

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Director, Healthcare Policy

  • Jan 2018 - Nov 2018

  • Recruited independent physician practices to participate in a Medicare Shared Savings Program ACO and prepare the application for submission.• Developed case studies and a value-proposition framework to identify the opportunities and challenges presented to a $4 billion health system client when it pursues a health plan joint venture strategy. • Provided regulatory guidance on Bundled Payment for Care Improvement Advanced participation options to health system clients and complete their participation applications. • Analyze Section 1115 state Medicaid waivers to understand the impact of changes in funds flow on Medicaid payments for uncompensated care on hospitals and health systems. • Served as a regulatory and payment policy subject matter expert to health system and health plan clients, identifying issues that impact their operations and developing strategies to help them achieve their goals.



CEB, now Gartner

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Strategic Research Consultant

  • Feb 2007 - Feb 2010

  ➢ Collaborated with executives at 300 client companies including General Mills, The Ford Motor Company, and Adobe Systems Inc. to develop best practice solutions to marketing, strategy, and management challenges.➢ Led team of three researchers in a variety of analytic techniques, including root cause analysis, to dissect client challenges and determine comprehensive solutions.➢ Authored and oversaw production of best practice research studies to improve the market research function’s impact on the new product innovation process.➢ Presented research findings to clients and led client teams in brainstorming sessions on how proven solutions could be adapted to and implemented in their organization.➢ Managed service delivery for a suite of resource utilization and performance benchmarking tools for over 80 of the Board’s members, providing detailed analysis and discussion of results for participants.➢ Partnered with Relationship Management and Sales teams to maintain and expand the Board’s revenue stream by leveraging extensive knowledge of client organizations, research terrain, and industry dynamics to diagnose client needs and design service engagements.



Inova Health System

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

• Senior Financial Analyst

  • Oct 2003 - Feb 2007

  ➢ Analyzed Medicare reimbursement amounts under physician versus hospital-based payment systems to determine financial impact of optimal structure of a joint venture. Resulted in developing clinic as a joint venture with physicians, which increased payments by $1.4 M annually for two years.➢ Increased funding for hospital by $500 K annually by examining state-wide Medicaid utilization trends and collaborating with internal legislative coordinator.➢ Negotiated new audit documentation standard, which resulted in an additional $536 K in reimbursements.➢ Predicted appropriate reserve fund balances based on data trends, regulatory changes and anticipated audit adjustments.➢ Identified financial and operational changes to determine allowable reimbursement and maximize reimbursements for subsequent years.



McBee Associates, Inc

• Senior Consultant

  • Apr 2000 - Oct 2003

  Senior Consultant➢ Supervised accounts receivable initiative - including securing staff & facilities; negotiating turnaround time for medical records requests; and training/mentoring new employees on Accounts Receivable follow up and reporting project status to senior management. Generated $8 M in collected Accounts Receivable.➢ Identified underpaid VA Medicaid claims by researching payment methodology, partnering with internal and external IT staff and performing extensive data analysis. Recovered $6 M for seven clients and provided recommendations for process improvements.➢ Created workflow documentation process to implement Advanced Beneficiary Notice program to bill patients for non-covered Medicare charges. Increased annual net income by estimated $570 K.➢ Developed query-based Access database for community hospital to identify Medicaid eligible patients, comparing results with internal data to increase reimbursement payments, generating $364 K over three years.