Experience

Modus

• Media Production

• Senior Consultant

  • Jan 2022 - 2 years

  Michigan, United States Modus aligns the interests of the patient, the medical provider and the payer by not only achieving each of their goals, but developing a high-tech quality and cost-effective medical provider network that enhances this complex interplay of factors and improves the healthcare system



FactWise Health

• United States
• Hospitals and Health Care

• Strategy & New Business Development Consultant

  • Jan 2021 - 3 years

  United States



InterveneRX

• Non-profit Organizations

• Investor & New Business Development

  • Mar 2018 - 5 years 10 months

  Leading edge management and technology for out of control cost and use of high cost speciality drugs. Health insurance payers, PBMs and healthcare data companies make up the customer base.



HEB Enterprises, LLC

• Wellness and Fitness Services
• 1 - 100 Employee

• Co Founder & Principal

  • Jan 2008 - 16 years

  Founded in 2008, The HEB Group is dedicated to using the seasoned experience of its managing members to help its clients and business partners find beneficial solutions to manage their healthcare challenges. Each of the HEB principals has over twenty years of healthcare related experience including leadership positions in claims payment and pharmacy software, national preferred provider organization sales, contracting and operations, medical disease management and triage, out-of-network… Show more Founded in 2008, The HEB Group is dedicated to using the seasoned experience of its managing members to help its clients and business partners find beneficial solutions to manage their healthcare challenges. Each of the HEB principals has over twenty years of healthcare related experience including leadership positions in claims payment and pharmacy software, national preferred provider organization sales, contracting and operations, medical disease management and triage, out-of-network cost control solutions, health plan management and call center operations. Their combined experience provides a wide breadth of capabilities that can benefit your organization by optimizing your workflows and sales. HEB offers consulting expertise that includes: • Network development strategy and support • Due diligence evaluation services • Operational review and workflow optimization • Strategic partnering & implementation • Sales support HEB also represents well recognized organizations that provide the following: • Regional & national preferred provider PPOs • Payment Integrity, Fraud, Waste and Abuse • Cost-based facility claims repricing • Out-of-network claims negotiation services • Care management services • Prescription benefit management services • Electronic POS member identification cards • Third party claims administration • Patient pay recovery solutions Show less



Rete+Pay Corp

• Co Founder & Founding CEO

  • Jan 2010 - Jan 2016

  Greater Chicago Area Formed September 28, 2009, Rete+Pay Corp (Rete+Pay) is an integrated healthcare electronic claims payment company providing specialized electronic claims payment services for healthcare Payers (“Payers”) and medical providers (Providers). Today’s claims payments processes and regulations are more complex than ever. A Payers ability to facilitate timely cost effective payments combined with accurately reported explanation of benefits information is becoming increasingly important to their… Show more Formed September 28, 2009, Rete+Pay Corp (Rete+Pay) is an integrated healthcare electronic claims payment company providing specialized electronic claims payment services for healthcare Payers (“Payers”) and medical providers (Providers). Today’s claims payments processes and regulations are more complex than ever. A Payers ability to facilitate timely cost effective payments combined with accurately reported explanation of benefits information is becoming increasingly important to their bottom line. With ongoing national downward pressure on medical Providers’ reimbursement rates, Providers are facing critical cash flow challenges. Getting paid quickly, accurately and efficiently can make a great difference in the overall sustainability of their practice. Rete+Pay’s integrated electronic claims payment and reporting platform provides a strategic advantage for both Payers and Providers. Using secure, approved and proven stored value card payment technology, and 4 other electronic payment process options (including 835 transactions), along with mature and proven banking relationships, Rete+Pay has created a virtual, secure, comprehensive and automated system for Payers and Providers that transforms the expensive predominantly manual, paper-based medical provider claims payment process into a highly cost effective and automated electronic remittance advice and electronic funds payment solution. Show less



TC3 Health, Inc

• United States
• Medical Practices

• Co Founder & Founding CEO

  • Oct 2000 - Jun 2012

  Irvine TC3 Health, Inc is a healthcare fraud, waste and abuse detection company with additional managed care services including, but not limited to, access to a national PPO. TC3 Health, Inc was sold to Emdeon in June 2012.



ppoNEXT, Inc

• United States
• IT Services and IT Consulting

• Co Founder & Founding CEO

  • Sep 1998 - Nov 2000

  Long Beach, CA ppoNEXT was a national PPO and mangaged care company. The company was acquired by MultiPlan.



Beech Street, Inc

• United States
• Retail

• President & COO

  • Mar 1990 - Sep 1998

  Irvine, CA Beech Street was a national PPO and managed care company servicing health benefits and the workers compensation industries. The company was acquired by MultiPlan