Experience

Flagler Health+

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

• EVP, Ambulatory Enterprise

  • Feb 2020 - Present



First Coast Health Alliance, ACO, Flagler Hospital

• St. Augustine, Florida

• Executive Director

  • Sep 2012 - Feb 2020

  Provided consulting services in the evaluation and start-up of a new PHO and ACO formed in June 2013. Presently serving as the Executive Director in support of the Board and physician led committees. Provided consulting services in the evaluation and start-up of a new PHO and ACO formed in June 2013. Presently serving as the Executive Director in support of the Board and physician led committees.



U.S. Preventive Medicine, Inc.

• Jacksonville Florida

• EVP Product Development, Innovation, and Operations

  • May 2006 - Aug 2012

  Served as the creative lead for the initial vision, product roadmap, and product development of the USPM flagship comprehensive prevention and wellness product line – The Prevention Plan. Provided client consultations for employee incentive strategies, program structure, and integrated benefit design. Developed a client-customizable Prevention Score that enabled sustained program engagement and outcome-based incentive plans. Led multiple client implementations and renewals. Served as the creative lead for the initial vision, product roadmap, and product development of the USPM flagship comprehensive prevention and wellness product line – The Prevention Plan. Provided client consultations for employee incentive strategies, program structure, and integrated benefit design. Developed a client-customizable Prevention Score that enabled sustained program engagement and outcome-based incentive plans. Led multiple client implementations and renewals.



University of Florida & Shands Jacksonville Medical Center

• Jacksonville, Florida Area

• Senior Director - Neuroscience Institute

  • Apr 2003 - May 2006

  Directed financial, operational, and administrative functions of the Neuroscience Institute at Shands Jacksonville including the departments of Neurology, Neurosurgery, and the Sleep Disorders Center. Collaborated with senior management teams at Shands Hospital and University of Florida Physician Group on the business plan and design of a new Neurosurgical and Neuroscience Research Inpatient and Outpatient Center. Directed financial, operational, and administrative functions of the Neuroscience Institute at Shands Jacksonville including the departments of Neurology, Neurosurgery, and the Sleep Disorders Center. Collaborated with senior management teams at Shands Hospital and University of Florida Physician Group on the business plan and design of a new Neurosurgical and Neuroscience Research Inpatient and Outpatient Center.



Amerigroup Corporation

• Virginia Beach, VA

• Director of Medical Finance & Strategic Planning

  • Aug 2001 - Apr 2003

  Conducted financial analysis, pro-forma modeling, project management, business plan development, and strategic planning support for new market / product expansions and acquisitions. Led financial market research for de novo opportunities and acquisition targets. Supported executive committee on board presentations relating to projected same-store growth, developmental activities, and MCO industry comparatives. Performed RFP response and premium rate proposals for NY and FL Healthy Kid’s market expansions. Show less



Healthscreen International, Inc.

• Jacksonville, Florida

• Vice President of Finance & Development

  • Jan 1999 - May 2001

  Provided strategic planning and business plan support required to initially capitalize and operationalize the start-up company, including financial pro formas, valuation scenarios, and retail pricing structures. Provided strategic planning and business plan support required to initially capitalize and operationalize the start-up company, including financial pro formas, valuation scenarios, and retail pricing structures.



University of Florida and Shands Jacksonville Medical Center

• Jacksonville, Florida

• Manager of Financial Analysis

  • Nov 1997 - Jan 1999

  Collaborated with University Medical Center (Shands Jacksonville) and University of Florida Physicians on the implementation of the FirstCare PHO initiative and other full risk managed care programs. Conceptualized and developed a department responsible for all managed care reporting and managed care decision support analytics. Collaborated with University Medical Center (Shands Jacksonville) and University of Florida Physicians on the implementation of the FirstCare PHO initiative and other full risk managed care programs. Conceptualized and developed a department responsible for all managed care reporting and managed care decision support analytics.



Healthcare USA, Medicaid Managed Care Plan

• Jacksonville, Florida

• Manager of Budgeting and Financial Analysis

  • Apr 1994 - Oct 1997

  Responsible for budgeting and data analytics for three HMOs representing 145,000 members and 250 employees. Developed management reports, detailed utilization statistics, and overall medical cost trending analysis. Conducted monthly claims analysis projecting IBNR claim liability. Responsible for budgeting and data analytics for three HMOs representing 145,000 members and 250 employees. Developed management reports, detailed utilization statistics, and overall medical cost trending analysis. Conducted monthly claims analysis projecting IBNR claim liability.



Blue Cross Blue Shield of Florida

• Jacksonville, Florida

• Operations Analyst – Health Management Department

  • Nov 1992 - Apr 1994

  Led NCQA asthma studies related to inpatient admissions and emergency room utilization resulting in a subsequent re-contracting strategy. Managed the membership, billing, and collection functions for 100+ HMO commercial accounts. Led NCQA asthma studies related to inpatient admissions and emergency room utilization resulting in a subsequent re-contracting strategy. Managed the membership, billing, and collection functions for 100+ HMO commercial accounts.



HealthCare Management Consultants Inc.

• Jacksonville, Florida

• Consultant

  • Apr 1992 - Nov 1992

  Provided home health and medicare cost report consultative and analytical services. Provided home health and medicare cost report consultative and analytical services.



AT&T Shareholder Services

• Jacksonville, Florida

• Shareholder Account Representative

  • Dec 1990 - Mar 1992

  Investor related customer service support. Investor related customer service support.