Experience

Family Health Network

• Hospitals and Health Care
• 1 - 100 Employee

• President and CEO

  • Jun 2010 - Present

  Family Health Network is a $660 million not-for-profit, safety-net provider sponsored health plan operating in Greater Chicago and Rockford Illinois. Report directly to the Board of Directors with 10 direct reports managing over 400 associates to achieve budgeted and strategic objectives • Developed and implemented the Strategic Plan that grew FHN from $63 million in annual revenue in 2010 to $660 million in 5 years. • Won Illinois Healthcare and Family Services (ILHFS) “Innovations” RFP award to serve the Medicaid Seniors and Adults with Disabilities in 9 county area including the Greater Chicago and Rockford region • Awarded Medicare Advantage and Dual Special Needs Plan contract to serve the Greater Chicago and Rockford region (received 100% Score on Model of Care) • Won award from ILHFS to serve Medicaid Family Health Plan (FHP), plus the Affordable Care Act (ACA) Medicaid expansion population, in Greater Chicago and Rockford region • Expanded access to care for Medicaid Beneficiaries by developing the largest and most comprehensive participating provider network of any competitor serving the FHP/ACA population. • Won URAC Gold Medal award for Asthma Disease Management program (Silver won by Anthem, Bronze by BCBS IL/Northwestern School of Medicine/Illinois Hospital Association partnership) • Successfully launched Health Exchange product for 2015 • Achieved award of HMO license in less than 3 months • Recruited, retained and developed experienced senior management team to achieve all of the above Show less



The Silverfern Group

• United States
• Investment Management
• 1 - 100 Employee

• Strategic Advisory Board Member

  • Jun 2009 - May 2010

  The Silverfern Group is a privately-owned global investment firm which specializes in originating, structuring and making proprietary principal investments across industries and around the world. The Silverfern Group is a privately-owned global investment firm which specializes in originating, structuring and making proprietary principal investments across industries and around the world.



WellCare

• Taiwan
• Medical Equipment Manufacturing
• 1 - 100 Employee

• President, West Region

  • Oct 2004 - May 2009

  Responsible for developing and managing WellCare’s West region serving 147,000 Medicaid TANF, 22,000 Medicaid ABD, and 19,000 Medicare Advantage members in HI, IL, IN, LA, MO, and TX. The Region’s combined annual revenue is $450 million. Report to the President and Chief Executive Officer of WellCare and work collaboratively with senior corporate management staff to drive business objectives. Responsible for managing the quality, financial, operational and compliance results of all plans through 12 direct reports and 500 associates to achieve budgeted and strategic objectives. • Implemented regional performance reporting dash board • Recruited talented Senior Management team for Hawaii to ensure successful execution of new contract. • Current expansion and market development efforts will grow Revenue by 100% and EBITDA by 150% from 2008 to 2009. • Grew revenue 400% and EBITDA 600% 2004 to 2008 • Launched Medicare Advantage plan in Chicago becoming the second largest plan within 2 years out of a field of 23 and growing faster than all of our major competitors combined. • Launched a Medicaid health plan in Missouri 7/1/06 and a Medicare Advantage plan 1/1/08 with EBITDA to exceed $8 million in 2008 and revenue to grow by 65% in 2009. • Launched a Medicare Advantage plan in Indiana 1/1/08 where WellCare became the second fastest growing Medicare Advantage Plan in 2008. Show less



Magellan Health Services

• United States
• Medical Practices
• 1 - 100 Employee

• Sr. Vice President of Network and Finance

  • Nov 2002 - Oct 2004

  Magellan Health Services is a $1.6 billion national managed behavioral healthcare company serving 60 million members. I was recruited in November of 2002 as part of a team, including the CEO and President, to lead the company through Chapter 11 reorganization and performance improvement. • Led the development of a 5-year, $500 million performance improvement plan. Responsible for performance management of the plan. • Took direct accountability for implementation of claim audit, recovery and payout management initiative expected to deliver $55 million. • Responsible for Corporate overhead restructure, Risk Management, Facilities, and Purchasing. Cost reduction efforts will deliver another $105 million in performance improvement. • Assigned Provider Network leadership role and developed and implemented the following: Network Strategy, Credentialing Remediation, Network Performance Report, Network Client Performance Guarantee Tracking Report, Provider Unit Cost Management System, Provider Data Integrity Program and other initiatives. Show less



UnitedHealthcare of Illinois

• Chief Financial/Strategy Officer

  • Sep 1999 - May 2002

  UnitedHealthcare of Illinois is a $1 billion UnitedHealth Group company serving 1 million members. I was recruited in September of 1999 to lead the financial turnaround of the company. Operating income had declined $150 million in the 5 years prior to my employment. • Led the successful development and execution of initiatives that contributed $200 million to operating income and returned the healthplan to profitability in 2002. • Led the annual strategic planning process which resulted in financial, operational, medical management, network and product initiatives designed to ensure long term growth and profitability. • Built a project management and performance measurement office to ensure the successful execution of the strategic plan. • Worked closely with the CEO to reorganize the senior management team. • Reorganized the entire finance organization and recruited key staff. Show less