MAX SPEIGHT, JR.

***** ****** ******* ******** ****, Magnolia, TX 77355 281-***-****

ab8k0s@r.postjobfree.com

www.linkedin.com/in/maxspeightjr

SUMMARY:

Solution-envisioning and analytic-oriented senior finance professional of

more than 15 years in resourceful, value-driven strategy development,

business operations, analytical leadership, and consultative completeness.

Considerable experience in Information Services, Insurance, and Clinical

Delivery sectors of Healthcare; with an industrious yet realistic

philosophy to boost strategic value, solve operational challenges, and

align interests throughout the Healthcare industry continuum. Strengths

in:

Analytics and Informatics - Consulting - Strategic positioning

Financial, Clinical, Market, and operations planning, data

Product, Actuarial, Underwriting, science systems, and business

Bioinformatics, and Policy architecture and infrastructure

Research and Modeling - Consumer, Management - Division and department

target market, product performance, P&L management, vendor contracts,

financial forecasting, and economic and strategic account portfolios

modeling

PROFESSIONAL EXPERIENCE:

United Health Group / Optum Health, Houston, TX

2008-2013

Director - Healthcare Economics and Actuarial Management

Advanced analytics, production reporting, and consulting management for

Finance, Clinical, Actuarial, Underwriting, Provider Contracting, and Sales

teams.

. Designed and managed analytic product portfolio to identify and support

$220+ Million cost reduction; renew and upsell $90+ Million Medicaid,

Medicare, and Commercial contracts; developed trend insight and forecast

projections used in revenue negotiations of $600 Million.

. Directed initiatives within system conversions, risk model

implementation, payment integrity, Pay for Performance opportunities,

and accreditation attainment in URAC/NCQA for multiple sites. Further

results were used to drive fee schedule re-formulations for 70+ K

clinicians and 3,500 facilities on $1.1 Billion in claim cost.

. Lead analyses in product valuation, growth opportunities, PPACA/ACO

impact in MLR and benefit requirements. Developed forecast models for

market expansion, product demand, network capacity, and reserving

requirements supporting multi-million cost optimization and revenue

growth strategies.

WebMD, Portland, OR 2003-

2007

Business Intelligence Product Manager and Chief Researcher

Research and analyses in consumer health risk, lifestyle modification, cost

reduction for clients, and benefit plan negotiations.

. Delivered business intelligence, financial research, market and consumer

analysis, and strategy consulting for 24% of the Fortune 500 clients

across multiple industries representing over 61 million lives.

. Designed and advised on strategies that lowered business costs and

improved productivity for $230 Million enterprise with more than 1,100

clients in Finance, Government, Manufacturing, and Banking industries.

. Promoted new business opportunity and designed business plans with

annual revenue gains up to $78 Million.

. Participated in business strategies that contributed to growth of

divisional revenue by 230% over 2 years.

. Reduced business costs for clients by $1.1 Million annually through

comprehensive ROI/EVA modeling.

. Advised on new business acquisitions and merger plans through

assessments in operational alignment, financial due diligence,

competitor offerings, and market demand of products.

Kaiser Permanente, Oakland, CA

2001-2003

Director - Risk Analysis and Product Planning

Actuarial, Underwriting, and Sales system direction, health plan regulatory

analyses, trend guidance in revenue negotiations.

. Responsible for divisional P&L activities of $1.4 Billion enterprise and

activities in strategic planning and tactical operations spanning risk

management, actuarial modeling, benefit design and pricing, market

segmentation studies, regulatory reporting, and sales support.

. Evaluated organization and fiscal strategies which lowered cost

variances and improved margins of vendor and delivery network operations

by more than $400 Million.

. Managed support services that increased EBITDA by 6% or $1.1 Million

through improved decision support and analytic profiles of new

opportunities, internal barriers, organization capabilities, and overall

economic performance in both short-term and long-term perspectives

. Developed teams for situational research, regulatory data filings,

business growth evaluations, and system conversions. Professionals

consisted of accountants, sociologists, engineers, statisticians,

benefit administrators, actuaries, economists, and clinicians.

. Designed and implemented procedures that reduced regulatory violations

by $500,000+ annually by championing collaborative efforts between

membership, consultant, regulatory, and sales divisions on contract

compliance, risk modeling, actuarial systems, and product performance.

. Improved division operations and team productivity by more than 20% via

resource optimization, process re-engineering, demand management, and

skill set expansion.

PacifiCare Health System, Portland, OR

1999-2001

Regional Information Systems Manager

BlueCross BlueShield of Oregon, Washington, and Idaho, Portland, OR

1995-1999

Supervisor of Economics

Risk Sharing Analyst

Legacy Hospital & Health Centers, Portland, OR

1993-1995

Financial Analyst

Decision Sciences Intern

WorkCare Orthopedic and Industrial Medicine Clinics, Martin, TN

1989-1992

Chief Radiology Technologist and Inventory Supervisor

Department of Defense, United States Navy, various locations

1985-1989

Hospital Corpsman

EDUCATION:

Master of Business Administration- University of Oregon, Lundquist Graduate

School of Business, Eugene, OR

Concentrations: Finance and Management Economics, Graduate Teaching

Fellow

Bachelor of Science - University of Tennessee, College of Science, Martin,

TN

Concentrations: Biology and Business Management

Associate of Applied Science - George Washington University, School of

Medicine and Health Sciences, Washington, DC

Concentration: Radiation Physics and Technology

Diploma in Radiologic Technology - Naval School of Health Sciences,

Portsmouth, VA

ADDITIONAL TRAINING:

Executive Leadership, Kaiser Foundation

Actuarial Associate training, Society of Actuaries

Project Management, Systemation Corporation

Management Accountant training, Institute of Management Accountants

Risk adjustment models and usage techniques - ETG, ERG, PRG, PEG, DxCG, APG

Programming - SAS, SPSS, SQL, MAPLE, Cognos, Hyperion, Crystal, Microsoft

Office Suite

Database management - Teradata, Oracle, Microsoft SQL Server

ASSOCIATION AFFILIATIONS:

Health Executives Network

Healthcare Strategy Innovation and Management Group

Health Economics and Outcomes Research Network

IHEA - International Health Economic Association

HCAIR - Health Care Analytics and Informatics Research

HIMSS - Healthcare Information and Management Systems Society

Managed Care Executives

Managed Care Contracting Network

Predictive Modeling and Analytics Network

Decision Support Society

INFORMS, Institute of Management Science and Operations Research

Marketing Science

Risk Metrics Group

Association of Radiation Technologists

CBOT, Chicago Board of Trade - Futures and Options

CBOE, Chicago Board Options Exchange - Contract and Trading Systems

CME, Chicago Mercantile Exchange - Commodity Finance and Risk

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