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Medical Management. Health administration.

Location:
Rancho Cordova, CA
Salary:
130000
Posted:
November 02, 2014

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Resume:

WILLIAM MARK JASPER, MPH

Email:acgk4x@r.postjobfree.com

**** ****** ***. **** ****, CA 95628

Phone: 619-***-****

HEALTHCARE EXECUTIVE: VP level or above

with Network management and revenue generation

expertise and strategic managed care experience

with companies like Aetna, Wellpoint, California

Hospital, and Healthcare Partners. My breadth of

experience includes start-ups as well as mature and

sophisticated public companies; across payers,

providers and intermediaries.

Education includes a Masters in hospital

management and a Bachelors in finance. Special

expertise with respect to network contracting,

business development, and the Medicare Advantage

program.

I am tri-lingual.

WORK HISTORY

Medical Management Concepts, Inc. May 2014 to present

Principal

Consulting to private equity funds re: healthcare investments

Anthem Blue Cross, CA 2013 - 2014

Network Management Director, Rancho Cordova, CA 95670

• Contracted hospitals and IPAs throughout California.

• Maintained provider database.

• Led enterprise Pilot Project re: post operative surgical follow

up protocols and software

• Identified procedural changes to improve productivity

Medical Management Concepts, Inc. 2012- 2013

Principal

Managed care consultant. Main engagements involved business

development strategies between the U.S. and Europe.

Belgian Resident 2008-2011

• Instructor, DeSom; contracted to Belgian government to

orient newcomers to the country about the laws, culture and

daily life. I taught in English and in French.

• Coach, West-Flanders Tribes American football team:

Belgian national champions: 2008, 09, 10.

• Vice-President, Brite-Strike Technologies, Inc., Brugge,

Belgium. Safety products for military and police. Built a

worldwide distributor network and opened new sales

channels.

HealthCare Partners Medical Group, Garden City, NY 2006 –

2007 (aka Heritage Med. Group, CA)

Vice President of Marketing and Community Relations

Role was to evaluate and improve the marketing/sales and

community relations, for two related companies. Clients were

insurers of Medicare Advantage plans and commercial HMO

plans, and the company contracted the use of its:

IPA/hospital provider networks;

1.

licensed health insurance brokerage

2.

delegated utilization management

3.

claims administration.

4.

The service area was all of New York City and Long Island. We

were the market leader in enrollment into the Medicare Advantage

product. Developed a Medicare Advantage Ambassador program.

PA Consulting Group, Inc., Cambridge MA 2005-2006

Managing Consultant - Healthcare

Practice Lead for the U.S. healthcare sector, for clients including

health plans, hospitals and suppliers. Created joint ventures with

both Humana and Partners (Boston).

Aetna, Inc., Hartford, CT 2001 - 2004

Head, National Networks and Contracting (V.P. level)

Responsible for more than $3 billion of annual medical expense

budget and for $100 million of annual revenues, for what was then

the largest private health insurer in the U.S..

1. • Established strategy and led contracting for all

National level agreements with all categories of

health care providers throughout the entire U.S. Re-

contracting reduced medical costs substantially.

2. Led the restructuring and quality improvement of

Aetna’s Centers of Excellence (“Institutes of

Excellence”) for all types of transplant care,

nationwide; and for selective specialist networks.

Quality thresholds were established and unit costs

were greatly reduced for tertiary care.

3. Contracted with regional provider networks to fill in

around the directly contracted providers of care.

Private Healthcare Systems Inc., (PHCS) Waltham, MA 1998 -

2000

Executive Vice President

Responsible for this nationally contracted physician and hospital

network, including ongoing network development, contracting and

provider relations. Direct reports included 11 Regional Managers

and 4 home office managers. Company was a private label PPO

and utilization management company for 20 commercial payers,

throughout the entire U.S.

Primecare Medical Group Network, Ontario, CA

Executive Vice President 1995 - 1997

Company operated as a MSO (management services organization)

and it also owned and operated hospitals and IPAs. Responsibility

included national business development to position for an IPO; as

well as the management of health plan and provider network

contracts and strategic alliances. Company was old to PhyCor.

BPS Healthcare Inc., Los Angeles, CA. 1983 - 1995 President

and CEO

Founded and built this independent managed care company acting

as an agent both for providers and payers, with PPO/EPO Plans,

sold by 10 commercial health insurance carriers. Led the

development of network based health insurance products and

managed care programs statewide in California, which was the first

statewide PPO in California. Company was sold to Mass Mutual,

New York Life and ITT Hartford; for more than 20 times

investment.

Positions held prior to 1983

California Primary Physicians, Los Angeles CA aka

HealthCare Partners Medical Group (CA)

Administrator

Succesfully grew this group from a start-up… single specialty and

single site group into a multi-specialty and multi-site group.

Established and managed all operations. Pioneered HMO risk

contracting with Health Plans, hospitals and physicians. Group

ultimately sold for $4 Billion.

California Hospital Medical Center, Los Angeles, CA

Assistant Administrator, 350 bed not for profit, acute care

hospital. Administrative and professional departments; medical

staff committees; special projects e.g. Level I licensure for Trauma.

EDUCATION

Master of Public Health (MPH), Hospital Management, UCLA

Bachelor of Science (B.S.) cum laude, Finance; Northern

IllinoisUniversity

USAF Officer training in health services administration; Medical

Services Corp.

LANGUAGES: English, French and Dutch

MILITARY SERVICE; First Lieutenant, United States Air

Force, Medical Service Corps

Squadron Commander (hospital) and commander, Air

Transportable Hospital

Professional Distinction

1. Most Distinguished Alumnus in, UCLA Health Policy &

Management graduate program; 1995

2. Chairman, American Association of Preferred Provider

Organizations (AAPPO) 1995 - 1996

3. President, UCLA Health Policy and Management Alumni,

Assoc. 1992-3

Board member: Los Angeles Central City Association;

4.

Business Coalition on Health; California Pediatric Center

(non-profit); BPS, Inc.

Publications

1. Making Managed Care Work (McGraw-Hill; editor: P. Boland),

1991

2. Numerous trade journals on managed care topics; 1987-1996



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