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Management Medical

Location:
Rancho Palos Verdes, CA
Posted:
August 22, 2016

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Resume:

Richard Sadja Rancho Palos Verdes, CA *****818-***-**** • acwajd@r.postjobfree.com

LinkedIn https://www.linkedin.com/in/richard-sadja-1b077111

Chief Operating Officer Healthcare

An innovate thought leader and trusted advisor with in-depth experience as a Chief Operating Officer/Chief Financial Officer in the healthcare sector, and an Executive Advisory Board member to multibillion dollar organization, General Electric Healthcare. A passion for the public sector, backed with a dual Master’s Degree in Business and Public Administration, which results in a keen ability to forecast market trends and provide effective recommendations to leaders in the industry. Proven success developing and executing company growth opportunities, driving financial and operational efficiencies, and realizing organizational cost savings through expert contract negotiating and vendor management.

Key Career Highlights

In the last 5 years, grew covered patient IPA membership by 50%, increased contract revenue by 148%, and reduced staffing costs by 5% per year.

Reduced medical records staffing costs by 60% through the purchase, installation, and early adoption of electronic health records (EHR).

Received $2M in government HRSA funding for EHR as part of the Consortium for Safety Net Providers.

Negotiated IPA contracts in 2014 that provided an increase of 20% in rates and added 5% additional reimbursement.

Executive Advisory Board for General Electric (GE) Healthcare, providing leadership on forecasting trends in healthcare and federal regulations to respond to changing healthcare needs and marketplace voids.

Key Skills

Operations Management

Healthcare, Private and Retail Sectors Expertise

Purchasing & Negotiation

Government Grant Budgeting

Financial Operations

Business Development

Forecasting

Public Programs: Medi-Cal, Medicare, Medi-Medi

Healthcare Trends

Operational Budgets

Electronic Health Records

Federal Regulation Compliance

Professional Experience

Family Practice of Glendale, a medical corporation, Glendale, CA 11/1999-Present

Chief Operating Officer/ Chief Financial Officer Administrative Director (11/1999-11/2001)

Manage the daily financials and operations of a multi-office Family Medicine Residency Program and physician practice corporation, including all IT functions, purchasing/vendor management, staff, growth management of clinics and future projects, and expansion of contracts.

Oversee and implement technology changes to enhance business practices through early-adoption of electronic health records, patient portals, program development and electronic physician practice tools.

Responsible for monthly purchases of $100K.

Close vendor management as a Board Member with General Electric Healthcare to develop patient care tools with contracts up to $500K.

Daily financial management of the organization’s overall revenue and expenses.

Manage 6 direct reports: Director of Business Office, Human Resources, Accounts Payable, IT, and 60 indirect reports.

Work closely with 2 Medical Directors on weekly and monthly basis to supervise financials, review the functions and performance of 36 physicians, and evaluate the flow of incoming patients and recommend requirements for staffing.

Manage the operations and budgets to support the 8% increase in business growth, including managing demand through forecasting of growth of managed care patients, daily monitoring of staffing needs (physicians, nurse practitioners, physician assistants) and evaluation of office space requirements.

Integral in the 300% growth of business over 16 year tenure through business development and pursuing opportunities in new specialties and markets, including negotiations to take over an IPA and manage openings of additional offices.

Coordinate office space/organization expansion initiatives: scout locations, obtain tenant approvals, competitive shopping to negotiate contracts with new and current vendors including utilities, medical suppliers, and all IT systems (GE Healthcare, electronic health records), and direct all financials associated, including obtaining state reimbursement.

Present organizational efficiencies and negotiate contracts with managed care organizations, providers and insurance companies (Anthem Blue Cross, HealthCare Partners, Allied Physician Network, Adventist Health Providers Network) to obtain higher capitation rates and carve-outs.

Lead the development and training of the Health Services Management curriculum for Family Medicine Residency program; develop benchmarks, utilization analysis, and profitability analysis via performance measurement tools.

Columbia Psychiatric MSO, LLC., Pasadena, CA 2/1997-7/1999

Executive Director/ Chief Operating Officer

Led overall operations for a management service organization, managing multiple groups of psychiatrists, PhDs, and MFTs throughout Los Angeles and the Inland Empire, financial management, and fulfillment of profitability standards.

Negotiated all contracts with managed care organizations (Facey Medical Group, Physicians Associates, MedPartners Medical Group), providers, and insurance companies, and developed networks for managed care contracts up to $10M/year.

Established benchmarks, standards, utilization analysis, and profitability analysis of capitated contracts.

Developed business opportunities in other territories (Riverside County, West Los Angeles, San Bernardino County), servicing half a million patient lives through Columbia’s offices and other contracted facilities.

Marketed product lines to payor groups and developed new product lines.

Psychiatric Corporation of America, Chino CA 6/1995-1/1997

Executive Director/ Chief Operating Officer

Directed all operational initiatives for large behavioral medicine/science corporation managing 200K managed care patients and 50K private pay patients, and negotiated contracts with providers and payor groups.

Developed marketing strategy of the medical group practice, setting financial reporting standards, and formulated new accounting practices guidelines.

Led projects for new partnerships and healthcare mergers, including the purchase of Psychiatric Corporation of America’s practice management by Columbia Psychiatric MSO, LLC.

Additional Work Experience

Director of Marketing and Product Development, Cecil Saydah Company, Los Angeles, CA 2/1993-2/1995

Buyer/Divisional VP, Broadway Department Stores/Carter Hawley Hale Stores, Los Angeles, CA 7/1987-1/1993

Buyer, Robinson’s Department Stores, Los Angeles, CA 8/1980-7-1987

Professional Committees

General Electric Healthcare 2005-Present

GE Executive Advisory Board: Work with GE executive leadership on future healthcare products forecasting trends in federal regulations and response to changing healthcare needs and marketplace voids. Currently working on GE and HealthCare Partners’ joint software collaboration.

GE Clinical Advisory Board: Work with GE product development teams on EHR changes and prioritizing needs for practices using GE’s EHR, Centricity Practice Solutions.

GE Revenue Cycle Advisory Board: Work with GE’s practice management team on upgrades to scheduling, collections and revenue cycle management products.

Kryptiq/CareManager 2013-Present

CareManager Advisory Group: Work with Kryptiq executive team on development of new software releases for population health management.

Professional Speaking Engagements

Centricity Healthcare User Group, Orlando, FL 4/2015

Payor/Provider collaboration efforts to streamline information exchange for improved patient care.

Centricity Healthcare User Group, Austin, TX 10/2011

Panel discussion on Centricity Practice Solutions 10.0 changes to patient care workflow.

HIT Standards Committee Washington, D.C. 1/2011

(Office of the National Coordinator for HIT and Department of Health and Human Services) Panel member discussing Meaningful Use Stage 1 successes/problems and Meaningful Use Stage 2 goals.

Education

MSA/MBA Public and Private Business Administration, University of California, Irvine

BA Economics, University of California, Los Angeles



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