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Financial Services Leader Vp Finance

Location:
Columbus, OH
Posted:
January 14, 2024

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Resume:

Juan M. Fraiz

**** ********* ***** ****.

Gahanna, OH 43230

ad2rz2@r.postjobfree.com

Cell: 513-***-**** Office: 513-***-****

Career Summary

Proven CFO/VP Finance, Accounting & Operations Executive with over fifteen years of financial & risk mitigation experience across a wide range of healthcare (hospitals, physician practices/IPA & health plans), financial services, insurance and technology businesses (start-up to $600MM+ revenue). Extensive PE/VC backed firm experience, including being part of management of two successful exit events. Entrepreneurial background from running my own interim CFO & consulting services firm. Early career CPA with Big Four public accounting & consulting experience. Bilingual (English/Spanish). Expertise in the following areas: M&A & acquisition integration, payer/provider & vendor contracting & negotiations, managing banking & investor relationships, Value Based healthcare, and data analytics. Professional Experience

Independent Finance & Healthcare Consultant (Columbus, OH) 2022 to Current; 2008 –2017 As a self employed consultant, providing finance, accounting and strategic planning services to a group of diverse clients. Client assignments included:

Interim VP Finance for $100MM revenue PE healthcare consulting services (MU, Analytics & Systems deployment services) and software company, overseeing day to day Finance, BI, IT & Legal operations and providing CAO/CFO with support in dealing with investment bankers, Board members/investors and potential buyers’ due diligence and transaction execution while the company went through a successful “sale” process. Managed 45 staff members remotely.

Interim CFO for a NYC based $225MM revenue HMO. During this assignment, I oversaw the company’s turnaround strategy and financial operations, oversight of PBM & outsourced operations vendor, assisted in recruiting a permanent CFO & finance personnel. Played a key role in raising $26MM from PE investors.

Interim CFO for PE multi-location physician practice and IPA organization practicing primarily under risk contract & capitation contracts.

Due diligence services of potential healthcare related acquisitions by a private investment fund and physician practices.

Assisted a Maine based $250MM revenue HMO/physician practice with its strategic planning process and prepared 5 year pro forma projections for its various business units and due diligence for practice acquisition.

Assistance with documentation and negotiations of a major outsourcing agreement for a healthcare company. Medisync (Cincinnati/Dayton) 2021 to 2022

MediSync is consulting and MSO organization that partners with physician organizations to build an engaged network of medical group senior leaders who want to achieve better and who feel that real analysis, planning, and thoughtful solutions are keys to success.

Vice President of Medisync (Consulting/MSO), responsible for managing the operations of a 48 primary care physician practice that is a significant Medisync client. As CEO for this primary care practice, oversee practice governance, healthcare practice office operations, population health, managing Value Based relationships, patient scheduling and triage operations, health plan contracting, facilities and direct other Medisync departments that support practice management services such HR, Finance, IT, Coding & Billing, etc. Juan M. Fraiz 513-***-**** Page 2

Mt. Carmel Health Plans (Columbus, OH) 2017 to 2021 Highly profitable Provider owned MA Advantage health plans with $600MM+ in premium revenue operating throughout central & southern Ohio and other states. Health plan operations are part of a $2 billion Ohio based regional health system owned by second largest not for profit US based hospital system.

VP Finance/CFO responsible for financial management, investment & treasury management, reinsurance, actuarial services, CMS Bid process, data analytics & financial analysis, statutory reporting & capital planning and insurance regulatory relations. Managed 15 staff members remotely.

Leading benefit design changes to improve profitability from loss in 2016 to 5% operating margin in 2018; implemented product segmentation strategy within CMS regulations expected to further enhance profitability in 2019.

Negotiated and managed financial VBA risk based contract relationships, which cover ~70% of membership.

Remedying financial control deficiencies that resulted in eliminating "material control weaknesses" that had existed during the previous two consecutive years. Implemented first year MAR and ORSA reporting processes and enhancements and corrections of statutory financial reporting processes. This also included restructuring finance team, providing training of personnel, and enhancing data analytics & accounting processes.

Implemented enhancements of data analytics and financial analysis of network financial & utilization performance. Co-led implementation of data warehouse capabilities.

Leading multistate start up health plans expansion strategy, to support affiliated provider systems owned by parent company, for 2020+; and evaluation of opportunities for expansion via health plan acquisitions.

Management of outsourced vendors for PBM, investment manager, actuarial, and reinsurance risk management services.

Established strong relationship with executive of network contracting and risk revenue management to enhance key providers groups, negotiate effective full risk or gain sharing contracts covering approximately 50% of membership, generating data analytics for more effective negotiation strategies, re-contracting terms of PBM contract to improve product pricing discounts and rebate performance.

Oversight of outsourced vendors for claims processing, actuarial services, reinsurance risk management, CMS Bid & product pricing, and PBM.

SaaS Capital, Inc. (Cincinnati, Ohio) 2007- 2008

A start-up specialty finance company focused on serving the financing needs of “SaaS” software providers based on creative credit facilities which leverage the contracted, but unbilled payment streams from the software provider’s customers. SaaS Capital is financed by various venture capital firms such as Village Ventures, Reservoir Ventures, Kern-Whelan and other private investors. Vice President and CFO Reporting to the CEO, scope of responsibilities include the company’s financial, credit underwriting and portfolio administration, treasury, legal, human resources and corporate administrative operations. Also, serve as Secretary to the Board of Directors and a key member of management team for managing relationship with investors.

Principal management role for due diligence and credit underwriting, credit facility negotiations with customers, and loan portfolio administration. Also, highly involved in business development efforts and managing customer relationships.

Leadership role in product development efforts for designing credit facility and “assurance” products.

Member of three member founders/executive team that raised $2.8MM of equity capital and other sources of debt.

Key member of management team responsible for implementing financial systems, securing office facilities, negotiating leases, working with legal counsel on standard contracts and loan agreements, designing process work flows, implementing treasury systems, HR & payroll procedures, securing employee benefit providers, and overseeing day to day operations. Juan M. Fraiz 513-***-**** Page 3

The Sant Corporation (Cincinnati, Ohio) 2004-2007

A mid size, PE backed international software developer for sales effectiveness and document management software with offices in Ohio and in the United Kingdom and with strategic partners in Australia and Denmark. Vice President, Finance & Administration Reporting to the President, scope of responsibilities include the company’s financial, administrative, legal, information technology, human resources and customer product support operations. Also, serve as Secretary to the Board of Directors and a key member of management team for managing relationship with investment firm that is majority shareholder.

Principal management role for contract negotiations with customers, including organizations such as UPS, British Telecom, Wells Fargo Bank.

Consolidated financial systems on common platform, including implementation of new financial system for domestic and foreign operations.

Led implementation of expanded customer support operations to provide 7x24 service level for key customers.

Identified sales tax exposure and implemented strategy to mitigate this exposure via voluntary disclosure programs with various states.

Reduced investment in accounts receivable to a negligible level. Compass CS, Inc. / CBS Personnel Services (Cincinnati, Ohio) 2001-2004 Compass is a PE backed company providing personnel services through 60 offices located in six states. It provides temporary & permanent staffing solutions and employee leasing services for over 10,000 employees generating over $300MM of revenues. Corporate Vice President & Chief Financial Officer Reporting to the President & CEO, led the successful integration of payroll & credit/collection functions, implemented WEB-based information technology for leasing business, data warehouse capabilities that improved analysis & reporting capabilities, in-house actuarial assessment of self-insured workers’ comp liability program, and worked closely with equity sponsor & senior lending syndicate to restructure bank and shareholder debt.

Implemented credit & collections procedures resulting in decreased levels of accounts past due 90+ days from 8% to 1.8% in a nine month period and lower DSO. Changes implemented included more timely & structured process for collections and created accountability for bad debts at branch level.

Negotiated restructuring of $25MM leverage buyout credit facility to achieve compliance with reasonable debt covenants given achievable EBITDA levels.

Oversaw the consolidation of payroll & collection operations, previously performed at 60 branch locations, resulting in a reduction of personnel resources assigned to such functions, improved services levels, standardized processes, and establishing performance metrics. Mercy Health Partners (Cincinnati, Ohio) 1999-2001 MHP, a $500MM division of Catholic Healthcare Partners, is a not-for-profit integrated delivery network providing a continuum of care consisting of acute care hospitals, LTC facilities, home health & DME, physician care practices and other health care service. Regional Vice President - Finance

Reporting to the Senior Vice President & CFO, led integration of financial and payroll systems for a sizeable acquisition, consolidated banking relationships to reduce cost & enhance efficiency, assumed oversight of decision support system resulting in enhanced accuracy of revenue realization & analysis of the profitability of payer contracts & product lines and implemented changes to month-end close process that resulted in 5 business day close cycle. A member of several subsidiary and joint venture Boards of Directors.

Oversaw recruitment and training of over 20 associates to integrate finance & accounting operations of acquired business units that were being performed by outsourced contractors.

Leadership role in a multi-discipline team that implemented HR & payroll system for acquired operations replacing a manual, outsourced payroll processing provider and enhanced management information capabilities on payroll for 3500 employees.

Assisted in successful financing transactions for $100MM tax-free bond offering and $12MM low income housing construction financing.

Juan M. Fraiz 513-***-**** Page 4

Improved profitability of the organization by working closely with other members of senior management to evaluate non-strategic or unprofitable business units and developed plans for their sale or shutdown.

Managed full scope IRS examination of 1997 & 1998 tax years that took over 24 months to complete and resulted in minor amounts of additional tax liabilities. Elumen Solutions, Inc. (Cincinnati, OH) 1998-1999

Elumen was a PE backed information technology consulting firm focused on the healthcare industry that experienced 100% revenue growth to $37MM, with high profit margins. It was acquired by a larger competitor for $90MM during 1999. Executive Vice President & Chief Financial Officer Reporting to the President & CEO, a key member of the executive management team that successfully consolidated finance & accounting, information systems, human resources and staffing services functions for two merged entities, led selection process for common ERP system and co-managed with the President the due diligence process & negotiations for the sale of the company. Also, worked very closely with members of investment firm (its majority owner), investment bankers, corporate counsel and the company’s other professional advisors.

Worked closely with the CEO and investment bankers, managed due diligence process and negotiated the sale of the company.

Decreased A/R days sales outstanding from 83 days to 68 days within a four month period resulting in increased cash flow and reduced borrowings.

Led integration of accounting & administrative functions into Cincinnati office that eliminated 4 FTEs. ChoiceCare Corporation (Cincinnati, Ohio) 1995-1998 A $300MM publicly-held, regional HMO serving 295K members in southwest Ohio. It was the market leader in its service area and was consistently recognized nationally for its high member satisfaction, service excellence and medical management proficiency. ChoiceCare was acquired by Humana during 1997.

Vice President & Chief Financial Officer

Reporting to the President & COO, managed $100+MM investment portfolio, oversaw sound actuarial practices for premium pricing models & medical expense liability reserves, led financial risk management processes, and implemented investor relations and public company reporting functions. In addition, a member of executive management team with a key role in strategic planning and negotiation of contracts with significant customers, such as P&G, GE-Aircraft, Ford and Federated Department Stores, and with medical service providers.

Led IPO process that raised equity capital, implemented procedures for meeting SEC reporting requirements and investor relations function.

One of two senior executives who were the primary negotiators in the highly valued acquisition of ChoiceCare for $250MM that provided the acquirer a dominant market share and high quality reputation.

Identified and implemented resolution of $6MM liability exposure to a medical services payer intermediary that assured medical providers were paid all amounts due without further cash outlay by ChoiceCare.

Working closely with executive and sales management, implemented revenue enhancement strategies and controlled operating expenses that resulted in income from operations improving from a loss of

$2.5MM to income of $5.9MM in the subsequent year.

Negotiated all banking services resulting in 30% expense reduction of service fees while improving efficiency.

Successfully obtained IRS approval for tax accounting methods that preserved $12MM of income tax savings from conversion to taxable entity.

Juan M. Fraiz 513-***-**** Page 5

NationsBank Corporation (Charlotte, NC) 1994-1995

The third largest bank holding company in the United States (now known as Bank of America). Vice President, Financial Reporting Group

Co-managed corporate-wide financial, SEC, and regulatory reporting functions, including preparation of annual and quarterly reports to shareholders, 10-Q & 10-K reports, MD & A, and financial data for stock analyst and investor presentations.

Led team that developed stock analyst presentations and Annual Report to shareholders.

Assisted in establishment of captive finance subsidiary used to securitize mortgage loan portfolios and increase liquidity.

Worked extensively with debt and equity registrations. Woburn National Bank (Woburn, MA) 1992-1994

Boston Trade Bank/BTB Corporation (Boston, MA) 1988-1991 Commercial banks with total assets of $150MM and $375MM serving diverse financial services segments. Senior Vice President & Chief Financial Officer

Hands-on manager of $50-75MM investment and liquidity portfolios, implemented asset/liability management processes for minimizing interest rate risk, enhanced financial, tax and regulatory reporting processes, principal officer for dealing with investor relations & banking regulators, and oversaw analysis, selection & implementation of bank-wide information systems platform that was a critical aspect of the bank’s strategic plan.

Implemented tax savings strategies resulting in the reduction of company’s effective tax rate from 43% to 36%.

Identified error in a previously income tax return, that once corrected, generated a tax refund of $250K.

Led a team of members of the Board of Directors and senior management, to develop strategic planning process and turnaround of bank’s profitability and in a favorable classification by its regulators.

Successfully led project to identify and implement all new information systems platform within a one- year period that reduced FTEs and enhanced product & service capabilities. Price Waterhouse Coopers (Tampa, FL) 1982-1988

“Big Four” international public accounting and consulting firm. Manager

Led teams providing audit, tax and consulting services to diverse clients including NationsBank, Chase Home Mortgage, Jim Walters Corporation (a Fortune 500 company), Lykes Brothers, Tech Data Corporation, and various start-up banks.

Led development of Financial Services practice group for Tampa office.

Led various M&A and debt and equity offering projects for highly demanding clients.

Selected for tour of duty assignment at the firm’s National headquarters in New York City. Education and Professional Development

BS - Accounting & Finance

Krannert School of Management

Purdue University - West Lafayette, IN

Certified Public Accountant (inactive license)

Member: AICPA and FEI

Speak, read & write Spanish fluently



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