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Management Manager

Location:
United States
Posted:
November 22, 2010

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Resume:

ASHER E. KRAMER, FHFMA

* *********** ****

Cape Elizabeth, ME 04107

Work: 207-***-****: Home: 207-***-**** Cell: 207-***-****

w02jie@r.postjobfree.com

WORK EXPERIENCE

MAINEHEALTH, Portland, ME

MaineHealth is the parent company of the largest integrated healthcare system in Maine with revenues of $1.4 billion annually. The System is comprised of Maine Medical Center, an academic medical center, 6 community hospitals and 450 employed providers.

Senior Corporate Director Planning & Finance 2010 - Present

This is a promotion to a newly created position overseeing integration of 17 separate information systems business lines and departments across MaineHealth. Reporting to Physician CIO and Executive VP/Treasurer responsible for developing System IT strategy, developing capital and operating budgets of $100 million annually, IT contracting and procurement for System and government relations and grant funding, including ARRA. The position has bottom line responsibility for strategy and financial management of IT business lines including Ambulatory, imaging and Telehealth.

Ambulatory Program Architect 2007-2009

The Ambulatory Program Architect was responsible for ambulatory strategy formulation, creating a system of ambulatory care across Southern Maine, consolidating multiple, fragmented organizational structures relating to community care delivery, deploying the Epic EMR in 150+ practices for over 600 physicians and developing a robust informatics capability to support the provider community.

Accomplishments:

- Successfully developed ambulatory governance model for MaineHealth

- Developed 5 year strategic financial plan for ambulatory integration

- Negotiated physician agreements for participation in programs with 450 providers

- Developed operating model and formed ambulatory team with staff of 40 for training, EMR deployment, practice redesign, practice performance improvement and reporting

- Deployed Epic EMR in 21 practices to 100 providers in past year

- Created approved plan for an integrated EMR practice management business line

- Expanding role to encompass information systems strategy, budgeting, contracting and grant funding and government relations for entire MaineHealth system.

CARITAS CHRISTI HEALTH SYSTEM, Boston, MA 2005-2007

Interim President Caritas Physician Network

Senior Vice President & CFO Clinical Services Division

Executive Director Caritas Christi Network Services

Caritas Christi is the second largest integrated delivery system in Massachusetts with annual revenues of $1.2 billion. The Physician and Clinical services Division included the Caritas Christi Physician Network (CCPN) including 450 physicians employed by the System, Caritas Christi Network Services comprised of 7 Independent Practices Associations representing 1,400 physicians, the Uniformed Services Family Health Plan providing full risk capitation services to 11,000 members.

ASHER E. KRAMER Page Two

Responsible for all managed care, information technology, informatics, finance, strategic planning, budgeting and revenue cycle functions of the Division. Promoted to Interim President responsible for

practice operations, physician recruitment, physician relations, credentialing, human resources and network development.

Accomplishments:

- Created single governance structure for 7 IPA’s

- Developed multi-year integration strategy for System

- Reduced medical group operating losses from $10 million to $2.5 million annually

- Reduced accounts receivable from 60 to 45 days

- Developed managed care and revenue cycle informatics department

- Deployed eClinical Works EMR

- Implemented automation for accounting, budgeting and management reporting

- Recruited team of practice management professionals and improved operations.

- Negotiated employment agreements and contractual arrangements with providers.

MARTINS POINT HEALTH CARE, Portland, ME 1999-2005

Chief Financial Officer

Martins Point is an integrated physician network and managed care organization serving Maine, New Hampshire and Vermont. The network is comprised of approximately 180 contracted or employed primary care physicians and approximately 900 contracted specialists practicing at various clinic sites and hospitals throughout the region. MPHC is also a full risk insurance entity serving 25,000 military retirees and family members. A third business line is a care management and data analysis company providing services to delivery systems throughout Maine.

As CFO was responsible for all managed care contracting and negotiations, accounting, financial planning, business development, budgeting, materials management, support services, facilities, telecom, strategic planning and contracting for the organization. The position also serves as the Chief Compliance Officer responsible for oversight of all legal, regulatory and government contracting functions.

Accomplishments:

- Developed and successfully executed strategic financial plan to grow net revenue from $45 million to $150 million in 5 years

- Improved bottom line performance from loss to 5% margin on operations

- Automated financial systems and processes

- Implemented physician compensation and productivity models to improve financial performance

- Refinanced debt resulting in $2 million annual savings

- Developed practice site consolidation models

- Negotiated and administered $125 million in full risk capitation contracts and contracted with providers and hospitals for participation

PARTNERS HEALTHCARE SYSTEM, INC., Boston, MA 1995-1999

Partners Community Healthcare, Inc.

Chief Financial Officer and Treasurer

Partners Community Healthcare, Inc. (PCHI) is the Eastern Massachusetts Network of the Partners Healthcare System. PCHI was incorporated in 1994 following the merger of Massachusetts General

ASHER E. KRAMER Page Three

Hospital (MGH) and Brigham and Women’s Hospital (BWH) and was charged with the development of a comprehensive delivery network on behalf of Partners.

CFO was responsible for general accounting, business office, budgeting, claims management, managed care finance, actuarial services, practice acquisition, financial due diligence and long range planning. Former CEO from Quincy Hospital brought me to PCHI when she assumed Presidency.

Accomplishments:

- Developed and execute start-up strategic financial plan to establish the largest physician network in Massachusetts

- Obtained Board approval and funding for network

- Created financial infrastructure and business office for new organization

- Successfully negotiated managed care capitation contracts for 400,000 covered lives.

- PCHI met all targets growing employed physician group to 1,000 providers to plan

QUINCY HOSPITAL, Quincy, MA 1991-1995

(QUORUM HEALTH RESOURCES)

Chief Financial Officer

Responsible for general accounting, patient accounting, admitting, outpatient registration, materials management, information systems, medical records and third party relations for 350 bed community hospital.

Accomplishments:

- Improved financial performance from an annual $7 million loss to $4 million gain

- Successfully refinanced FHA insured debt to AAA insured debt reducing debt service

- Implemented business plans for new profitable services

- Implement practice acquisition programs and hired practice management team

- Implement new hospital wide information systems.

JORDAN HOSPITAL, INC, Plymouth, MA 1987-1991

(HCA MANAGEMENT CO./QUORUM HEALTH RESOURCES)

Vice President of Finance

Responsible for finance division, including patient accounting, materials management, communications, information systems, medical records, utilization review and quality assurance. Responsible for financial management of a diversified structure consisting of an 250 bed acute care hospital, for profit laboratory, a home health care company and a parent organization.

Accomplishments:

- Implemented new hospital wide information system

- Improved hospital operations from annual loss to consistent and improving gains over tenure - Developed long range financial plan for hospital expansion.

LEONARD MORSE HOSPITAL, Natick, MA 1985-1987

Controller

Responsible for general accounting, reimbursement, budgeting, patient accounting, internal audit and admitting for 200 bed community hospital. Other responsibilities included developing investment strategies, long range financial planning, HMO/PPO contract development and cost accounting.

ASHER E. KRAMER Page Four

GODDARD MEMORIAL HOSPITAL, Stoughton, MA 1981-1985

Assistant Controller

Manager of professional staff in the areas of reimbursement, budgeting and financial analysis and reporting for 150 bed community hospital. Other responsibilities included capital financing, DoN applications, financial analysis, development and negotiation of HMO and physician contracts and implementation of a cost accounting management system.

ST. ELIZABETH'S HOSPITAL OF BOSTON, Boston, MA 1975-1981

Assistant to the Controller (1979-1981)

Responsible for the development, implementation and on-going evaluation of accounting control systems under the direction of the Controller and Director of Finance. Responsible for DoN Applications, HEFA and FHA feasibility studies, budgeting, computer modeling of hospital operations and profitability/feasibility studies. Position was obtained through an internal promotion

Equipment and Materials Manager (1975-1979)

Supervisor of department providing hospital support services, including movement of linen, pharmacy supplies, laboratory specimens and reports, medical/surgical supplies and all patient equipment. Equipment responsibilities included maintenance, safety inspections and delivery and collection.

HEALTH CARE CONSULTANT (Part time) 1984-1991

Free lance consultant filed DoN's for an acute rehabilitation hospital and a freestanding dialysis center for a physician's group, developing practice management strategies for physician's offices, assisting in the negotiations for sales of physician's practices and developing patient pathway financial strategies.

EDUCATION

BOSTON UNIVERSITY GRADUATE SCHOOL OF MANAGEMENT, Boston, MA

Received Masters of Business Administration with honors in August 1980.

Concentration: Finance/Accounting

RAMAPO COLLEGE, Mahwah, NJ

B.A. Literature, May, 1975; Dean's List.

UNIVERSITY OF HARTFORD, West Hartford, CT

Major: Journalism; 1971 -- 1973; Dean's List.

ASSOCIATIONS/CERTIFICATIONS

Healthcare Financial Management Association:

Certified as Fellow of Healthcare Financial Management (FHFMA) September 1985.

Certified as Manager of Patient Accounting (CMPA) September 1991.

Certified as Managed Care Professional (CMCP) 1996.

Board member of Massachusetts chapter - Treasurer 1991/1992, Secretary 1992/1993, Vice President 1993/1994, President Elect 1994/1995, President 1995/1996.

ASHER E. KRAMER Page Four

Committees-Chairperson of Fellowship Coaching Course, Editor of Mass Media Magazine, member of newsletter, microcomputer and program subcommittees.

Past Chairperson of South Shore Reimbursement Group and member of Massachusetts Reimbursement Appeals Group Steering Committee.

Past Member of Massachusetts Hospital Association Committee on Finance.

Chairperson of Committee on Finance sub-committee regarding private sector payment issues.

Board Member and faculty of the New England Healthcare Assembly Managed Care College

Chairman of the Uniformed Services Family Health Plan Alliance CFO Committee

Board Member PCA Great Performances

Board Member TRACO – Caritas Christi off shore insurance captive

OTHER SKILLS

Thorough knowledge of personal computer applications in the health care environment.

Literate in Microsoft Windows applications (Excel, Word, PowerPoint, Project, Visio) and other software applications. Systems experience includes Epic, IDX, Meditech, Eclypsis & eClinicalWorks.

PUBLICATIONS

Using PC's for Effective Case Mix Based Budgeting - Healthcare Financial Management, June 1993



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