Management Financial

Sharon Charlton

**** *. ***** ***** ****** Cell Phone: 505

***-****

Tempe, Arizona 85284 E-mail:

*********@***.***

Career Objective: Responsible finance position in the areas of

financial budgeting and analysis.

Experience & Skills

Summary: Extensive experience in financial planning, forecasting

and analysis.

Developed detailed & complex models for revenue and expenditure

budgets.

Developed and monitored strategic plans to attain financial goals.

Prepared executive reports and summaries.

Data preparation and analysis for quarterly analyst calls.

Performed financial due diligence for sale of company with multiple

bidders.

Excellent MS Excel and MS Word skills.

Work with Hyperion Planning and Essbase.

Professional Experience:

Financial Consultant, ValueOptions Inc January 2010 to

December 2010

CFO, ValueOptions New Mexico March 2007 to December

2009

. Oversight of all regional financial functions including financial

planning & analysis, variance analysis, accounts payable, contract

negotiations, executive reporting and financial modeling

. Performed financial analysis & modeling as required to support

provider contract rate changes, special program development &

implementation, and bid development.

. Financial reconciliation of Fee-for-Service (FFS) encounters

processing and pre-payment account.

. Worked with multiple internal corporate and regional leaders to

establish, monitor and adjust plans to attain financial objectives.

. Provided analytic support to Medical Management, Contract Management

and Executive Management to develop monthly and weekly targets to

support financial objectives.

. Oversight of government mandated monthly, quarterly and annual

financial reporting.

. Develop and maintain tracking tools for federal and state agency

funding programs and performed reconciliation of funding streams,

plans for appropriate spend and annual reversion of unspent dollars to

the state.

CFO, Lovelace Health Plan August 2004 to March

2007

Responsible for financial results of a statewide health plan of 258,000

members enrolled in three products and accountable for revenues of $750m

. Restructured organization's finance department as a full service

operation after divestiture from CIGNA HealthCare, which included

rebuilding underwriting, actuarial support, accounting and financial

planning.

. Aggregated data from three legacy systems to develop a robust data

warehouse to support data needs of organization.

. Oversight of the 2006 and 2007 Medicare bid process for four Medicare

plans.

. Developed financial processes to support accounting and reconciliation

processes for new federal mandated plans including tracking of LICS

and re-insurance pools. Negotiated contract with outside vendor to

support member-level reconciliation for Parts A, B and D.

Sharon Charlton

Resume

Page 2

. Negotiated contract with Risk-adjusted Payment System (RAPS) vendor

and provided primary health plan support for RAPS revenue maximization

process.

. Provided support for all provider contracting including conversion of

capitated contracts to discounted FFS contracts and elimination of

stop-loss clauses that resulted in savings of over $3m.

. Initiated financial processes to improve group termination process

that resulted in reduction of bad debt and speedier collections.

. Completed successful negotiations with State for retention of 69,000

Medicaid Managed Care lives and several new Medicaid administrative-

only programs.

. Secured Insurance license from State and implemented first contracts

under license including Medicare PPO and minimum premium product.

. Provided financial reporting for due diligence process that included

requests from multiple bidders, presentations and population of an

extensive data room.

Director, Data Analysis HealthNet of Arizona October 2000

- August 2004

Consultant, Health Net of Arizona June 2000 -

October 2000

Oversight of three financial areas including Planning & Analysis, Contract

Analysis and Medical Economics. Responsible for development of budgets,

forecasts, contract analysis, medical management reporting and risk pool

settlement.

. Repositioned Medical Economics team to provide analytic support to all

internal customers including network management, medical management,

quality and sales.

. Implemented data warehouse to support and participate in financial

turnaround of health plan following change from primarily risk-based

contracting to discounted FFS contracting.

. Developed integrated models forecasting membership, revenue and health

care costs by line of business and segment.

. Developed three year business plans and forecast to support corporate

planning.

. Developed models for estimating savings/expense associated with

provider contract changes and network changes.

. Initiated program for identification and recovery of claims

overpayment dollars that resulted in over $2m of plan savings.

. Assumed responsibility for monthly capitation process and performed

quarterly risk pool settlement analysis and recommendations for

complex IPA contract.

. Prepared executive summaries that included reserve analysis and

variance analysis of membership, revenue, health care costs and

administrative expenses.

. Provided financial management oversight to the MHN division for 6

months in addition to Arizona Health Plan responsibilities.

Technical skills include Accounting, MS Excel, MS Word, MS PowerPoint and

MS Project. Extensive experience with data warehouse management and

oversight. Complex analysis and modeling of provider contract proposals,

ROI analysis on programs and proposal and bid development for government

programs. Capitation payment processing and risk pool reconciliation.

Sharon Charlton

Resume

Page 3

Education and Training

Certificate in CPA Preparation Program, CNM

Coursework included Managerial Accounting, Financial Accounting, Auditing,

MS Excel, Business Law and Taxation.

GPA 3.9 out of 4.0

May 2011

Masters of Science, Graduate School of Administration

University of California, Irvine

GPA 3.6 out of 4.0

Bachelors of Arts, Psychology

University of California, Los Angeles

Graduated Magna cum Laude

Other Information

Willing to travel

Willing to relocate

Willing to work non-traditional schedules and overtime

Willing to accept short-term or permanent assignments

References available upon request

Contact this candidate