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Manager Project

Location:
Long Beach, CA, 90807
Posted:
July 09, 2011

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Resume:

GREGORY ROSSOFF

562-***-**** (H) 562-***-**** (C)

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

RESUME SUMMARY

The following Kaiser, PacifiCare, and Allergan Pharmaceuticals experience

could be applied to a broad range of projects:

Kaiser KFH (Regional Finance):

1. Developed forecasting and budgeting models for KFH "Other Benefits-

Outside Medical", including Ambulance, DME, SNF, Home Health, and Hospice.

Presented budget targets to the continuing care directors for all of the

medical centers. Estimated ambulance savings after the termination of the

AMR national contract.

2. Completed Kaiser MIA utilization workshops. Used MIA/TPA utilization

and OCPS claims for establishing metrics and analyzing price/volume

variances.

3. Worked with Kaiser Hospital Strategic Planning and AAFs to critique and

document assumptions for new MOB and hospital start-up - operating expenses

(WLA, Sunset, Panorama City, Downey, South Bay, and OC Sand Canyon).

Projections used in the Strategic Plan.

4. Worked with a Kaiser team (MIA, SCPMG, KFH) on monthly transfer costs

among 12 hospitals. Created a project plan (detailed tasks, timelines and

responsibilities), verified database, and analyzed variances. Enhanced the

transfer cost web site with user friendly features.

PacifiCare (Finance/Underwriting/Actuarial):

1. Wrote and produced PacifiCare's first Pricing and Underwriting Manuals

for all product lines. Trained managers throughout the company on

regulations and procedures.

2. Prepared monthly revenue and membership projections for review with the

CFO and the Sr. Marketing Team. Projections were made by employer group

and product line.

3. Developed a short class on project management.

Allergan Pharmaceuticals (Business & Financial Planning):

1. Managed the company's capital budgeting and approval process. Wrote

the Capital Expenditure Manual, including templates for cost/benefit cash

flow analysis. Trained Operations, R&D, and Business Development managers

throughout the company on investment and proposal analysis.

2. Prepared product acquisition models for senior management. (e.g.,

BOTOX). Worked with business development, marketing, R&D, and operations

on assumptions for scenarios.

3. Managed a joint Marketing/R&D team for FDA approval of a new glaucoma

product.

GREGORY ROSSOFF

3757 Gundry Avenue *********@***.***

562-***-**** (h)

Long Beach, CA 90807 562-***-****

(c)

FINANCIAL AND BUSINESS PLANNING

Financial planning and project management expertise for innovative

solutions to both short-term and strategic decision-making in health care

and pharmaceuticals. Ability to organize teams and create framework for

decisions that integrate all functions in results. Key competencies

include:

Budgeting & Forecasting Operations and Utilization Analysis

Pricing Site Evaluations for Start-up

Operations

Financial Reporting and Analysis Product Development/Market Research

Capital Investments & Leasing Licensing, Acquisitions, Joint

Ventures

EXPERIENCE

KAISER PERMANENTE, Pasadena, CA 2005 -

Oct 2009

Financial Project Manager (KFH/HP Southern California Region)

. Worked with Regional Directors to develop budgeting models and targets

for Other Benefits: Ambulance, Durable Medical Equipment, SNF, Home

Health, Palliative Care, and Hospice. Models included utilization goals

and rate forecasts.

. Analyzed and budgeted start-up and incremental operating expenses for new

hospitals and medical office buildings (MOBs): LAMC Sunset, W. LA,

Panorama City, OC Sand Canyon, South Bay and Downey. Worked with

Strategic Hospital Planning and medical centers to document assumptions

and control expenses.

. Forecasted monthly expenses based on utilization trends and rates.

Analyzed variances.

. Provided expense projections for rate setting and the Strategic Plan

(2010-2016).

. Prepared monthly transfer costs among 12 Kaiser hospitals. Worked with

MIA, SCPMG and web site manager to extract and scrub expenses in the

database. Analyzed variances and enhanced web site for KFH.

. Ad Hoc Projects:

1. Impact of a Prem Reddy purchase of Anaheim Memorial on Kaiser Irvine

operations.

2. Analysis of cost savings from termination of AMR ambulance contracts

for the Region.

3. Rate/volume/mix variance analysis for expenses.

4. Cost/benefit study for KFH and SCPMG medical services compared to

outside provider.

5. Daily support for medical center Finance Administrators and Continuing

Care Directors.

EXECUTIVE SEARCH CONSULTANT 2000-2005

Conducted retained searches for clients in a variety of industries across

the US and Canada.

LONG BEACH UNIFIED SCHOOL DISTRICT, Long Beach, CA 2001-

2005

Substitute in math, sciences, English, French, history, and

mentally/physically handicapped.

PACIFICARE HEALTH SYSTEMS, Cypress, CA 1995-2000

Principal Project and Finance Manager (California Division)

GREGORY ROSSOFF - RESUME Page 2

PACIFICARE HEALTH SYSTEMS, Cypress, CA 1995-2000

Principal Project and Finance Manager (California Division)

Managed high profile projects across functions: pricing, underwriting,

finance, marketing, sales, medical management and I.S.

. Produced monthly revenue and membership forecasts for the CFO and senior

management.

. Created financial models that determined the minimum new business pricing

required to cover reimbursement terms for all physician and hospital

contracts in each county in California. Pricing adjusted for age/sex

factors and location.

. Organized and led joint marketing/health services teams, which used data

for negotiating profitable contracts.

. Designed and implemented new monthly sales incentive program that changed

the basis of incentive measurement from membership growth to

profitability, thereby decreasing unprofitable business underwritten by

sales managers.

. Integrated products from the FHP acquisition and retained 90% of acquired

membership by evaluating the impact of pricing and competition in the

marketplace.

. Produced PacifiCare's first Underwriting Policies and Procedures Manual

and Pricing Manual covering all product lines.

FINANCIAL CONSULTANT (Part-Time) and UCLA STUDENT 1991-1995

ALLERGAN PHARMACEUTICALS, Irvine, CA 1986-1991

($1 billion in ophthalmic and dermatological products)

Business and Financial Planning Manager (1986-1991)

Directed budgeting, forecasting, and business development for all functions

in the pharmaceutical division: marketing, sales, R&D, operations, quality

control and administration.

. Created financial models and alternative risk scenarios for successfully

negotiating the purchase price and terms for licensing new products,

establishing joint ventures, and acquiring companies and new products

(BOTOX).

. Wrote Allergan's first Capital Expenditure Manual on Policies and

Procedures. Trained personnel on ROI cash flow justifications for

capital proposals. Approved all capital proposals prior to submission to

the President.

. Recommended manufacturing sites that maximized operating flexibility and

minimized taxes. Created alternative ROI cash flow models for

manufacturing drugs in the U.S., Puerto Rico and Ireland.

. Represented Finance on a cross-functional team to relocate manufacturing

from Irvine to Waco. Managed and audited a $7 million reserve for the

transition.

. Led a joint marketing/R&D team that achieved worldwide regulatory

approval of a new glaucoma product.

EDUCATION

Certificate (similar to MPH), Management of Healthcare Organizations, UCLA

Masters in Business Administration, Finance and International Business,

UCLA

BA, Cornell University, Ithaca, NY

COMPUTER SKILLS

Excel, Word, Access, PowerPoint



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