Management Medical

VICTORIA BERGMANS, MBA, CHFP

**** ****** ***** ? Austin, TX 78722

Cell: 512-***-**** ? *********@******.**.***

HEALTHCARE FINANCE EXECUTIVE

Thought Leader(Change Agent

Accomplished senior finance executive with a verifiable track record of

success in driving strategies, initiatives and processes that generate

dynamic gains in financial performance and operational efficiencies.

Implement root cause analysis to direct change initiatives that increase

profitability and reduce operational complexity. Teacher, coach and mentor

at heart, with a collaborative management style and a reputation as a

problem solver and change management expert.

Expertise

Corporate Finance Management Financial Forecasting & Planning

Strategic / Tactical Planning & Financial Modeling & Analysis

Execution

Budget Development and P&L Leader Decision Support & Risk Analysis

Operational & Financial Risk Management Operational Analysis, Evaluation and

Changes

Pricing and Asset Optimization Lean Management Concepts

Treasury & Cash Management Building Coalitions to Achieve Goals

PROFESSIONAL EXPERIENCE

Chief Operating Officer, Empowerment Options, INC., Austin, TX - 05/07-

07/09

Responsible for the integrity of financial information and systems for a

privately owned long-term healthcare corporation that provides targeted

case management and residential/in-home support to people in ICF/MR Nursing

Facilities and HCS/CLASS/CBA Medicaid 1915 (c) waiver settings.

Provided central business office leadership for financial, accounting and

revenue cycle operations including, cash management, capital planning,

billing, A/R, A/P, payroll, general ledger, external reporting and end of

period reporting. Delivered sustainable change and turnaround of financial

functions; pinpointed and corrected inefficiencies, re-engineered

operations, and devised strategies to increase revenue and profitability.

Served as a member of HB 2540 Work Group (80th Texas Legislature Session)

tasked with developing a pilot cost report to simplify, streamline, and

reduce costs associated with Medicaid cost reporting and auditing

processes.

Recruited to turnaround a significant operating loss(successfully implemented

process improvements that have brought the company to profitability for 2

consecutive years.

. Introduced initiatives encouraging staff ownership of functions: efforts

cut bottleneck occurrences; reduced waste in core processes; facilitated

collaboration between departments.

. Decreased billing turnaround 15%: resulted in improved cash flow; turned

red operating lines into black; which paved the way for the acquisition

of a $1.2 million commercial building.

. Set benchmarks and standardized payroll workflow; cut payroll errors

99+%.

. Boosted occupancy to 96% by implementing a bed hold agreement and daily

reporting of facility census--promoted a business mindset among team by

instilling the importance of occupancy rate and the direct correlation to

the bottom line.

Served as a strong, motivational leader who placed emphasis on teamwork, clear

organizational alignment and accountability to achieve strategic business

goals.

. Developed key performance indicators based on financial modeling of the

HHSC rate factors and analyzed utilization patterns/case mix/cost to

assist the executive team with interpretation of the financial/operating

results.

. Achieved balance sheet integrity, prepared weekly cash forecast and

stabilized the issuance of timely and accurate financial statements to

comply with loan covenants.

CONTINUED

VICTORIA BERGMANS - PAGE 2

Cell: 512-***-**** ? *********@******.**.***

PROFESSIONAL EXPERIENCE CONTINUED

Chief Financial Officer, People's Community Clinic, Austin, TX - 01/05-

05/07

Multi-site non-profit ambulatory care practice, which serves as a patient-

centered medical home for 11,000 uninsured/underinsured children and

adults, using a holistic-teamed based approach to care.

Full accountability for day-to-day accounting practices, operating and

capital budget development, audit and internal control functions and the

financial strategy of new business initiatives. Member of Finance

Committee and presented CFO Report to Board.

Recruited for a 2-year executive assignment to re-engineer the revenue cycle

and patient access functions -within 90 days completed process mapping and

developed a 2-year end-to-end revenue cycle plan.

. Introduced ground-breaking philosophies and methods that: automated

routine tasks; increased provider productivity; cut inefficiencies;

maximized patient/carrier revenues.

. Delivered $260K return of sustainable revenue within 1 year--outstripping

board expectations.

. Attained cash flow targets and achieved 25% increase in cash collections

with an 8% boost in patient visits, within the 1st year by restructuring

the revenue cycle and financial operations.

. Attained 45% reduction in A/R for Medicare, Medicaid, Medicaid managed

care and CHIP product lines.

. Reduced denied claims 52% and denied charges 36% through the creation of

a cross-functional denial management team and implementation of

electronic data interchange.

. Increased days of cash on hand from 62 days (2004) to 143 days (2006).

Implemented growth strategy to maximize ROI and optimize team productivity

and efficiency.

. Developed pricing based on RBRVS cost accounting for the RFP issued by

DSHS for Title V, Title X and Title XX family planning services--that

obtained $500K.

. Conducted provider compliance reviews, including; prospective billing

reviews, chargemaster and billing system reviews for CHIP Perinatal and

the Medicaid Women's Health Program.

Regional Finance Director, Centene (Cenpatico), Austin, TX - 10/03-01/05

Served as a liaison to Centene corporate finance department. Responsible

for implementing and enforcing financial accountabilities, controls,

processes and systems to ensure the integrity of all data items on

revenues, medical costs and enrollment.

Served on Board of Directors for TEJAS (Centene/ATMHMR) and NCBH

(Centene/Hill Physicians Medical Group). Directed finance team in

preparation for the initial URAC accreditation survey. CBH was awarded 3-

year health plan accreditation (2005). Matrix reporting relationship to

Plan CEO/CFO.

Applied business intelligence and forecasted business trends to consistently

deliver mission-critical results.

. Responsible for analysis and completion of the financial section of the

RFP issued by the Arizona Health Cost Containment System to manage

behavioral health services for Title XIX and XXI recipients in Yuma,

LaPaz, Gila and Pinal Counties-- $78 million contract was awarded (2005).

. Analyzed historical enrollment, utilization patterns and claims

experience to develop the behavioral carve-out full risk capitation rates

and ASO fees for Centene-owned health plans in TX, WI, IN, OH (700,000

lives).

. Provided leadership for annual operating plan development and rolling,

quarterly forecasting activities, for premium, medical, and gross margin--

including medical trend analysis.

. Using the inventory/received claim methodology, collaborated with Medical

Director, Plan CEO, corporate finance, contracting, and claims to set

monthly IBNR, but held full accountability for the estimate. Provided

requested information regarding the calculation to Milliman and/or KPMG

on a quarterly basis.

CONTINUED

VICTORIA BERGMANS - PAGE 3

Cell: 512-***-**** ? *********@******.**.***

PROFESSIONAL EXPERIENCE CONTINUED

Regional Director of Finance, III, Mosaic, INC., Omaha, NE/Austin, TX -

01/96 - 07/03

$170.0 (M) non-profit long-term care organization that provides advocacy,

home health and residential services to people with intellectual

disabilities in 14 states and Great Britain.

Presented testimony at state and legislative hearings as Chair of the

Reimbursement Committee for the Private Providers Association of Texas.

Responsible for health policy analysis and recommendations as it related to

Medicaid. Matrix reporting relationship to CEO/CFO.

Member of a 5-person transdisciplinary team responsible for strategic

planning, directing operations and financial management of regional business

units with total annual revenue of $28 million.

. Selected by CFO to conduct in-depth financial analysis of business units

operating in deficit positions and negotiated and executed multi-million

dollar state/federal revenue contracts in AL, HI, OK, PA, OR, TX and

Great Britain.

. Standardized the billing/collection process for the TX business units,

which reduced outstanding A/R to less than 30 days and reduced bad debt

to less than .005%.

. Conducted quarterly internal audits to ensure billing

integrity/regulatory compliance with the OIG Corporate Integrity

Agreement and OMB Circular A-133.

. Responsible for identifying and translating financial data into

meaningful use to assist business unit leadership in developing/executing

annual operational plans/budgets.

Driver of organizational overhaul(charged with organizing strategic goals to

eliminate underperforming corporate lines of business.

. Led the due diligence process and participated in the sale of 2

underperforming Alabama business units--transfer of ownership was

completed within 45 days.

Led the development of a business plan to expand services to include an

integrated childcare facility in the San Angelo, TX business unit.

. Obtained funding of $200K from the Interagency Council on Early Childhood

Intervention for a respite pilot project.

Early Career

Operations Supervisor - ADULT RESIDENTIAL SERVICES, Grand Rapids, MI -

08/94 - 09/95

Practice Administrator - WEST SHERMAN DENTAL, Muskegon, MI - 07/79 - 07/94

EDUCATION and CERTIFICATIONS

Master of Business Administration, Grand Valley State University,

Allendale, MI

B.S. in Allied Health Education, Ferris State University, Big Rapids, MI

Certified Healthcare Financial Professional (CHFP), Healthcare Financial

Management Association

Lean Management Certification, ExpertRating

PROFESSIONAL ASSOCIATIONS

Member, Healthcare Financial Management Association (HFMA)

Member, American College of Healthcare Executives (ACHE)

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