Project Manager Management
Resume:
GARY BELL
Powell, OH *****
**********@********.**.***
SKILL and EXPERIENCE SUMMARY
An MBA-prepared, health care contracting, operations, business
development, and account management professional. Brings a solid blend of
clinical, middle management, and executive experience in a variety of
managed care and provider organizations. "Up-through-the-ranks" success
in all aspects of healthcare. Has advanced leadership, communication,
project management and relationship management skills honed through
successful experience with health plans, state and federal governments,
academic centers, large employers, hospitals and medical groups. Has a
solid understanding of government-sponsored healthcare programs
(Medicaid/Medicare/TriCare).
EXPERIENCE HIGHLIGHTS
Centene Corporation, Columbus, Ohio
2004 to 2009
Manager, Network Management/Contracting-Ohio
Responsibility for behavioral health provider relations, contract
management, new business implementation and business development for Ohio
subsidiary of Centene Corporation
( Managed start-up of Ohio business as first employee in the state
( Managed hospital and health system contract development and maintenance
. Coordinated the implementation of 2 acquisitions
( Created contracting methodology for Ohio Enhanced Care Management program
on behalf of subsidiary
( Served as liaison to State of OH agencies serving Medicaid (ODJFS, ODMH,
ODADAS)
( Membership grew from 0 - 150,000
Magellan Health Services, (Managed Health Care) Fairborn, Ohio 2003 to
2004
Director TRICARE Regional Service Center
Full administrative responsibility for a managed health care service center
serving 250,000 TRI-CARE beneficiaries in 10 Midwest states. Responsible
for 45 FTE, with a full array of HMO functions including call center,
member services, UR/UM, provider services and provider relations
. Reorganized Member Service and call center functions resulting in 30%
performance improvement
. Managed Joint Venture on behalf of Magellan with Humana/DOD
. Redefined account management function resulting in dramatically
improved customer relations
. Redeveloped management team, introducing accountability culture
E-MedSoft.com (Health informatics), Dublin, Ohio 2000 to
2003
Project Management Officer/Project Manager
Management responsibility for creating/maintaining Project Management and
business development functions for a healthcare Application Service
Provider.
. Created and Managed contract methodology, Statement of Work process and
Project Team structure for 23 projects totaling 31 million dollars
. Led three large software development projects, completing them on time
and under budget
. Served as contract manager/liaison to the company's largest customer
CMHC Systems, Inc (Health informatics), Dublin, Ohio 1998
to 2000
Vice President, Marketing and Strategic Business Development
Executive leadership of marketing communications, customer relations,
strategic planning, and product management relations functions of a
behavioral health care information technology company serving 600+
corporate customers in 41 states, including hospitals, state agencies and
Boards.
. Reorganized department, reduced operating expenses by 29%
. Envisioned, developed national sales seminars, resulting in
sales/expense ratio of 12-1
. Managed three-day National Users Conferences with 900+ attendees and
$700,000 budget
Gary Bell - Page 2
AccessOhio Health Systems (Managed Care), Columbus, Ohio 1995
to 1998
President and CEO
Founding CEO of statewide managed health care organization
. Managed development of winning proposal for a contract to serve 1.6 M+
Medicaid beneficiaries
. Created administrative infrastructure, HR system, MIS and other support
structures
. Developed and coordinated the start-up of a managed behavioral health
care company
. Recruited, hired, trained Clinical, Provider Relations and Finance
managers
. Developed/credentialed statewide network of 4,100 providers in 210
locations
. Designed and implemented branding/sales/marketing campaign to gain
recognition in Ohio
. Created Joint Venture with major national company
Spirit of St. Louis Hospital, Southwind Hospital, CPC Inc
1994 to 1995
Chief Executive Officer
Total administrative responsibility for 2 hospitals with 200+ operating
beds and budget of 20 million annually.
. Redesigned marketing programs, exceeding census goals by 25%
. Won award for best clinical programs in the company (45 hospitals)
. Managed team that earned JCAHO accreditation with commendation in both
facilities
. Exceeded revenue budget by 16% (1.3 ML)
General Health Systems Inc (Managed Care), Baton Rouge, Louisiana
1992 to 1994
Director, Network Management, Sales and Marketing
Management responsibility for network management, sales, and, marketing for
regional managed care subsidiary for the largest medical provider in LA.
. Developed Contracting/Network Management / Provider Relations methodology
. Developed sales function, recruited and trained 7 sales staff
. Recruited, hired, trained network management staff (Averaged 8 FTE's)
. Created proposal development operation, responding to 90 "Requests for
Proposals" for large contracts
. Managed the development of district offices in New Orleans, Houston,
Dallas and Austin
. Managed project to create statewide provider network, resulting in
addition of 1,800 providers in 450 locations in LA and subsequent contract
with LA State Employees' Group serving 110,000 beneficiaries
. Membership grew from 23,000 to 180,000 during my tenure
Integrated Behavioral Care (Managed Care), Fairfax, Virginia
1989 to 1992
Vice-President, Development
Responsibility for hospital network development and product development for
start-up of specialty PPO.
. Created and implemented network development program and business
development program
. Co-Managed development of contract with Prudential HMO for D.C. area
serving 140,000 members
. Designed and managed implementation of joint venture with Georgetown
University Medical Center
. PPO Membership grew from 0 to 185,000; revenue grew from 0 to 4.5 ML
during my tenure
CORE COMPETENCIES
. Expert in use of MS Office tools and use of the Internet in research
. Demonstrable start-up and turnaround success
. Highly-rated presenter with more than 500 presentations to groups of 3
to audiences of nine hundred
. Successful start-up of multiple new businesses
. High-level knowledge of and experience with contract management
. Leadership success in both non-profit and for-profit environments
EDUCATION
Averett University, Fairfax, Virginia
Master of Business Administration - Concentration in Marketing & Finance
Woodrow Wilson College of Law, Atlanta, GA
Completed 2 years JD course work, emphasizing contract and business law
Columbus State University, Columbus, Georgia
B.S. Administration and Planning (Dept of Ed.)
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