Medical Manager
Resume:
Executive Summary
Extensive experience in Accounting, Finance, Budget/Planning, Decision
Support/Financial Analysis, Information Systems and Regulatory Reporting.
Passionate about quality and customer satisfaction. Record of improving
efficiency, productivity and employee satisfaction through project
management, process improvement, effective communication skills and
outstanding interpersonal and motivational skills.
Professional Experience
Community Hospitals of Central California (d.b.a. Community Medical
Centers). 1998-2010
A Community based not for profit healthcare provider offering a wide
variety of inpatient and outpatient services to the Central Valley.
Director of Financial Planning and Analysis
Reported directly to the Vice President of Finance. Responsible for
directing the work activities of 2 managers and 8 employees in the
Financial Decision Support and Budget Departments. Financial Decision
Support includes cost accounting, payer contract modeling, standard and ad-
hoc financial reporting and analyses, and database administration. Budget
Department responsibilities include the facilitation of the annual capital
and operational budgeting processes, long term financial planning and
forecasting, preparation and reporting of patient statistics and analytical
support for the accounting department.
. Medicaid Disproportionate Share (DSH) subject matter expert.
Knowledge of all calculations and regulations pertaining directly
to the Fresno hospital. Responsible for obtaining in excess of $42
million annually in DSH Supplemental Funding.
. Responsible for tracking proposed legislation at both the State and
Federal levels and reporting the potential financial impact to
hospital management.
. Developed Excel based Proforma Cash flow modeling tool accepted by
upper management and the Board of Directors as the financial tool
for evaluating large projects requiring capital outlay.
. Developed a model that calculates estimated budgeted net revenue
for each hospital by patient and payer type.
. Consistently attained high annual Employee Satisfaction Scores.
Director of Finance
Reported directly to the Vice President of Finance. Responsible for
directing the work activities of 10 Managers, 3 Supervisors, and over 40
employees in Accounting, Accounts Payable, Payroll, Treasury, Financial
Decision Support, Budget, Government Reimbursement, Revenue Management,
Corporate Reporting, Medical Decision Support, and Outpatient Coding.
. Oversaw the annual third party audit of financial records including
special audits on Federal Grant Programs.
. Introduced the organization to the concept of Revenue Cycle
Management.
. Worked with the State of California to obtain approval for an
additional $17 million in supplemental funding from the Federal
Government via Intergovernmental Transfers.
. Assumed the Directorship of the Medical Decision Support Department
from Quality Management. Reorganized the department and established
a stable, productive structure that was integrated back into
Quality Management.
. Successfully directed and project managed the installation of a new
employee timekeeping system.
Manager of Government Reimbursement
Reported directly to the Director of Finance. Responsible for managing the
work activities of 2 employees and a consulting firm working specifically
on Medicare and Medi-Cal Cost Reports, annual and quarterly Office of
Statewide Health Planning and Development (OSHPD) financial reports, all
government supplemental funding, and associated audits and appeals.
. Individually responsible for Medicaid Disproportionate Share
projections, knowledge of regulations, and keeping abreast of
current and proposed legislation.
. Took responsibility of the Government Reimbursement functions in
1999. Worked closely with outside consultants on preparation of
all cost reports and resolution of all appeal and audit issues.
. Implemented and successfully completed a strategy to return all
Government Reimbursement functions in-house by the year 2002.
Manager of Financial Decision Support
Reported directly to the Director of Finance. Responsible for managing the
work activities of 7 employees with responsibilities in Financial Decision
Support, Government Reimbursement, and Revenue Management.
. Established a higher level and sophistication of analyses for upper
management decision making by training analysts to prepare reports
that conveyed relevant and pertinent information.
. Revamped the level of work done on the Charge Description Master
(CDM) to include more emphasis on compliance, rate setting,
periodic review, and direct involvement with clinical departments.
. Facilitated the replacement of the existing Decision Support System
with newer, more robust, technology.
. Identified system opportunities that improved the accuracy of
managed care expected reimbursement calculations which increased
hospital profits and provided leverage during contract
negotiations.
San Joaquin Valley Rehabilitation Hospital
1994 - 1998
A for profit Rehabilitation and Skilled Nursing Hospital offering
transitional Inpatient and Outpatient services to the Fresno area.
Chief Financial Officer (CFO), Assistant Controller, Staff Accountant
Involved in all financial aspects of the hospital operations in addition to
managing the areas of Medical Records, Data Processing, Cafeteria
Operations, Plant Operations/Maintenance, and Housekeeping.
. As CFO, worked closely with the CEO to establish Fresno's first
combined Outpatient Rehab/Fitness facility (Lifetime Fitness and
Rehabilitation Center). Reviewed and approved all balance sheet
account analyses, journal entries, contractual adjustments, and bad-
debt write offs. Acted as team lead during Joint Commission of
Accreditation of Healthcare Organizations (JCAHO) surveys for
Finance, Plant/Housekeeping, Medical Records, Data Processing and
Cafeteria Operations.
. As Assistant Controller/Staff Accountant - prepared and entered all
required monthly and year end journal entries including
consolidating entries. Prepared and presented all balance sheet
account analyses monthly including bank reconciliations and fixed
asset roll-forward schedules. Prepared and filed Quarterly SEC-10Q
Reports. Prepared and submitted annually all Medicare and Medi-Cal
Cost Report data to the corporate office for timely and accurate
filing. Managed all data processing functions for the hospital,
including system backups and restores, nightly batch processing,
system and software maintenance and upgrades, technical support,
and training.
FIserv Fresno, Incorporated (Formerly GESCO Corporation)
1984 - 1994
An industry leading data processing company serving the Thrift and Banking
Industries in the Western United States.
Senior Systems Analyst, Senior Business Analyst, Senior Financial Analyst,
Financial Analyst II, Financial Analyst I
Responsible for all of the company's Merger and Acquisition analyses, new
business analyses, ad-hoc business plans, personnel and capital budgets in
addition to providing Novell LAN and Accounting software support.
Recipient of 3 Employee of the Year nominations and the 1991 Unsung Hero
Award.
. As a Senior Systems Analyst, performed the configuration and
installation of local and wide area network hardware and software
for new clients. Provided all of the Financial Support for the PC
Technical Services Division of FIserv.
. As a Business/Financial Analyst, reported directly to the Vice
President of Finance and the Executive Committee. Prepared
detailed proforma modeling on all Merger and Acquisition prospects.
Worked with Marketing Management to analyze profitability and cash
flow impact on all new prospects and contract renewals. Produced a
comparative pricing analysis, in conjunction with Price Waterhouse,
which developed the target market published in the 5 year strategic
plan. Developed in-house database applications such as
Telecommunications Billing System, Human Resources System, Key
Inventory System. Responsible for all aspects of the Personnel and
Capital portions of the Annual Budget.
Education
California State University, Fresno
Bachelor of Science in Business Administration/Accounting, Magna Cum
Laude
4 C's (Heald) Business College, Fresno
Graduated with a Certificate of Completion, Advanced Accounting
Program
Fresno City College
Completed General Education Requirements
References
Ms. Shirley Pacleb Ms. Debbie Moffett
Manager, Financial Decision Support Vice President of
Finance
Community Medical Centers Community Medical Centers
1925 E. Dakota Avenue, Suite 214 1925 E. Dakota Avenue,
Suite 206
Fresno, CA 93726 Fresno, CA 93726
*******@****************.*** ********@****************.***
Mr. Kudzi Muchaka Mr. James Cole
Director, Medical Decision Support Director of
Government Reimbursement
Community Medical Centers Community Medical Centers
1925 E. Dakota Avenue, Suite 214 1925 E. Dakota Avenue,
Suite 214
Fresno, CA 93726 Fresno, CA 93726
********@****************.***
*****@****************.***
Ms. Ginny Burdick
Senior Vice President/Chief Human Resources Officer
Community Medical Centers
2823 Fresno Street
Fresno, CA 93721
********@****************.***
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