ANTHONY E. COOPER, FHFMA, CFE

*** **** ******

TOMAH, WISCONSIN 54660

608-***-****

abli9q@r.postjobfree.com

OBJECTIVE:

To make a difference by coordinating diverse activities in manner that

makes it possible for an organization to effectively accomplish its

mission. . To draw upon lessons learned as a care advocate for others and a

patient in assuring that

the community of contributors to organization success work together. To

earn a reliable source of revenue. To make effective use of knowledge and

skills obtained through work and life experiences and a continuous

investment in education.

POTENTIAL VALUE

ADDED

Turning setbacks into opportunities for growth. Responding to life's

challenges by improvising, adjusting and overcoming. Inspiring, motivating

and coaching others. Using documentation, auditing, evaluation and

interactive feedback to build pyramids for success. Investigating,

researching and applying best practices to elevate performance.

MY LIFE JOURNEY

Tomah and Sparta School Districts, Tomah and Sparta, Wisconsin

SUBSTITUTE TEACHER

04/2008-Present

Substitute taught for Tomah and Sparta, Wisconsin school districts.

Successfully managed the classroom challenges of elementary, special

education, middle school physical education, mathematics and English ;

high school agriculture, biology, English, German, mathematics (algebra

and business mathematics), physical sciences, physics, science, social

studies and classes for the learning impaired.

Wisconsin Department of Health Services, Madison, Wisconsin

BUDGET AND POLICY ANALYST-ADVANCED

01/2008-03/2008

Produced Family Care budget package using Wisconsin Medicaid

Evaluation and Decision Support (WMEDS) warehouse,

Business Objects and Excel and made modifications to take into

account constantly changing and sporadically documented

business cases. Prepared financial impact analyses for transitioning

Medicaid recipients between institutional status and the

Family Care program using the WMEDS, Business Objects, Access and

Excel.

Manpower at IBM Rochester, Minnesota

FINANCIAL ANALYST

09-200*-**-****

Competed with thirty five others for one of five final positions

while serving as financial help contact person for five IBM organi-

zations collectively employing over 600 employees. Learned and

applied innovative IBM methods for efficiently preparing

and explaining monthly forecasts through use of Brio and QMF queries

and Essbase tools. Assured proper set up, billing

and recoupment of hundreds of inter- company agreements and documents

of understanding. Received first hand introduction

to potential efficiencies offered by communications software like

Team Room, Second Life and Remote Access.

Tomah, Wisconsin

CAREGIVER

05/2002-04/2010

Contributed to care of elderly parents who were in their 80's.

including serving as caregiver for a mother who died of

Panceatic Cancer and suffered multiple dehabiliating eye strokes and

a father unable to walk without assistance, and suffering

from multiple life threatening conditions and progressive decline in

mental function.

Tomah, Wisconsin

RENEWER

05/2002-05/2010

Organized volunteer team to recommend generic financial officer job

description for inclusion on HFMA-Wisconsin web site.

Created off the shelf HIPAA privacy and security presentations to

help Wisconsin HIPAA Collaborative workgroup members

preposition assets in advance of HIPAA compliance deadlines. Wrote

article and portions of requests for proposal in

support of a start up risk management company, The Masters Academy.

Pitched, organized and presented seminars on Internet

Marketing, Competitive Security and Leadership for Lorman Education

Services and UW-La Crosse Continuing Studies.

Reviewed books and articles for Healthcare Financial Management

magazine.

Anthem Midwest, Inc., Mason, Ohio 45038

LEAD FINANCIALANALYST-

10/8/2001- 4/26/2002

Produced analyses using the tera data warehouse, business objects, Excel

and Access that answered leadership questions about reasons for

unexpected increases in healthcare costs through production and

interpretation of drill down analyses.

Mastered and beta tested new niche software, accumulated and distributed

new software best practices to colleagues and monitored the impact of

colleague conversion to use of the new software.

Health Net of Arizona, Inc., Phoenix, Arizona

SENIOR FINANCIAL ANALYST,

02/26/2001-05/31/2001

Supported senior management of financially stressed organization

desperately seeking ways to avert collapse of division membership

from 350,000 to 50,000 members in the space of six months..

RSM McGladrey, Inc., Minneapolis, Minnesota

HEALTH CARE CONSULTANT,

04/2000-08/2000

Produced RSM McGladrey, Inc. American Medical Group Management (AMGA)

report for RSM Mc Gladrey, Inc. medical group clients..

Kansas Foundation For Medical Care, Inc. (KFMC), Topeka, Kansas 66614

HEDIS COMPLIANCE AUDITOR

4/15/1998- 06/30/1999

Sold skeptical board and senior management on compliance auditing as

a possible line of business. Learned compliance auditing

by reviewing baseline surveys, developing audit work papers,

organizing audit agenda, rehearsing and performing onsite audits

and writing up and defending final audit reports. Prepared payment

integrity program portion of Medicare contract renewal.

Blue Cross Blue Shield of Minnesota, Eagan, Minnesota

CONTRACTOR,

08/14/1997-12/30/1997

Developed and implemented an Access tool for assessing effectiveness

of alternative strategies for controlling staffing, equipment

and administrative overhead expense. Role included developing

application in conjunction with Excel developer, serving as liaison

to division controllers and data base administrator, providing

technical specification documentation, training staff and arranging

application transfer from prototype to operational status.

University of Minnesota Clinical Associates, Minneapolis, Minnesota

(UMCA)

CONSULTANT

01/08/1997-04/28/1997

Lived up to opportunity from UMCA transition leadership by producing

productivity benchmark comparison reports that were communicated to

stakeholders during a combination takeover by the Fairview Health System

and consolidation of nineteen physician businesses into one central

billing unit.

University Physicians, Inc., University of Maryland Medical System,

Baltimore, Maryland

SHORT TERM HEALTHCARE ANALYST

08/08//1996- 10/29/1996

Provided cardiology contract stakeholders with tools for deciding upon

conditions for continued cardiology contract participation. Report package

validated price effectiveness of cardiology code compression and accuracy

of contact capitation distributions and payment of Pediatric Cardiology

charges by a Third Party Administrator..

Missouri Department of Insurance, Jefferson City, Missouri

INSURANCE HEALTH INSURANCE ANALYST

02/15/1995-07/14/1995

Sought to build a position for myself by serving as go-to person for

assignments not performed by others: Researched autonomous provider

legislation, financial exam and market conduct data related to

proposed insurance company mergers and/acquisitions and issues

addressed at regulatory hearings.

Medical College of Wisconsin, Faculty Physicians and Surgeons, Milwaukee,

Wisconsin

REIMBURSEMENT MANAGER,

02/01/1994- 09/30/1994

Facilitated actions of temporary charge compliance audit team that

anticipated the outcome and scope of probable Medicare related audits.

Carried out wishes of leadership in producing charge pick up analyses

to verify the accuracy and reliability of biller performance. Followed

expert guidance in scrutinizing remittance advices to identify

opportunities for revenue growth available from correction of billing

and claims payment errors and staunching of revenue leakages.

Owings Mills, Maryland

Blue Cross Blue Shield of Maryland,

PERFORMANCE SUPPORT, SYSTEMS AND FINANCIAL ANALYST POSITIONS,

04/ 1988- 07/28/1993

Prevented the adoption of unworkable information system conversion by

assertively communicating results of conversion

system acceptance tests to information system conversion committee.

Established a corporate Toastmasters club to facilitate interdepartmental

communication. Diminished possibility of unadministratable contracts

through championing pre-contract evaluation checklist. Reduced cost of

compliance with government mandates through cross walks that showed ways to

reduce duplication of effort. Researched operational costs of compliance

with proposed statutes, regulations and policy issuances. Managed

settlement process with physician groups and IPAs.

Blue Cross Blue Shield of Florida; Jacksonville, Florida.

DEVELOPMENT SPECIALIST, 07/1985-03/1988

Supported the development of state of Florida account standardized

subscriber agreement. Developed adequate provider networks for

coverage of Palm Beach county Medicare beneficiaries and commercial

enrollees by closing on financial terms for Palm Beach County hospital

agreements. Arrived at final settlements on hospital contracts by

resolving claims payment discrepancies between the health plan and

hospitals.

Forest Lake Doctors Clinic, Forest Lake, Minnesota

PHYSICIAN PRACTICE CONSULTANT/COMPTROLLER

01/1985-06/1985

Produced summary financial reports showing current status under Blue

Cross Blue Shield of Minnesota and Share agreements and forecasting

future performance absent changes in contract terms. Supported staff

cross training effort to promote greater flexibility in day to day

operations.

Missouri Medicaid, Jefferson City, Missouri

ASSISTANT DIRECTOR, PREPAID HEALTH SERVICES UNIT

09/1983-09/1985

Developed Physician sponsor program manual and bulletins and organized

orientation sessions for hospital and physician

office staff in Kansas City, Missouri. Arrived at pre-paid agreement

reporting package by incorporating draft reviews and

comments from effected prepaid health plans

St. Marys Hospital Medical Center, Madison, Wisconsin

SUPERVISOR, PATIENT ACCOUNTS

01/1981-12/1981

Supervised 15 person hospital billing and accounts receivable unit .

Capital Area Comprehensive Healthcare, Harrisburg, Pennyslvania

PROJECT DIRECTOR

09/1979-08/1980

Performed all tasks necessary to convert the possibility of a community

based HMO into a viable candidate for start up

investment by the federal government, Commonwealth of Pennsylvania and/or

private investors.

RESQU, Springfield, Missouri

PROJECT DIRECTOR

04/1978-04/1979

Performed all tasks necessary to evaluate the feasibility of establishing

a Green County Medical Society sponsored

HMO.

EDUCATION

University of Massachusetts, Amherst, Massachusetts

M.S. in Public Health -5/1974

All requirements for degree completed except for thesis.

University of Wisconsin - Madison, Wisconsin

BACHELOR OF ARTS IN ECONOMICS - 8/1972

Graduated with special distinction

Accounting and finance coursework through the University

of Indiana School of Continuing Studies (July 2009- May 2010)

Computer Software courses in Microsoft Access through

Western Wisconsin Technical College (April 2010-M ay 2010)

CERTIFICATIONS

AND RECOGNITION

Certified Fraud Examiner (CFE) (Now current through September 2011)

Fellow of the Health Care Financial Management Association (FHFMA)

designation -

specialization in the Financial Management of Physician Groups and

Managed Care.

(Now current through 2013)

Able Toastmasters (ATM-Silver) - 2/2001

Contact this candidate