Manager Sales Representative

PIETER RIJKEN

**** **** **** ******, ***. *** 863-***-****

LAKELAND, FL 33805 *******@******.***.**

NETWORK DEVELOPMENT, PROVIDER RELATIONS, CONTRACT NEGOTIATIONS

Managed care executive experienced in provider relations, network

development, contract compliance, business development, hospital,

physician and ancillary contract negotiations, sales and team building.

Successfully increased hospital, ancillary and physician networks.

PROFESSIONAL EXPERIENCE:

PARIM

Regional interim management consulting firm spec ializing in

healthcare/managed care operations. processes

Interim Manager 4/2009 - Present

Provide network consulting services for Scope, clients and focus FSA,

an independent Third Party Administrator in Lakeland, FL. Also served as

Operations Manager for Chakra Info Solutions, a physician software and

billing company headquartered in Chennai, India. Oversaw day and evening

shift (total of 125 FTE's) making sure that billing workload is properly

handled, monitor workflow and analyze data to improve operations.

AvMed Health Plans, Orlando/Tampa, Florida

Not-for-profit Florida only HMO, 150,000 members

Regional Manager Network Contracting and Central Services 2006 - 2009

. Oversight of network development, contracting and maintenance for 10

counties in Central Florida.

. Managed, trained and coached 8 FTE's in two locations (Orlando and

Tampa).

. Since March 2007 Acting Director for Central Florida Network

Department.

. Responsible for P&L and departmental budgets for both Orlando and

Tampa locations.

. Turned around failing department through proper coaching and training,

resulting in increased productivity of provider representatives and

month to month team performance that was consistently number one in

the state.

. Developed strategic plan for Network Expansion in Central Florida.

After Board approval lead team effort to increased provider

contracting in Central Region resulting in more than doubling (from

3369 to 6841) the network of participating providers in Central

Florida in 12 months, while membership remained constant at 10,000

members. Reported results monthly to AvMed's Regional Growth

Committee.

. Renegotiated complex hospital network contracts with Orlando Health

and Adventist Health Systems.

. Chaired Managers Roundtable and participated in various committees and

implementation/cross functional teams e.g. Website Committee, NPI

Project Committee, EDI Task Force, etc.

HRS ASSOCIATES, Munich, Germany

Start up company specializing in corporate training.

Consultant/Corporate Trainer 2003 - 2005

. Consultant to Allianz Group Health Insurance Operations in Europe

. Lecture in American Healthcare at Ludwig Maximilian University in

Munich.

. Conduct preparation classes and coach candidates for the GMAT exam at

the MBA Center Munich.

. Coach business executives of various companies in Munich, including

E.on, Enteo, Infineon, Wacker in cultural differences, effective

presentations and prepare negotiations and meetings.

PIETER RIJKEN

5211 LONG LAKE CIRCLE, APT. 202 863-***-****

LAKELAND, FL 33805 *******@******.***.**

KEENAN & ASSOCIATES, Coral Springs, Florida

Self employed, specializing in operational healthcare/network development

consulting

1 Senior Consultant 2001 - 2002

ZWA Business Consultants - Advising Dutch turn-around consulting firm

(ZWA Business Consultants) on implementation of digital dashboards in

healthcare facilities in the US.

Medsolutions - Consultant to specialty radiology network, performing

contracting and fee negotiations.

MULTIPLAN, Inc., Ft. Lauderdale, FL

Nationwide PPO network

Vice President-Southern Region 1997 - 2001

Supervised daily operations of the Southern Region "hub" office of this

privately held company, one of the nation's largest PPO Networks. The

Southern Region administers hospital, physician and ancillary network

recruitment and retention for 15 states and Puerto Rico and the Virgin

Islands. Responsible for P& L with an annual budget in excess of $5

million.

. Directly managed four Regional Directors and oversee the activities of

over 22 managed care professionals.

. Organized and led regional team in physician recruitment project.

Build in-house CRM with which my team was able to exceed recruitment

goals by 300 % within 1st year.

. Innovated "National Centers of Excellence for Organ Transplants,"

which facilitates criteria based selection of the most appropriate

facility. This Network attracted a number of major transplant

facilities resulting in favorable global rate contracts. Personally

negotiated highly complex transplant contracts with Tulane University,

Shands, Jackson Memorial and Arkansas Children's Hospital, totaling

over $100 million in annual revenue.

Deputy Director 1997 - 1997

Promoted to Deputy Director and responsible for Florida, Louisiana and

Arkansas provider networks, including hospitals, physicians and ancillary

providers. Renegotiated favorable rates with all existing hospitals.

Managed Care Specialist 1996 - 1997

Handled administrative duties for Multiplan's Florida Network, including

conducting facility site reviews.

NHP/FLORIDA HEALTH CHOICE, Delray Beach, Florida

Not-for-profit hospital owned managed care plans

1 Provider Relation Representative 1995- 1996

Broward and Palm Beach county, FL territory.

PIETER RIJKEN

5211 LONG LAKE CIRCLE, APT. 202 863-***-****

LAKELAND, FL 33805 *******@******.***.**

HUMANA, Miami, FL

National HMO and PPO plan

Medicare Sales Representative 1993 - 1994

2 ASI WIRTSCHAFTSBERATUNG, Muenster, Germany & Miami, Florida

Risk Management Consulting company for physicians in private practice

2 European Liaison Officer 1990 - 1993

Implemented German concept of financial consulting into a strategic plan

for the American market. Reported results directly to the President/CEO.

PRIMO B.V., Breda, The Netherlands

Computer Consultant 1989-1990

1

EDUCATION:

MBA, Strategic Planning/Finance, 1988, Rotterdam School of Management,

Rotterdam, the Netherlands

BA, Criminology, 1986, Florida State University, Tallahassee, Florida

Managed Healthcare Professional from the Health Insurance Association of

America,

Washington, D.C. (1996)

LANGUAGES:

English, Dutch and German - fluent French and Spanish - fair

COMPUTER SKILLS:

MS Office applications, Amisys, Macess, EXP, Softeon, HTML, JAVA,

Javascript, CGI/PERL, Visual Basic, ACT!, VisualPage.

Community affiliation:

. Member Toastmasters International

. President Victory Toastmasters, Lakeland, FL

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