ROBERT G. PELOSI

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

Canton, OH **708

330-***-****

abmfka@r.postjobfree.com

Education: MBA Management, University of Akron, Akron, Ohio

B.S., Zoology, Kent State University, Kent, Ohio

Certifications CMPE (Certified Medical Practice Executive) MGMA

Memberships: (C)/(SC)ASCP Clinical Lab Certifications

HFMA and Toastmasters International past member

Positions:

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2008-June 2010: North Canton Medical Foundation

Manager, Business Development/Managed Care

. Coordinated joint Marketing initiatives with managed

care plans to maximize member enrollment and market

share growth

. During this period, successfully brought on board 10

new payer contracts representing 150,000 Stark County

covered lives

. Acted as patient and staff liaison with managed care

plans

. Organized Monthly Managed Care Task Force group

. Developed management benchmarking reports for

physicians

. Developed Outpatient Service Line and Market Share

Analysis Studies

. Directed managed care strategy for 45-physician multi-

specialty practice negotiating above-market premium

rates & cost/quality incentives

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2000-2008: Aultman Hospital, Canton, Ohio

Finance Department, Decision Support Specialist

. Strategic Consultant role responsible for providing

market research and project analysis & support for

clinicians, hospital administration, and AultCare

Health Plan.

. Managed Hospital Daily Census process and Budget

Planning

. Created forecasting models for annual budget process

used in projecting utilization targets accessing The

Advisory Board tools.

. Implemented monthly Market Utilization Report for

senior management

. Headed process for selecting facility-wide hospital

benchmarking service.

. Directed a team responsible for selecting decision

support system.

. Participated in data gathering process supplying key

clinical metrics

for clinical trial studies.

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1993-2000: Summa Health System, Akron, Ohio

Director, Managed Care & Contracting.

. Managed and directed facility-contracting initiatives

with major healthcare plans including Medical Mutual,

United Healthcare, Kaiser Permanente, SummaCare, and

PHO Agreements.

. Lead departmental initiatives for revenue

enhancement, including silent-PPO audit.

. Responsible for pursuing strategic directives for new

business.

. Responsible for tracking and reporting quarterly

contract performance.

. Optimized contract terms based on evaluation of

contract performance by reimbursement areas.

. Acted as a resource to senior management regarding

strategic planning in managed care market.

. Led Managed Care Task Force consisting of hospital

operations areas.

Akron City Hospital, Akron, Ohio

Laboratory, Medical Technologist; Stat Lab, RIA,

Toxicology/Drug Analysis

Other

Accomplishments:

. Recently delivered presentations to local groups

regarding regional and national healthcare and

managed care topics.

. Successfully negotiated and monitored payer contracts

to include array of physician performance incentives

and cost target/bonus incentives

. Reengineered Aultman Hospital reporting process,

including creation of executive dashboards leading to

optimal decision-making capabilities for clinical

management and executive staff.

. During one-year period ending December 31, 2000

generated $5.8 million system revenue increase for

Summa through contract (re)negotiations.

. Developed managed care strategic plan including

silent-PPO initiative netting hospital estimated

$310,000.

. Successfully developed online Managed Care Operations

Manual for staff.

. Completed 18-course (54 hrs) MBA in only three years,

while employed full-time.

. Proficient with all MS Office products including MS

Access

Personal: Hobbies include golf, running, snorkeling

Recently competed in annual Challenge Series competitive

running events

Coached Jackson Girls Softball and Boys Baseball Teams

1996-2000

References: Furnished upon request

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