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Manager Management

Location:
Saint Louis, MO, 63109
Posted:
June 20, 2010

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Resume:

Objective: To gain further experience in physician relationship

management utilizing my current knowledge of business

development, sales, project management, training and health care

experience.

Experience:

Company Confidential

1/2010-Present

Regional Development, Manager

. Increases recognition of Clinics in four main regions of

more than 20 specialty care clinics spanning throughout the

state by implementing key physician-related strategies,

developing key relationships with physicians and local

hospital administrators and discovering new business

opportunities.

. Directs and coordinates the development and promotion of

key service lines and programs identified by an Integrated

System within the region.

. Create and developed a physician on boarding program for

new specialist outreach clinics with local healthcare

facilities, including operational start up, identifying

networking opportunities and the coordination of local

facility services.

. Manages, coordinates and promotes CME and other physician

education opportunities.

HealthONE, HCA, Denver, Colorado

11/2007-12/2009

Physician Relations, Manager

. Managed over 1100 Medical Staff at Rose Medical Center,

through physician and physician practice interactions in

the Denver Metro area.

. Winner of Thomson Reuters Top 100 Hospitals in 2007 and the

only winner in Colorado in 2008.

. Increased targeted service line volumes every quarter by

clearly connecting solutions to physician practice needs,

filling referral gaps, designing and modifying targeted

sales plans, coordinating IT application trainings,

creating valued business partnerships, conveying a firm

understanding of the physicians' drivers and proactively

identifying business opportunities.

. Increased volume of targeted physicians more than 20% in

Inpatient Admissions and more than 13% in Outpatient

Surgical visits, each quarter of 2009.

. Increased volume in MRI, 120%, CT, 26% and PET, 26%, since

the acquisition of an outpatient, free-standing facility.

. Coordinates and participates in Physician Outreach,

including the development of outreach clinics and

coordination of CME presentations to fill the community

needs of Colorado, Wyoming, Nebraska, Kansas and New

Mexico.

Parker Adventist Hospital, Centura, Parker, Colorado

5/2005-11/2007

Physicians Services Coordinator

. Managed over 900 Medical Staff within a 13 zip code

territory by developing and maintaining relationships with

physicians and their practices through monthly visits,

frequent communication, tours, special events, seminars and

various meetings.

. Added role of Clinical Applications Trainer which includes,

training physicians and practices on applications such as

Meditech, Cerner Clinical Messaging, FUJI Synapse and Magic

Web, learning advanced FUJI Synapse, trouble shooting

reporting and pc issues and explaining policy and procedure

surrounding medical record retrieval.

. Oversaw all aspects of strategic launch/project

management for Meditech IT Software and Fuji Synapse,

Pre-implementation planning and communications,

enrollment of physicians and staff, training program

development, go-live support and post go-live

transition within a large eight

facility, integrated hospital network.

. Successfully trained over 125% of goal of key physician and

physician practices in Meditech.

. Increased Outpatient Imaging over 50% in first six months

by educating practices of Imaging services.

. Directly reported status updates to leadership at both

hospital and corporate levels.

. Developed and implemented quarterly educational seminars

for physicians and their practices bringing more exposure

to the hospital, hospital services in turn increasing

physician participation.

. Created and maintained database to track and report

physician interaction to Administration.

. Developed tools for physicians and their practices to

increase knowledge of computer applications used, hospital

service lines and various programs offered through the

hospital.

Community CarePlus, Saint Louis, Missouri

7/2002-4/2005

Compliance Analyst

. Promoted to Compliance Analyst.

. Updated 5 months of back-logged reports, grievances and appeals

within a 4 week period.

. Managed and coordinated member and provider complaints,

grievances and appeals within State mandated deadlines.

. Independently implemented new coding system for grievance and

appeals logging system resulting in an increase in reporting

accuracy.

. Developed, directed and assisted with quality improvement

projects including work plans, HIPAA compliancy issues, adverse

events, fraud, abuse and other programs.

. Accurately evaluated, facilitated and reported appeal/grievance

outcomes to the State of Missouri and Community CarePlus

management, CEO, COO and CFO.

Provider Relations Representative

. Managed 7 hospitals, 5 health departments and 4 clinic accounts

within a 6 county territory along with over 165 physicians.

. Recruited new specialists and primary care physicians in 6

counties increasing plan participation in a newly expanded area.

. Negotiated contract rates with hospitals, clinics and physician

groups successfully.

. Established and maintained positive working relationships

increasing our quality rating of over 90% in the knowledge,

accessibility and overall satisfaction from 2002.

. Educated providers with seminars and in-services on provider and

member issues, billing requirements and claims resolutions

resulting in an increase of more than 20% in physician billing

accuracy.

Magellan Behavioral Health, Earth City, Missouri

2/2001-7/2002

Provider Research/Contract Specialist II

. Analyzed, processed and executed contracts for a 13 state

territory.

. Efficiently maintained compliancy within the network

organization.

. Extensively communicated verbally and in writing with upper

management and area contract managers regarding

credentialing, policy and procedure, contract document

questions, issues and concerns.

. Regularly audited department to ensure accuracy and

integrity.

. Educated and trained computer applications to new team

members.

Saint Louis Postal Credit Union, Saint Louis, Missouri

1/2000 - 2/2001

Business Development Coordinator

. Developed and maintained positive working relationships with the

St. Louis Blues arena, St. Louis Science Center, St. Louis

Business Journal, various Wal-Marts, Marriots, Holiday Inns and

over 50 other companies by creating and organizing seminars and

membership drives.

. Recruited area businesses eligible for membership in a 4 branch

territory.

. Researched and reported member development, web site impact,

credit union compliancy both verbally and in writing monthly to

the President and Vice Presidents.

. Developed policy and procedure along with events for monthly

marketing projects within the 4 branch territory.

. Independently increased community involvement 90% by promoting

and participating in various fundraisers, charity interactions

and Chamber of Commerce activities.

. Developed and implemented incentive and volunteer programs for

members and employees.

Education: Fontbonne University, Clayton, Missouri, 9/2003

Master's in Management, Cumulative GPA 3.85/4.00

University of Minnesota, Duluth, Minnesota, 5/1999

Bachelor of Arts, Majors: Psychology and Communications

References Available Upon Request



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