Management Health

ROGER R. GUNTER

Highlands Ranch, CO ********@*******.*** Cell: 720-***-****

http://www.linkedin.com/in/rogergunter

Summary

Innovative - visionary - results oriented Senior Level executive, with 20+

years of experience, who is recognized as a change agent capable of

building focused teams, transforming health-care delivery, implementing

rapid transitions, and positively impacting the bottom line as well as the

corporate culture.

A talent for formulating questions and identifying problems, focusing on

effectiveness, and finding creative solutions to the challenges of

uncertainty.

Core competencies include:

. Process Reengineering . Project Management . Strategic Planning

. Effective Team Execution . Resource Optimization . Lean Six Sigma

. Budgeting and Forecasting . Mentoring and Coaching . Quality

Management

Professional Experience

Senior Director - Product and Program Outcomes McKesson Health

Solutions

2006 to 2010 Broomfield, CO

COMPANY SYNOPSIS: McKesson Health Solutions, a Fortune 15 Company,

provides products and services that help payors and providers manage the

business and process of care for members with Chronic Care Conditions

through Disease Management Services.

. Retained $534MM in contract renewals and new business development

by conceptualizing, developing, and implementing sound business

strategies against roadmap requirements.

. Erased negative ROI, and penalties to zero payback and positive

ROI in 24 months, project managed and implemented seven pilots

improving outcomes by 312%.

. Collaborated with cross-functional stakeholders ensuring alignment

with the vision and strategy of the services business resulting in

enhanced efficiencies by 42%.

. Developed corporate-wide scorecard and analytics to monitor

success against business plans for all products and product

features enriching comparative analysis by 923%. Designed

initiatives to improve patient safety, quality, and the use of

medical homes.

. Designed and executed training for pay-for-performance program

that increased member participation by 45%. Conducted Provider

Advisory Boards to exchange information and create short and long-

term plans. Established annual community need-based budgetary

plans.

. Trained Account Management, Marketing, and Operation teams,

including all Local Medical Directors, in the importance of

monitoring program performance and client satisfaction through

both management and technical leadership, which shrank penalties

by 1,116%.

. Transformed the use of Medical and Rx Metrics used in Disease

Management across the entire client base, reducing payback by 72%.

Developed presentation standards.

Director - Finance and Actuarial Services Colorado Access

2005 to 2006 Denver, CO

COMPANY SYNOPSIS: A nonprofit health plan that provides access to

behavioral and physical health services for medically underserved

Coloradans.

. Directed all financial, decision support and actuarial services for

$181,000,000 in premiums by optimizing the use of information to

support the mission, decreasing hospital costs by 38%.

. Achieved savings of $8,200,000 through improved operations, cost

analysis, and reporting utilizing the effective use of financial,

clinical, and operational data.

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. Forecasting accuracy of 92.4% for developing budgets, risk contract

settlements, IBNR calculations, cost projections, health care

utilization, expense, and revenue reporting.

. Reduced $1,200,000 in reinsurance premiums by aggressively modeling

risk levels. Redesigned all financial procedures during the

company's largest fluctuations in growth.

Director - Rates/Pharmacy/Program Integrity/Data Health Care Policy

and Financing

1994 to 2005 Denver, CO

COMPANY SYNOPSIS: State Medicaid Agency responsible for administering

the $2.9 Billion fund providing health care benefits to low income

families and individuals. 400,000 Coloradans.

. $1.4 Billion budget responsibility for acute care and $150 Million

budget for mental health services. Extensive collaboration with

legal to assure regulatory and contractual compliance. Direct and

Indirect staff of 46 FTEs.

. Directed fraud and abuse effort increasing recoveries by 82%

through forensic claims analysis. Evaluated and interpreted

collected data utilizing statistical and computer modeling.

. Contract development and management for four MCOs, the PACE program

and five BHOs for the statewide MH delivery system worth

$450,000,000 saving taxpayers $40 Million.

. Pharmacy program director achieving 98.4% in accounts receivable

from drug rebate program, best result in USA, implemented strategic

direction and cost control measures. Managed all aspects of

analysis and data mining, which resulted in unparalleled outcomes

and efficiencies.

. $201 million budget for providing managed care contracts.

Developed the Medicaid Managed Care program regarding strategy,

processes, and "Coordination of Benefits".

. Instrumental in the design of the nursing home to waivered services

analysis for PACE rate development, improved reliability of model

by 62% and saved $150,000,000 over 10 years.

. $162 million cost avoided and recovered due to aggressively

implementing regulations.

. Directed the Department's reorganization from hierarchical to

functional in order to increase effectiveness and flexibility

reducing management layers by 57%.

PREVIOUS EXPERIENCE

Administrator The Children's Hospital

Management Engineering Rocky Mt. HealthCare Corp

Management Consultant A.T. Hudson & Co.

EDUCATION

Master of Health Care Systems, Strategic Healthcare Management, University

of Denver, Colorado

Bachelors Biology & Psychology, University of Colorado, Boulder, Colorado

COMPUTER SKILLS

Office Expert - Word, PowerPoint, Excel, and Outlook - Lotus, MS Project,

Visio, Access

VOLUNTEER and BOARD ACTIVITIES

President - Arapahoe High School Boys Lacrosse Club 2004 - 2007

Director Fundraising - Littleton Hockey Association 2001 - 2006

Youth Coach: Football, Soccer, and Lacrosse 1992 - Current

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