Sales Medical

William Ayres

Email: *********@********.***

Address: **** ********** ******

City: Newbury Park

State: CA

Zip: 91320

Country: USA

Phone: 805-***-****

Skill Level: Senior

Salary Range: $200,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

William H. Ayres, Jr.

1552 Applefield Street, Thousand Oaks, California 91320

Phone 805-***-**** FAX 805-***-**** Cell 805-***-****

Email *********@********.***

EXECUTIVE PROFILE

Senior Healthcare Executive with strong Revenue Cycle, Healthcare Consulting, Marketing & Sales, Business Development, Operations, Corporate Development and Strategic Alliance management background with following specialty areas:

Strategic Sales & Marketing Management

Senior Management/Healthcare Industry

CRM/ASP/ERP Marketing Applications

Managed Healthcare Operations

Full Budgetary and P & L Responsibility

Senior Executive/Financial Services Industry

Contact/Call Center Marketing Management

Medical Clinic Operations

Durable Medical Equipment Revenue Cycle and Billing services

Medicare Advantage Enrollment

Government Sponsored Healthcare Programs

Managed Care Commercial Lines

Online Sales Support tools

Corporate & Business Development

FY10 Healthcare Reform Market Strategy

FY10 ICD-9/ICD-10 Conversion Management Deployment

Full Revenue Cycle Transformation Development

HIPAA Regulatory and EDI Compliance

Medicare Advantage/Medicare Managed Care Operations

Academic Medical Centers

Closed End Medical Provider/Payors

Working knowledge of various Patient Accounting and Healthcare Claims Processing systems/software

E-Solution & E-Business Applications

Start-up & SBU Experience

Healthcare/Managed Care Delivery

Data Base Marketing Management

Healthcare Revenue Cycle Management

Product & Brand Research Marketing

Healthcare Regulatory & Compliance

Front/Middle/End Rev Cycle Operations

Medical Imaging Industry

Sales Training Support Applications

Medicare/Medical Healthcare Delivery

Medicare Provider Contracting

Medical Billing Operations/Management

Hospital Operations and Management

HIPAA 5010 Certification

ICD-10/CM & ICD-10/PCS Certification

EDI Claims Transaction Sets (834/835-276/277-270/271)

Medicaid/Medi-Cal Operations

Full knowledge of Payor Contracting and Revenue Cycle Services

Healthcare Laboratory and Diagnostic Industry

Revenue Cycle Transformation Services

Working knowledge of various Healthcare Claims Clearinghouse and Claims scrubber systems/software

PROFESSIONAL HIGHLIGHTS

Infosys Public Services (IPS)

Healthcare and Life Sciences/Provider-IT Consulting and Services 2012-Present

Senior Engagement Manager/ Senior Executive Provider Market Leader/ICD10 Service Practice offering

Principal consulting outsourcing services includes IT services for HIPAA5010/ICD10 conversion, hospital IT and systems analytics, Provider systems and application integration services, Mobility, healthcare IT outsourcing and Healthcare RCM consulting and revenue enhancement recovery.

Targeted Provider market clients include, mid to Large-sized hospitals, Medical Centers, Academic Medical Centers, DME and Life Science Providers, free-standing medical facilities, ambulatory surgical centers, managed and fully insured care organizations.

Practice Leader for all Provider market engagement delivery, service and product offerings, sales and marketing activity. Full P/L responsibility for IPS Provider Practice.

PMO Leadership on Got to Market product and service offering as well as sales, marketing and operational delivery on ICD10 market clients and opportunities.

Marketing and servicing to C Suite level Healthcare senior executive providers.

Detailed knowledge of Revenue Cycle Provider operations and applications management various healthcare business lines including Managed care operations, provider contracting, claims and billing procedures and management.

Detailed knowledge of ICD10 conversion end to end solutions sets

Detailed supervision and oversight of practice EDI propitiatory bolt-on tool sets engaging provider procedure and diagnosis codes utilizing EDI transaction sets (834/835, 820, 270/271, 276/277).

Comprehensive knowledge of day-to-day operational requirements for government sponsored healthcare programs.

Working knowledge of patient accounting, healthcare claims clearinghouse(s) and healthcare claims processing systems including: EPIC, Meditech, GE Centricity, Sorien Systems, and other Legacy systems, Medipac Patient Accounting System, Accent Solutions and Claims Administrator.

Navigant Consulting. INC. (NCI)

Healthcare and Life Sciences/Provider-Revenue Cycle Services, LLC 2010-2012

Director, Senior Executive Regional Executive Leader

West Coast Practice Leader for NCIs Healthcare Provider and Life Sciences Revenue Cycle practice concentrating on the back end and front end Revenue Cycle consulting services.

Principal outsourcing includes Revenue acceleration, revenue collection, denied claims management outsourcing and Healthcare Revenue Cycle consulting and revenue enhancement recovery.

Targeted clients include, mid to Large-sized hospitals, Medical Centers, Academic Medical Centers, DME and Life Science Providers, free-standing medical facilities, ambulatory surgical centers, managed and fully insured care organizations.

Organizational services include safety net third party collection outsourcing services, Workers Compensation collections services and outsourced systems conversions wind down services.

Marketing and servicing to C Suite level Healthcare executive providers.

Detailed knowledge of Revenue Cycle Provider operations and applications management various healthcare business lines including Managed care operations, provider contracting, claims and billing procedures and management.

Detailed supervision and oversight of practice EDI propitiatory bolt-on tool sets engaging provider procedure and diagnosis codes utilizing EDI transaction sets (834/835, 820, 270/271, 276/277).

Comprehensive knowledge of day-to-day operational requirements for government sponsored healthcare programs.

Leadership and management of team of consultants on a back-end Revenue Cycle transformation engagement for a large Academic Medical Center located in Little Rock. Arkansas. Project includes Medical Center and interconnected Clinics and Physician Service practices. Scope of project concentrated on annualized revenues in excess of $900M.

Leadership on Process improvement consulting project with Planned Parenthood of California, reviewing Revenue Cycle and claims review process for $500M womens health organization.

Working knowledge of patient accounting, healthcare claims clearinghouse(s) and healthcare claims processing systems including: Medipac Patient Accounting System, Accent Solutions and Claims Administrator.

Deloitte Consulting, LLC

Business Process Management Services/Extend Business Services, LLC 2007-2010

Executive Senior Manager/EBOS Practice Regional Executive Leader-Western Region

West Coast Practice Leader for Deloitte Consulting, LLC Outsourced Solutions (EBOS) business unit marketing outsourced Revenue Cycle and Denied Claims services cover in the Western Region and the entire United States.

Principal outsourcing includes Revenue acceleration, revenue collection, denied claims management outsourcing and Healthcare Revenue Cycle consulting and revenue enhancement recovery.

Targeted clients include, mid to Large-sized hospitals, Medical Centers, Academic Medical Centers, DME and Life Science Providers, free-standing medical facilities, ambulatory surgical centers, managed and fully insured care organizations.

Organizational services include safety net third party collection outsourcing services, Workers Compensation collections services and outsourced systems conversions wind down services.

Marketing and servicing to C Suite level Healthcare executive providers.

Detailed knowledge of Revenue Cycle Provider operations and applications management various healthcare business lines including Managed care operations, provider contracting, claims and billing procedures and management.

Detailed supervision and oversight of practice EDI propitiatory bolt-on tool sets engaging provider procedure and diagnosis codes utilizing EDI transaction sets (834/835, 820, 270/271, 276/277).

Comprehensive knowledge of day-to-day operational requirements for government sponsored healthcare programs.

Currently managing team of 157 consultants and operational staff servicing five client locations.

Leadership of Practice Market, Service/Product and Business Development for Western Region and other parts of US Marketplace

FY09 Sold Revenues (through Period 13): $11.3M and Managed Revenues at $6.62M.

Exceeded all goals FY09 by more than 3X.

Exceeded all Goals FY10 with Sales of $6.5M and Managed Revenue of $6.4M.

Resigned from Deloitte Consulting, LLC in September, 2010 to accept a Director position at Navigant Consulting, Inc

Working knowledge of patient accounting, healthcare claims clearinghouse(s) and healthcare claims processing systems including: Epic, Meditech, GE Centricity, Siemens Soarian, Claims Logic (Medicare/Intermediary), and AllScripts revenue cycle solutions.

Healthcare Revenue Recovery Systems, Inc. 2005-2007

President & CEO/Senior Consultant/Co-Founder

Co-founder and key senior executive directing all aspects of a start-up organization engaged in the Healthcare Revenue Cycle & Recovery industry.

Targeted clients include, small and mid-sized general practice medical groups & facilities, medical clinics, multi-specialty medical organizations, small and mid sized hospitals, free-standing medical facilities, ambulatory surgical centers, managed and fully insured care organizations and acute care facilities & hospitals

Organizational services include pre-collection and account management services, capitation review and audit, capitalization review & reconciliation, risk pool reconciliation and recoveries, billing and claims processing audit review and collection, regulatory compliance, contractual audits of provider service agreement, healthcare organizational fee-schedule review, cutting-edge claims adjudication review, summary management and re-work, claims denial review & clean-up, and training support services.

Detailed knowledge of various healthcare business lines including Managed care operations, provider contracting, claims and billing procedures and management.

Comprehensive knowledge of day-to-day operational requirements for government sponsored healthcare programs.

Total client Collection exceeded $1MM, in FY2005 and $2MM in FY 2006.

Working knowledge of patient accounting, healthcare claims clearinghouse(s) and healthcare claims processing systems including: Medipac Patient Accounting System, and Meditech Patient accounting systems.

UHP HEALTHCARE/WATTSHEALTH FOUNDATION, INC 2003-2005

Vice President of Sales & Marketing/Operations/Provider Contracting

Key senior executive directing all sales and marketing operations for a mid-sized ($250MM annual revenues) Knox-Keene licensed managed healthcare plan engaged in marketing Medicare Advantage, Commercial and Medi-Cal Lines with approximately 80,000 members.

Directing internal staff of eleven individuals and indirect sales force of marketers (Brokers and Agents) in excess of 70.

Developing new Commercial product mix including small employer group product line and competitive scaled product

Working in concert with Provider Network Services Department to strengthen and enlarge provider network.

Interfaced and negotiated Provider and Hospital contracts with several large regional Southern California Providers.

Developed marketing plans for Network Providers including contracted IPAs and affiliated network hospitals.

Developed targeted expansion growth plan for full market penetration in four counties of Southern California.

Member of the Business Management Team and senior executive strategy team.

Comprehensive knowledge of day-to-day operational requirements for government sponsored healthcare programs.

Spearheaded contracting, implementation, execution, delivery and ongoing management and compliance of organizations filing of for Medicare (Part D) 2004 Medicare Drug Card product offering.

IMAGING3, INC, Burbank, CA 2002-2003

Vice President of Corporate Development

Senior Management position engaged in rapidly accelerating the corporate growth of the firm by leading Business Development/Corporate Development teams/activities.

Firm is leading Medical Devise Manufacturer, Remanufacture in Healthcare Medical Imaging industry offering MRI, CT, PET and X-RAY modalities.

Created new SBU business plan, strategic sales, marketing plan and all production operations.

Spearheaded Launch of new patent-pending break-through technology in 3D/Real-Time Imaging within Fluoroscopy modality space ($2.75 Billion Industry-annually).

Successfully secured $4.45 Million in equity capital to fund development of new technology/production/sales and marketing activities to be offered to the marketplace in the 4th quarter of 2003.

PHOENIX GROUP/MOORE GROUP/MINACS WORLDWIDE, Costa Mesa, CA 2000-2002

Executive Senior Management/ SBU Group Division, Director/Operations Healthcare and Financial Services Industries

Group Division Director of CRM/ASP/ERP Database Marketing Firm, specializing in Healthcare, Insurance, Financial Services, Pharmaceutical/Biotech, Hitech and Wireless verticals.

Created and Implemented new SBU business plan, strategic sales, marketing plan and all production operations.

Spearheaded Division Launch, and set up Sales, marketing and operational teams and relevant procedures.

Developed & Directed SBU Client base offering organizational core services in Database Marketing, Contact Center Strategies, Creative, Program Management and Product/Brand/Service Research applications.

Manage team of 11 to 15 persons actively engaged in SBU.

Developed new business revenue with Fortune 20 clients including General Electric Financial Capital and Wellpoint Health Services.

ALPHA SYSTEMS/AC INTERNATIONAL MARKETING, Simi Valley, CA 1996 to 2000

Managing Director/Chief Executive Officer/Board of Directors/Senior Consultant

Co-Founder and Principal this environmental capital equipment distribution and manufacturing company.

Developed an operating business plan, strategic marketing plan and all production operations procedures.

Spearheaded equity financing private placement raising $950,000 in working capital to grow business.

Direct all day-to-day operations, production, accounting and sales activity with 11 employees.

Hire, trained and directed sales, marketing, production and design manufacturing teams.

Clients included Boeing and Hawker Pacific Aerospace.

Sales exceeded $500,000 in 1st year. Fiscal 1999 $1.5 MM Fiscal 2000 exceeded $3.5 MM.

CARE AMERICA HEALTH PLANS/BLUE SHIELD OF CALIFORNIA, Woodland Hills, CA 1993 to 1996

Director of Sales & Marketing-Medicare SBU

Managed all sales, marketing, promotional and service activities of Medicare licensed managed care health plan.

Directed staff of 65 including team managers, sales representatives, telemarketing agents, community relations/promotional representatives, support administrative staff and senior service representatives.

Directed partnership marketing interactivity and major event planning with 19 hospitals and 27 independent physician associations and medical group models.

Directed selection committee and contracting of ancillary member medical benefits with outside vendors as well as establishing numerous regulatory policies and procedures for this business unit.

Team increased membership by 225% in excess of 30,000 members on revenues of $164MM.

Consistently Exceeded target revenue and membership goals.

Extensive knowledge of the health care industry, managed care delivery system, hospital and physician contracting, Medicare and Medicaid system, Social Security and the Health Care Financing Administration (HCFA) regulatory practices.

MIDA HEALTH PLANS, Woodland Hills, CA 1991 to 1993

Director of Sales & Marketing

Directed all sales, marketing and promotion activities for national specialized managed care health system with membership of 750,000.

Direct reports included regional sales managers, account sales managers, account representatives and support representatives in 3 branch offices covering 5 western states.

Interfaced with network of over 3000 brokers, consultants and agents representing company product lines.

Region was responsible for of $28 Million annually with a total membership base of over 240,000 members.

Managerial activities included hiring, training, recruiting, servicing and managing advertising and promotional activities; as well as creating, developing, planning and organizing all sales and marketing strategies, training and programs.

GOLDEN WEST HEALTH PLANS, Camarillo, CA 1988 to 1991

Director of Sales & Marketing

Responsible for all sales, marketing, pricing, promotion, and servicing of a midsize managed care health plan.

Supervised a staff of 11 staff including senior sales account managers, account representatives, service managers, and marketing support staff.

Activities included managing, hiring, training, recruiting, product designing, as well as overseeing advertising applications and renewal processing; in addition to planning, forecasting, and organizing all sales and marketing programs and strategies. Exceeded all revenue and profitability goals during tenure.

Responsible for 100% increase in membership/93% increase in gross revenue on sales of $7MM annually.

INVESTORS RETIREMENT & MANAGEMENT CORPORATION, Carpinteria, CA 1986 to 1988

Division Manager

Directed staff of 42 independent contractors in the solicitation of investment and retirement products. Responsible for hiring, training, motivating, and managing staff that was the most successful division in California regional area.

Detailed knowledge of social security system, California State Retirement Systems, federal Internal Revenue tax codes, and retirement codes 401K, 403(b) and 457. Exceeded all Sales and Revenue goals.

EDUCATION

Pepperdine University, Malibu, CA

Masters of Business Administration (MBA), Emphasis: Strategic MarketingBusiness Development

Central Michigan University, Mt. Pleasant, MI

Bachelor of Arts (BA), Majors: Journalism/Marketing Management-Business Admin/Minors: Advertising/Sociology

PROFESSIONAL LICENSES/ORGANIZATIONS

American Advertising Federation

American Marketing Association

Medical Marketing Association

Management Partners, Pepperdine University

Executive Board/Pepperdine University Alumni Assoc.

Society of Healthcare Marketing and Strategy

ICD-10/CM & ICD-10/PCS Certification

HIPAA 5010 Certification

HFMA, 2009-CFO Committee

SEC/NASD, Series 6/63-Investment License (expired)

HIMSS, 2008

CEMA Trade Association

Board Member ACG/101-2001-03

Alliance for Healthcare Marketing/Strategy

HIPAA Compliance & Regulation Certification

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