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Health Care Medical

Location:
St. Louis, MO
Posted:
February 14, 2013

Contact this candidate

Resume:

Marie Glancy

Email: abqnm9@r.postjobfree.com

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

City: Saint Louis

State: MO

Zip: 63124

Country: USA

Phone: 202-***-****

Skill Level: Senior

Salary Range: $0

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

MARIE J. GLANCY

25 Ladue Terrace Telephone: 202-***-****

St. Louis, MO 63124 E-mail: abqnm9@r.postjobfree.com

PROFESSIONAL PROFILE

Healthcare Executive with comprehensive corporate leadership experience in public policy, managed care and integrated health care delivery system. Results oriented with expertise in long-term strategic thinking, data driven decision making, large organization leadership, integration of health care delivery services, alignment of business objectives with healthcare policy and a strong commitment to customer service.

Senior executive leadership of Commercial, Medicare and Medicaid health plans, providing expertisein state and federal regulations, health care planning, disease management, policy development, operational accountability, care management best practices, and bottom-line responsibility.

Senior executive leadership of integrated health care delivery system and medical group operations with extensive background in government programs/relations, federal and state based regulatory affairs, public affairs, contract negotiations, network development, external affairs, care delivery systems,market evaluation, product development/launch,

Demonstrated ability to formulate corporate values and translate business strategies into clear policies, objectives and tactics, while creating awareness and a high degree of understanding about issues/goals with diverse parties to advocate the interests of the organization.

Accomplished turnaround agent, skilled in product/division cost re-engineering, business process excellence, change management, and financial risk management.

Proficient at building effective, collaborative relationships across the organization and externally with senior executives, physicians, community leaders, board of trustees and public/special interest groups to reach mutually beneficial goals.

PROFESSIONAL EXPERIENCE

MERCY HEALTH SYSTEM, St. Louis, Missouri 2008

Mercy is the 6th largest Catholic health care system in the U.S. Mercy has 31 hospitals and 3 ministries in 7 states; over 5,000 integrated physicians and 36,000 co-workers.

Chief Advocacy Officer

Established an advocacy program to advance the organizations strategic initiatives and policies at the federal, state and local levels. Forged relationships with elected leaders, regulatory entities and civic leaders to advocate for progressive health care goals and priorities.

Positioned the organization as an expert in health care policy, a respected thought leader and strong proponent of transformative health care with federal and state regulatory bodies, members of congress, state legislatures and the White House.

Guided the development and execution of strategies to form Medical Homes, Accountable Care Organizations, Hospital and Physician Value Based Purchasing, Integrated Medical Clinics, Virtual Care/Telemedicine and an Electronic Medical Record.

Authored policies and positions to address The accountable care act, the sustainable growth rate for physician reimbursement; hospital non-profit status, scope of practice for advanced practitioners, Medicaid transformation, Block Grants, Medicare buy-in and many other issues of public policy.

Served as an ambassador for the CEO and liaison between the CEO and external constituencies. Identified and coordinated resolution paths to critical issues that have public impact and required the attention of the CEO. Developed an external relations focus for the organization, integrating community engagement and corporate social responsibility into the culture.

Executive Vice President and Chief Administrative Officer, Mercy Health Plans 2008 - 2009

Provided leadership to the areas of Human Resources, Legal Services, Sales and Marketing, Business Development, Marketing and Communications, Medical Management and Operational Strategic Development.

Health Plan membership 600,000. Products: ASO, PPO, Medicare, Medicaid, Individual, HSA, Self-Funded and Government Contracts.

Advised Mercy Ministry Board of Directors regarding future viability of Mercy Health Plans.

Orchestrated sale of health plan to Coventry for $110 million in 2009.

CENTENE CORPORATION, St Louis, MO. and Washington D.C. 2003 to 2008

Centene Corporation (NYSE: CNC) is a leading multi-line healthcare enterprise that provides under Medicaid, including Supplemental Security Income (SSI) and the State Children's Health Insurance Program (SCHIP). The Company operates health plans in 20 states and has specialty business units including behavioral health, health management, long-term care, managed vision, nurse triage, pharmacy benefit management and treatment compliance.

Senior Vice President, Operational Services and Regulatory Affairs

Responsible to and advised the CEO/Chairman and Board of Directors.

Executive leadership and operational strategist for Legal Department, Legislative Affairs, Regulatory Compliance, Foundation for Health Care Quality, Political Action Committee, Public Affairs, Marketing/Communications and Operational Services, International and U.S based product development and market introduction.

Spearheaded the development of a comprehensive federal and state based legislative affairs initiative and department. Ensured strategic relationships with federal and state legislative policymakers, initiated and authored federal and state legislative policies, shaped organizational public policy.

Initiated and executed development of corporate Legal Department. Responsible for managing external legal firms, SEC compliance, Sarbanes-Oxley, M&A activities, state and federal regulatory filings, contract negotiation, litigation and general corporate matters.

Formulated and integrated Regulatory Affairs and Corporate Compliance functions. Ensured implementation and compliance with new regulatory and contract requirements.

Introduced formal Product Development process and development of international business platform. Developed platform for national healthcare delivery in European country.

Designed and established the Centene Foundation for Quality Health Care and the Centene Corporate Charitable Foundation. Served as Chairman of Governing Boards for both foundations with administrative oversight of funding and grant making capabilities in excess of $10 million.

Led strategic positioning and development of enterprise-wide Business Process Optimization initiative. Reinforced medical management, claims, IT, contracting and other operational processes, utilizing OPEX and Six Sigma principles.

Responsible for all corporate and business unit communication strategies. Including medial relations, internal/external executive communications, brand management, investor relations support/annual report, website, social media, member/provider communications, corporate social responsibility, charitable giving/sponsorships and creative services.

DEERE & COMPANY, Worldwide Headquarters, Moline, Illinois 1996 - 2003

DEERE & COMPANY, Moline, Illinois 1996 to 2003

John Deere (Deere & Company - NYSE: DE) is the world's leading provider of advanced products and services for agriculture and forestry and a major provider of advanced products and services for construction, lawn and turf care, landscaping and irrigation.

Public Affairs Executive - John Deere Public Affairs Worldwide (2001 to 2003)

Created public policy initiatives advocating the company's position on employer sponsored health care benefits, retiree programs, environment, tax, workforce and other issues.

Promoted and protected the legislative, regulatory and corporate interests of Deere & Company, provided tactical advice to Chairman, and translated Company business strategies into clear objectives/policy statements.

Built strong, effective relationships with major trade associations, government agencies, consultants, corporate lobbyists, members of State and Federal legislature and their staff to provide positive representation for the Company.

Senior Executive - Government Programs/Regulatory and Legislative Compliance - John Deere Health Plan (1996 to 2001)

John Deere Health Plan operated a full range of risk and fee-based managed care products, including HMO, PPO, POS, Medicare Advantage, and Medicaid to a broad cross section of employer and government-funded groups and government agencies.

Responsible to and advised the CEO/President and Board of Directors on Government insurance products, industry trends, quality and cost management, market positioning, growth strategies and process reengineering.

Directed highly successful government programs with annual revenues of over $140 million, operating budget of $2 million, and marketing/advertising budget of $756,000. Defined company standard for Medicare and Medicaid managed care products.

Designed and directed the implementation of the first Medicare+Choice MCO in Eastern Tennessee and Southern Virginia achieving fast track federal/state approval within 8 months.

Formulated and implemented first Medicare Cost MCO in Iowa/Illinois Mississippi Valley region obtaining federal/state contract in 5 months.

DevelopedSCHIP Program; Healthy and Well Kids of Iowa (HAWK-I) product in conjunction with the Iowa Department of Health and Human Service. Managed TennCare contract for 80 thousand Medicaid recipients.

Attained Medicare +Choice and Medicare Cost contracts in 1998, resulting in transition of 50,000 MCO members to the new products.

Forged strategic partnerships with Federal and State governmental agencies and engaged key executives in legislative impact evaluation, policy development and risk assessment to ensure appropriate planning for legislative contingencies and execution of corporate compliance initiatives.

SHARP HEALTHCARE, San Diego, California 1987 to 1996

SHARP HEALTH CARE, San Diego, California 1987 to 199

Sharp HealthCare is a not-for-profit integrated regional health care delivery system. Sharp includes four acute care hospitals, three specialty hospitals and three medical groups, plus a full spectrum of other facilities and services. Serving a population of approximately 3 million in San Diego County, Sharp operates 1,870 beds, has approximately 2,600 physicians on medical staffs, 1,582 physicians in medical groups, more than 13,000 employees.

Corporate Vice President - Quality and Medical Management

Responsible to and advised the CEO/President and Board of Directors of integrated Health Care System on industry trends, quality and cost management, market positioning, growth strategies and process reengineering.

Led high performing workforce of 250 personnel including Medical Directors and research staff.

EDUCATION:

SAN DIEGO STATE UNIVERSITY/CALIFORNIA STATE UNIVERSITY SYSTEM

Post Graduate Studies: Business and Health Administration

MARYCREST COLLEGE, Davenport, Iowa

Bachelor of Science Degree in Nursing

SEMINARS AND COURSES

Six Sigma Black Belt,Media training, Legislative Affairs/Lobbying

MEMBERSHIPS/ASSOCIATIONS:

Youth In Need Board of Directors, 2008 to Present

Winning Women, Chairman of Board of Directors, Current

HealthCare Business Women, 2008 to Present

American Hospital Association, 2008 to Present

Catholic Healthcare Association, 2008 to Present

Go Red For Women Executive Leadership Team. 2011

Women Business Leaders of the U.S. Health Care Industry, 2007

Washington D.C. Women in Government, 2004 to Present

America's Health Insurance Plans (AHIP), 1997 to Present

Washington D.C. Corporate Coalition for Health Care, 1999 to Present

U.S. Chamber of Commerce, 2003 to Present

Public Affairs Council, 2003 to Present



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