Manager Medical

Confidential User

Email: abqs9l@r.postjobfree.com

Address: Address Withheld

City: Scottsdale

State: AZ

Zip: 85260

Country: USA

Phone: 602-***-****

Skill Level: Director

Salary Range: $125,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Park W. Miller, Jr.

10109 E. Desert Cove Ave, Scottsdale, AZ 85260 - 602-***-**** (C/H) - abqs9l@r.postjobfree.com

Executive Profile

A healthcare executive that aspires to lead a progressive performance-driven healthcare initiative that requires "hands on role" and proven ability to drive organizational change, especially in today's rapidly evolving environment.

Healthcare Management Experience

* Healthcare consulting.

* Multi medical practices sites.

* State Medicaid

* IPA, PHO & TPA.

* Clinical & ancillary service departments in hospital.

* Senior Medicare Plan.

* Homecare and DME.

* National prescription drug benefit network and 24/7 Help Desk

* State and national provider networks-managed care and provider contracting.

* Business Development and Sales for healthcare consulting, medical practices, hospital, homecare &DME.

Professional Experience

NuView Health Partners, Inc.-Scottsdale, AZ. (2005 to current) General Manager- A national Healthcare consulting firm that specializes in medical claims analysis for auditing, benefit analysis, plan financial performance, network evaluation and high risk population management for Commercial, Medicare and Medicaid blocks of business.

MedGroup-Scottsdale, AZ. (1997 to 2005) General Manager-Statewide primary care and specialty medical practices that included IPA, PHO and TPA. Company began with one medical practice and grew to 18 statewide sites. Company sold to Texas firm after eight years of operations.

Arizona Heart Institute and Heart Hospital-Phoenix, AZ. (1992 to 1997) Directed Business Development, Managed Care for the Heart Clinic and Hospital. Participated in marketing committee that organized TV commercials. Developed a state-wide cardiology and surgical referral network.

Summit Health, Inc.-Burbank, CA/Mesa, AZ. (1991 to 1992) Director of Business Development and Managed Care. Reorganized business development, managed care contracts, started four hospital-based senior Medicare Plans. Company sold its national hospital business to a competitor.

Arizona Medicaid (AHCCCS)-Phoenix, AZ. (1989 to 1991) Administrator, Office of Medical Director. Responsible for providers & claims administration, reinsurance & deferred liability departments & encounter reporting to CMS. One of five administrators that participated and directed managed care information system development.

McKesson/PCS-Scottsdale, AZ. (1987 to 1989) Director of RECAP National PBM Point-of-Service Project - (1987-1989) Responsible for rolling out nation's first national prescription drug network. Chairman of RECAP Steering Committee that overseen corporate integration of new programs and system.

U.S. Healthcare-Tempe, AZ. (1983 to 1987) Director Home Healthcare, Respiratory Care and DME Services.

Samaritan Health-Maryvale, AZ. (1981 to 1983) Executive Director Cardio-Pulmonary & Ancillary Medicine Department. Responsible for business and clinical operations. Developed internship for respiratory therapist and nurses with local college.

Education

University of St. Francis-Masters Healthcare Administration-Joliet, IL-St. Joseph Hospital Campus

Stockton State College-Bachelor of Science Healthcare Administration-Pomona, NJ

Allegheny Community College-Associate of Science Health Services in Respiratory Care-Pittsburgh, PA

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