Betzer, Timothy S

***** ******* ****.

Norwalk, CA 90650

Phone: 562-***-****

Email: ac708a@r.postjobfree.com

Summary

Seasoned managed care professional that takes challenges head on while focusing on the bottom

line and long term solutions. Excellent management reporting skills that identify the key performance metrics of success and problem identification/solution for all Decision makers. Confident aide to executives and detailed oriented associate of my peers.

Education

B.S. Business Administration – Concentration in Accounting (Aug 1992)

Experience

Jul 2017– Present CareMore Health Cerritos, CA

Provider Data Analyst Healthcare Economics

●Provide analysis and reporting for Ancillary, Supplemental Physician contracts.

●Reporting includes insights to improve contract performance both financial and utilization recommendations.

●Prepare Statistics and Financial Analysis for Contract Negotiation and any other requests that come to HCE.

●Review Contracts for Capitated Contracts to negotiate and structure CAP deductions when FFS Claims are paid for Capitated items in Contracts.

Feb 2014 – Nov 2016 OptumRx Cypress, CA

Report Analyst

●Provide analysis and data for requests for proposals (RFP’s) and help proposal writers with any information they need.

●Prepare client remediation to refund clients when benefit errors occur; coordinate with Pharmacy Account Managers, Business Finance and UnitedHealthcare Underwriting.

●Prepare Statistics and Financial Analysis for Requests for Proposals and Information from clients/consultants for potential and existing clients with Proposal Writers.

●Quarterly reporting of medical claims that OptumRx Rebate Operations Team uses to bill rebates for UnitedHealthcare.

Jul 2009 – Jun 2013 OptumRx Cypress, CA

Sr. Network Pricing Manager

●Managed a group of professionals for Network Pricing Team.

●Provided Senior Management team with financial forecasts for brand and generic price changes with impact to OptumRx including internal UnitedHealthcare clients and external business partners. ● Lead staff that provides management reports for brand and generic drug performance to all leadership levels and of business segments.

●Worked closely with Pricing, Finance, Actuarial and Account Management teams to meet client expectations and internal financial goals.

●Managed launch of new generic drugs when brand drugs lost their patent.

May 2004 – Jun 2009 OptumRx\Prescription Solutions Cypress, CA

Network Pricing Consultant

●Team lead for a group of professionals within the Network Contracting department.

●Provided Senior Management team with financial forecasts for brand and generic price changes with impact to OptumRx and all of its clients.

●Provided management reports for brand and generic drug performance for all levels of business and management.

●Provided analytics for decision makers at all levels in regard to business goals at the department and company level. Including Break-Even analytics on price changes.

●Reviewed market competitive pricing to stay in alignment with and to gain competitive position. ● Team provided SOX Audit and Compliance for all implemented MAC price changes and reviewed any contract rates or MAC rates that deviated from expected performance.

Dec 2002 – Apr 2004 OptumRx\Prescription Solutions Cypress, CA

Network Pricing Analyst

●Set maximum allowable cost on generic drugs to minimize client prescription drug expenses. ● Analyzed client and provider contracts to enhance savings, profitability and contract guarantees using Online Reporting tool, Access and Excel.

●Provided monthly management and ad hoc reporting for Sr. Management and department managers.

●Reviewed mail service and retail gross margin to maximize client savings and company profits.

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Nov 2001 Nov 2002 Ajilon Finance – (UPS) La Palma, CA

Financial Analyst

●Used Accounting and Finance background with technical skills to help customers streamline reporting processes.

●Used Access and Excel to analyze and extract data from various data sources for management, accounting and operational reports.

●Trained and mentored staff to improve overall company and department performance.

May 2001 Oct 2001

NRG Energy El Segundo, CA Budget Analyst

●Prepared budget and financial statements for operations management using Excel and Access.

●Interpreted financial information and performed financial analysis for non-financial managers.

●Worked with warehouse team to extract information for reorder and inventory analysis.

April 2000 June 2000

SeaWest Financial Paramount, CA Financial Analyst

●Performed loan portfolio analysis and changed manual Excel processes by using Access to combine multiple records into consolidated monthly financial reports for management team

.● Encouraged electronic transfer of data with potential portfolio sellers to streamline the analysis of portfolio purchases.

Sep 1993 – Jan 2000

PacifiCare of California (UHC CA) Cypress, CA Financial Analyst

●Prepared provider level income statements, including budget and forecast for contract administration and membership reports for senior leadership and sales teams.

●Managed provider receivables resulting from risk pool deficits and collected through capitation payment and reconciliation including management of balance sheet accounts. ● Closed Accounts Receivable at month end and aided with cash management.

Skills

Solid Presentation skills for both Sr. Management and Middle Management/Peers

Microsoft Excel, Access, Word, PowerPoint, SharePoint, MicroStrategies, VBA and SQL.

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