Accounting Manager Medical

Kamil Budhram-Ramlall

**-** ******* ****** **********, NY 11423 718-***-**** *****.*******@*****.***

Senior operations/finance trailblazer with hospital administration knowledge and 360-degree view of healthcare industry. Proficient in overseeing multiple clinical departments and specialties.

Assessed, endorsed, and analyzed billion dollars’ worth budgets and activity.

Operations/Finance Leadership – Project Management – Budgeting and Forecasting – Administration – Public Speaking

Variance Analysis – Resource Optimization – Revenue Growth – Critical Thinking – Procurement – Staffing – Performance Enhancement

Executive Summary

Twenty years of cutting-edge business experience administering operations for over 20 medical departments with 1,400+ physicians and gross billings exceeding $2 billion. Adept at tracking various financial and non-financial metrics to increase income and decrease expenses over 10%. Cross-collaborate across diverse teams and officials to streamline and enhance processes by 50%. Possess extensive background in recruiting, directing, and cultivating staff and career trajectories. Mobilized, trained, and inspired over 15 employees to handle high-volume demands and boosted productivity 25%.

Employment Chronology

Director of Finance and operations, Better Line Hardware, Sunnyside, NY 2018-Present

Spearhead financial, operations, and project disciplines to establish a new corporation in record time five weeks, maximize resources, measure support roles, and drive profitability. Create and monitor budget, forecast, and P&L statements. Conduct daily undertakings--organizing people, processes, and space. Company presented with the Outstanding Merchant Achievement Award.

Recruit and motivate personnel, improving productivity by 10%.

Facilitate consistent and continuous day-to-day activities by effectively accomplishing daily resource requirements and addressing and resolving disruptive events.

Control inventory, spending, and cash and credit transactions. Integrate with suppliers to fulfill purchase orders promptly and expand customers’ satisfaction.

Accounting Manager, Weill Cornell Medicine, New York City, NY 2009-2018

(Affiliated with Columbia Medical/NY Presbyterian Hospital - ranked No. 1 in NYC and top 10 in USA)

Oversaw operations of 20+ clinical departments with 1,400+ physicians. Tracked revenue trends, catalyzed growth, and certified forecast captured impact of pertinent market events. Enforced controls and routinely identified areas of enrichments that significantly reduced expenditures. Managed risk/opportunity assessment and performance scorecards to optimize internal functions and implement initiatives. Ensured compliance with healthcare regulations and health laws including HIPAA and JCAHO.

Assessed, amended, and provided initial approval for 20 clinical departments’ annual budgets exceeding $1 billion in revenues and $2 billion in gross billings. Maintained accurate supporting documentation. Developed meticulous budget presentations and narratives for committees.

Streamlined and modernized budgeting process (capital/operating budgets) with robust guidelines/procedures to standardize projections and produce quality improvements.

Orchestrated with team to accurately analyze all departments’ budget vs. actual revenue and expense activity (cut costs over 10%), P&Ls, and annual actual income exceeding $1 billion.

Measured RVUs, benchmarks, and balances, and authorized multi-million-dollar support and adjustments to enhance operations.

Supported internal and external crews in migrating towards chip-based credit card system institution-wide, over 300 terminals, for upgraded transaction security.

Coordinated and corresponded with Business Intelligence panel and SAP consultants to build new billing system and generate SAP reports. Improved efficiency by 50% with successful automation resulting in prompt investigation and resolution of outstanding A/R over 10%.

(Weill Cornell Medicine continued)

Directed various rigorous reconciliations and yearly subsidy support ($80 million), capital projects/space allocations for 21 college sites ($40 million), and malpractice charges for 1,400+ physicians ($30 million).

Acquired “buy-ins” from department chairs, administrative heads, clinical faculty, and cross-functional units to develop, launch, and oversee new ventures and locations.

Produced comprehensive, reliable, and timely quarterly forecasts for year-end profitability and to impact superiors’ decisions on future budgets.

Designed powerful roadmaps and templates for priority work processes and new concepts and systems. Created written procedures/job aids to train accountants.

Partnered with New York Presbyterian Hospital to formulate innovative ideas and construct joint budgets, specialty clinics, and strategic programs. Presented periodic reviews and recommendations to C-level executives.

Hired, mentored, disciplined, and appraised non-clinical faculty. Identified and corrected areas of under-performance. Facilitated optimal business and ethical practices and instituted necessary corrective actions.

Increased work output by 25%. Coached adaptable team of over 15 to synchronize efforts with more than 40 department and financial administrators to achieve growing operational goals, needs, deadlines, and outcome.

Influenced and promoted employees’ professional and personal growth through soft skills/emotional intelligence. Headed workforce in fiscally responsible manner.

Senior Accountant/supervisor 2000-2009

Staff Accountant

Leveraged financial and operational knowledge in healthcare industry to compile, examine, and assess multiple departments’ year-to-year P&L and budget vs. actual statements. Combined with college governances to stimulate earnings and attain targets. Recruited, delegated, and developed personnel.

Reviewed and modified 22 annual operating budgets over $250 million. Authored extensive reports for finance committee’s budget approvals.

Evaluated and supervised yearly actual revenues and expenses exceeding $200 million across 22 clinical departments. United with business partners to expand collections by 10%.

Fortified departments’ overall position and assisted with creating proposals, budgets, and forecasts. Scrutinized and explained significant variances to optimize operations.

Performed precise reconciliations for professional liability of $12 million for 400+ physicians.

Headed month- and year-end closings, troubleshot and resolved departmental issues, reviewed and approved staff’s assignments, and prepared hospital/patient satisfaction surveys.

Liaised successfully with upper management, C-suite executives, and internal and external auditors, resulting in consecutive years of unqualified opinions.

Education, Professional Development, Skills

Bachelor of Science Degree in Accounting, Minor in Journalism, Brooklyn College

Scholarships: United Federation of Teachers Scholarship; Benjamin Greenwald Journalism Scholarship

Computer Skills: Microsoft Office Suite (Word, Excel, PowerPoint), QuickBooks, Cognos, SAP

Supervisory/Leadership/Career Coaching Programs

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