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Medical Executive

Location:
La Quinta, CA
Posted:
August 24, 2019

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Resume:

THOMAS C. THETFORD, MBA

203-***-**** ***** Liga, La Quinta, CA 92253 ac951a@r.postjobfree.com

SUMMARY

Skilled results-oriented healthcare executive with exceptional medical group management and (non-profit & for profit) health facility management experience. Skilled in strategic management, board participation and leadership, team performance optimization, financial reporting, leadership, planning, facility oversight, information technology optimization, corporate compliance, community relations and network development. Daily leadership in staff oversight, HR and resource development; contracting; ethics leadership and compliance assurance (CLIA, MACRA, HRSA, RCFE, MIPS, ACO and CMS), and multi-functional team management & reporting.

QUALIFICATIONS

30+ year healthcare operations, physician network development, strategic planning, finance / contracting management experience.

Skilled in managing a dynamic and diverse health systems organization within parameters of broadly developed strategic plans, cultural diversity and frequently updated and evolving work plans.

Well-honed healthcare practice management, patient / resident relations, contracting, compliance, and value-building experience.

Manage and develop 5 to 20 direct professional reports (all levels) and facilitating collaboration across all functional areas.

High energy, multi-tasking problem solver helping others excel, creating innovative work processes, setting a positive and professional example for staff, and effectively using information to combat inefficiencies and improve compliance and value.

A visionary team leader who builds loyalty by hard work, implements process and compliance improvement initiatives, consistently applies ethics, nurtures a critical thinking environment, and is population health focused.

Maintains a visible, transparent, compliant and effective operational profile through use of superb communication abilities.

Outstanding strengths – motivator, teacher, responsible, organized, collaborative, strategic, “today-centered/tomorrow aimed”.

PROFESSIONAL EXPERIENCE

2015-2019 QUEST DIAGNOSTICS, WEST HILLS / SACRAMENTO, CA & IRVING, TX

Executive Director, Health Systems – Recruited to identify, develop and manage Health Systems Sales Directors across 14 states in western U.S targeting health systems, large employers, ACOs, FQHCs, IPAs and medical groups. Met and exceeded annual new revenue goals in Quest’s highest growth market. General management duties included recruitment, development and retention of high performing sales executives; managing key C-suite relationships; developing key strategic B2B partnerships; collaborating with peers across the corporation, and managing numerous national corporate relationships while sought out as ACO, FQHC, IPA, medical group, IDN, and academic medical center subject matter expert.

2011-2015 YALE UNIVERSITY, NEW HAVEN, CT

Chief Executive Officer / Executive Director– Yale-New Haven Community Medical Group, Inc.- Recruited to Yale to direct financial, management and business development functions for 405 physician Independent Practice Association with members on staff at Yale-New Haven Hospital and across CT. Responsible for contracting, clinical integration, FQHC liaison and leadership and board chairmanship, human resources, strategic planning, interfacing with physicians and allied health professionals, numerous JOCs, community leadership, university liaison, commercial and Medicare ACO development, hospital committee staff services, board reporting and leadership, and building new service line revenue. Expanded physician membership from 405 to 865, grew annual IPA revenue from $600k to $3.5 million, and expanded awareness and influence across state of CT while impacting transition from volume care to value care.

2005-2011 CLINICAS DE SALUD DEL PUEBLO (FQHC), INC., BRAWLEY, CA

Director of Programs – 2010 to 2011- Reporting to CEO of high volume non-profit FQHC, responsible for securing grants valued at $7 million annually (20% of corporate revenues) for programs in HIV/AIDS surveillance / reporting, Teen Pregnancy Prevention, Migrant Farm Worker Health Services Access, Chronic Pain Management, Home Health Services, Population Health Services in High Risk Population. Organized grant-related programs, assured status reporting and compliance, financial performance, and a member of Group Senior Management Team.

Medical Group Administrator / Chief Financial Officer – 2005 to 2010 - Hired to sell medical group for physician owner (Donald M. Ehman, M.D., Inc.) then asked to assume management of group. Recruited new physicians (3) and mid-level providers (2) while growing practice 11 to 19% each year from 2005 to 2010. Duties included business and financial functions of 5 FTE physician OB/GYN practice responsible for financial, systems, business development, electronic medical records, hospital relations, market share growth, new FQHC contracts, and staff of 22. Successfully negotiated sale of corporate assets to and joined FQHC as Director of Programs.

1999-2005 HEART HOSPITAL OF THE DESERT, RANCHO MIRAGE, CA

Chief Operating Officer / Hospital Administrator 1998-2003

RANCHO MIRAGE CARDIOLOGY & MEDICAL SPECIALISTS, RANCHO MIRAGE, CA

Executive Director 1998-2005 - Recruited for a two-year contract to improve operations and sell 8 bed special services acute care (JCAHO) hospital with annual revenues of $34 million and simultaneously manage 18-physician medical group. Sold the hospital within 20 months of arrival to large community hospital and then focused efforts on developing and implementing strategic plans for medical group including site expansion, contract acquisition, major equipment purchasing, achieving Medicare compliance, establishing new hospital relations, setting up business office, employing staff of 46 FTE employees, initiating human resources policies, and recruiting physicians. Decreased medical group operating expenses by 23% while recruiting new specialty physicians.

1994-1999 WESTERN MEDICAL CENTER, SANTA ANA, CA

Corporate VP & COO of Clinical / Practice Services - Hired to establish hospital-based MSO, manage 2 in-house IPA’s, consolidate numerous business development efforts, and oversee all physician contracting and financial performance. Served as one of 5 senior executives on “A Team”, increasing value of 3 campus hospital system by $18 million over 3 years, successfully directing the captive IPA’s, opening and managing 20 site MSO with 34 FTE physicians, handling numerous aspects of hospital administration, and worked at Board’s request as part of team tasked with selling the $200 million hospital system to Tenet.

1984-1994REDWOOD MEDICAL MANAGEMENT, ORANGE, CA

Founder / Owner / Principal Consultant - Appraised 160 medical practices, groups, facilities, surgery centers, and allied health businesses. Hired as financial and valuation consultant to hospitals, groups, agencies, insurance carriers, and practices. Facilitated sale or purchase of 84 practices in California and western U.S. Engaged for numerous practice start-ups and wind-downs for new physicians, dead physicians, and partnership dissolution / formation, and hospital affiliation agreements.

1975-1984CIGNA CORPORATION, PHILADELPHIA, LONDON, BOSTON

Analyst, Manager, Director, Regional Vice President - Recruited from business school and promoted 5 times in 9 years in corporate training, product development, human resources systems, hospital administration, financial analysis, international life/health, Hospital Affiliates, Inc. unit, CIGNA Heath Plan, and INTRACORP.

1973-1975 U.S. ARMY, VARIOUS ASSIGNMENTS

Night Operations NCO, Personnel Specialist - Fulfilled draft obligation, excelled in all assignments, earned numerous decorations and 3 early promotions during 27months active duty.

1972-1973LYNDON STATE COLLEGE, LYNDON, VT

Instructor in English / Co-Director Writing Workshop - Recruited as graduating senior to join full time teaching faculty; successfully handling full teaching load of writing, literature, and remedial language arts courses.

EDUCATION

MONMOUTH UNIVERSITY, WEST LONG BRANCH, NJ, MBA – Finance and Management

LYNDON STATE COLLEGE, LYNDON, VT, BA - English

PROFESSIONAL AFFILIATION / ACTIVITIES / APPOINTMENTS

Riverside Hospice – Director / Board Chair (1998-2006) Rotary International – Riverside, CA

Medical Group Management Assn. – Member (1992-2015) AMA – Annual symposia

Fellow- American College of Healthcare Executives #887851 (2011-2019) HFMA – Member (1994-2011)

Sacred Heart University – Adjunct Faculty – School of Health Sciences (2014-2019) Chambers of Commerce (1996-2015)

Yale University – New Medical Student Orientation Team (2011-2014) Robert Wood Johnson Clinical Associate

American Academy of Medical Management – 3 series HRSA – Grant Reviewer (2010-2017)

Fair Haven Health Clinic FQHC (Board VP 2011-2017) (Board Pres 2015/16) Net Haven – Board Member (2011-2013)

California Residential Care Facility Executive California Real Estate Sales License

Catholic Archdiocese of Philadelphia University of Judaism (AJU)

Saint Francis of Assisi Church – La Quinta, CA Desert H’care Dist. - Programs Committee



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