Management Health

PAUL M. TAGGART

Phone: 480-***-**** Email: ************@***.***

SEASONED FINANCIAL AND ACCOUNTING LEADER

Financial and Accounting Management – Insurance and Risk Management

Regulatory Compliance – Information Systems – Managed Care Expertise

Business Development - New Program Design/Implementation

Negotiations – Mergers and Acquisitions – Strategic Planning

Senior-level executive with extensive finance, operational and managed care achievements across the entire healthcare delivery system continuum. Proven ability to develop and operate complex healthcare systems from Medicare Advantage health plans to acute care hospitals. Strong qualifications in business management, staff development, communications, leadership, planning, program design and implantation.

PROFESSIONAL QUALIFICATIONS AND ACHIEVEMENTS

2011 to Present Marine Corp Community Services (“MCCS”) Controller

MCCS owns and operates the community support services (hotels, clubs, gaming, behavioral health, recreational and family care services covering all the Marine Corp installations in Japan and the Republic of Korea.

2007 to 2011 Management Consulting, Consultant

Management consulting services provided to various organizations in healthcare, business and real estate. Services include the management planning, business development, financial planning and business development, managed care contracting and real estate development.

2004 to 2006 Fidelis Senior Care, Inc. Schaumburg, IL-Vice President

Fidelis owns and operates Medicare Advantage Special Needs health plans for Long Term Care patients in several states. Fidelis is a unique organization dedicated to the clinical management of frail elders in the last few years of life. As a founder of the company, I developed the business plan including financial projections and accomplished the following:

• Worked with state and federal regulators to apply for and obtained state HMO licenses in three states and CMS Medicare Advantage contracts in Colorado, North Carolina and Michigan.

• Michigan HMO license obtained within 7 months of initial company funding and a Medicare Advantage contract within 9 months of funding.

• Built the infrastructure to support health plan operations including medical management, sales, claims management, human resources and training programs.

• Lead the network development process and negotiated provider agreements with hospitals, nursing facilities, physicians and ancillary providers in three states.

1998 to 2003 Geriatrix, San Diego, California - Chief Financial Officer

Geriatrix is a managed care organization which served over 145,000 senior and commercial plan members in California, Arizona, Rhode Island, Massachusetts, and New York. The company has grown to annualized revenue of over $50 million. As the organization grew and developed, I served in various roles starting as the Chief Financial Officer, then as the Chief Operating Officer.

• Built the infrastructure to support specially health plan operations under several full risk Medicare Advantage heath plan contracts.

• Developed the systems to analyze health plan claims and eligibility information to identify revenue and operational improvement opportunities for the health plans.

• Developed the business plan and financial projections to obtain the initial $2 million seed money, and a second $6.5 million round of financing.

• Negotiated multiple health plan agreements in various states and lead the development of the supporting provider networks in those markets.

Resume of Paul M. Taggart

• Developed, evaluated and maintained comprehensive provider networks in several states.

• Led the due diligence process and transition plans for the acquisition of Geriatrix’ primary competitor.

• Integrated the acquired company operations and increased revenue 300%..

1989 to 1997 Desert Hospital, Palm Springs, California – Executive. Director

Managed cost accounting, information services, business development, strategic planning and managed care activities for a 400 bed hospital and its owned, sub-acute, hospice, ancillary and home health services. Negotiated all contractual relationships and managed the capitation risk pools in a highly competitive market.

• Developed cost accounting and financial reporting systems to report income by contracted health plans and medical groups.

• Negotiated more than 70 HMO, PPO and EPO provider contracts each year, resulting in $75 million annual net revenues.

• Secured and managed the risk for five capitated HMO contracts including commercial, Medicare Risk and Medicaid plans, involving four medical groups and covering 20,000 lives.

• Created a psychiatric services business plan for managed care and increased census by 65% and net revenue by $1.5 million.

• Spearheaded the opening of a comprehensive inpatient HIV unit and increased product line census by 300% and revenues by $2 million.

• Recruited 34 physicians to the community following a medical manpower needs assessment, resulting in $68 million in annual net revenue.

Previous Financial Management Positions

Ambulatory Medical Management, Van Nuys, California Vice President, Finance

Summit Health Ltd. Burbank, California - Vice President-Finance

EDUCATION

• Master of Business Administration - Pepperdine University, Malibu, CA,

• Bachelor of Science in Business Administration - California State University, Northridge, CA

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