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Healthcare operations

Location:
Cypress, TX
Posted:
February 06, 2014

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Resume:

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

Cypress, TX *****

713-***-****(cell)

***-***-

**** (home)

*******@***.***

Eric W. Fritz

Career Objective: Position that will provide opportunities for me to

contribute to the organization's success by using my

talents and experience gained from 22+ years in healthcare

services.

Key skills : Personnel management, contract negotiation, cost

control, budgeting, project planning, process management,

multi-tasking, team building, customer relations.

EXPERIENCE

Cigna-HealthSpring

2010 - 2014 Program Manager, LivingWell Network Operations

. Responsible for operational oversight of eight

medical clinics in Texas, with four direct

reports, total of 42 staff and budget in excess of

5million dollars.

. Expanded clinic network from four facilities to

eight. Played integral role with facility design,

planning, construction and start up.

. Negotiated service agreements with large physician

groups for direct support of the clinics.

. Consistently achieved superior ratings on member

satisfaction surveys.

. Managed expenses below budgetary targets through

collaborative efforts with Practice Managers.

. Achieved CMS STAR rating of 4+ on 87% of the 63

participating physicians.

2003 -2010 Manager, Ancillary Services & Behavioral Health

Services

. Responsible for managed care contracting, network

development & account maintenance of all ancillary

services for Regional Medicare Advantage health

plan in Texas.

. Negotiated contracts to obtain discount pricing as

favorable as 35% below Medicare rates.

. Possess knowledge & understanding of Ancillary

service categories such as home health, dialysis,

durable medical equipment, Ambulatory Surgery

Centers, in-patient rehabilitation hospitals,

skilled nursing facilities, home infusion

services, Orthotics & Prosthetics services,

ambulance services.

. Developed ancillary service network from 13 to 397

providers. Many with multiple locations.

. Expanded network coverage to support expansion of

healthplan service area in TX from 3 to 38

Counties.

. Established & maintained strong business

relationships with providers through reliable

communication, responsive to requests for

assistance and commitment to service.

. Served as facilitator to expand several regional

contracts into multi-state agreements. These

contracts provided "global" HealthSpring network

participation to providers and resulting in lower

costs for HealthSpring.

. Served as healthplan's liaison in Texas with

contracted mental health provider, vision services

provider and non-medical transportation provider.

. Coordinated and directed contracting efforts in TX

for development of a directly contracted

behavioral health network in support of

Healthspring's initiative of in-sourcing for such

services. Resulting network consisted of 171

practitioners and 33 facilities.

CHRISTUS Medical Group

2000 - 2002 Regional Manager/Practice Manager

Managed daily operations of large family practice office in NW Houston

averaging 2000 visits monthly and with 18 employees, 3 full time physicians

and 1 Physician's Assistant

Reduced clinic operating expenses by 23%.

Expanded health plan participation by all physicians to 29 plans from 3

Standardized and organized internal work processes through collaboration

with clinic team leaders.

Provided leadership and direction to transition private clinic into

CHRISTUS Medical Group model.

Improved morale and physician relations

Served as a key member of regional management team working closely with

Regional Vice-President

Provided managerial oversight & support to 3 additional primary care

clinics in NW Harris county region, with 3 direct reports.

Improved region patient satisfaction scores by 50% as member of regional

management team

Memorial Hermann Hospital

1998 - 2000 Ambulatory Care Director

Coordinated relocation of 8 Internal Medicine clinics and successfully

integrated operations and personnel to develop multi-specialty outpatient

center staffed by 45 Faculty physicians and 43 employees.

Consistently managed expenses at or below budgetary targets through

collaborative efforts with Clinic Managers to reduce operating expenses

through staff restructuring, process improvements and performance

monitoring tools.

Served as member of several joint organization task forces developing

clinic operating policies and procedures.

Provided leadership and guidance to staff during organizational merger of

Hermann and Memorial Healthcare Systems.

Served as a steering committee member of Memorial Hermann Health System's

Partners in Caring program and Co-chairman of hospital's blood drives.

Successfully prepared my department for JCAHO ambulatory care survey,

resulting in a superior rating

1997-1998 Clinic Manager

Managed daily operations of large general medicine clinic, which also

served as site for general medicine residency rotations

Reduced operating expenses by 15% below budget

Coordinated installation of automated call distribution phone system

reducing monthly phone abandonment rate from 65% to 19%

Improved compliance with laboratory quality assurance standards through

clinical process improvement team

Successfully guided staff through several pilot programs in areas of

electronic scheduling, front office registration and charge capturing.

Served as a principal member of planning team charged with designing and

implementing operations plan for new multi-specialty outpatient center

1991-1997 Operations Administrator

High profile position in level one, tertiary care facility

Served as on-site resource for administration

Improved relations with media and outside contacts

Created and implemented emergency preparedness/safety response plan as

member of multi-department task force

Reduced risk exposure through excellent patient relations and early risk

identification/intervention

Improved inter-department communication utilizing excellent communication

skills

1987-1991 Life Flight Paramedic

Direct patient care on aircraft and Emergency Center

14. Conducted public relations tours and handled daily media

inquiries.

EDUCATION

Master of Business Administration

Our Lady of the Lake University, San Antonio, TX - May 1996

Bachelor of Science in Healthcare Administration

University of Texas, Galveston, TX - August 1991

Associate of Applied Science in Emergency Medical Technology

San Jacinto Community College, Pasadena, TX - August 1987

MILITARY EXPERIENCE

U.S. Coast Guard

1984- 2002* Active Reserves-Station Galveston, TX.

*Retired at rank of E-8, Senior Chief

Boatswain's Mate

1980-1984 Active Duty.



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