Director/Vice President

Kevin M. Sablich, Fache / Mba

518-***-**** (H) ************@*****.*** 607-***-**** (C)

Executive Management / Business Director

Executive Management Professional with 23 years of diverse and effective experience. Areas of expertise include proven leadership, enhancement and success of significant administrative, fiscal operations, project management, contracting, financial analysis within Consulting, Managed Care, Practice Management, Hospital and Management Services. Recognized by senior executives, colleagues and staff as possessing demonstrated attributes being driven by success, deadline and outcome focused, appropriately aggressive, attentive to details in addition to extremely personable and ethical. Known as competent leader who holds self / teams accountable for goals, deadlines, revenue and cost objectives. Poised; well–prepared for new challenges.

Professional Experience

United Health Group 2011-2016

Enterprise Director - Optum360 (2014-2016)

Directed, established policies / practices targeted to management of operations applications in hospital space. Responsible for establishing and managing governance programs; reporting directly to Senior Executive Management of Optum360 and clients.

Governed organization’s largest client implementations to ensure completion on time, on budget and in scope.

Led, managed multiple Implementation Programs and Projects.

Partnered with internal / external partners to lead, support delivery and execution of implementation tasks.

National Director of Operations - Community & State - Appeals & Grievances (2013)

Led A&G team of business managers, supervisors and subject matter experts for UHC’s Medicaid / Medicare Duals business operations. Responsible for operations management, regulatory compliance, quality, corrective action plans based on operational results and developing / enhancing business policy to align with regulatory programs.

Optimized staffing efficiencies with increased volumes of throughput, reducing expenses and overhead; increasing productivity.

Improved compliance associated with contractual measures; increasing quality, improving Pay for Performance incentive opportunity.

Instituted performance management and reporting which enhanced visibility, transparency to executive management and business partners.

Improved relationships with business partners via improved communication, coordinated corrective action with vendors and targeted technology solutions.

Associate Director - Business Advisory & Technology – OptumInsight (2011-2013)

Executive with direct responsibility for large scale program execution (high cost and profile). Facilitated operations, developed business segment and enterprise level planning. Participated in senior level decision processes regarding program strategy, funding and prioritization.

Executive oversight of large scale projects ($3M+) with both external / internal clients; liaison to client executive leadership.

Provided review of programs, strategic guidance to senior leadership.

Strategic leader for development of program roadmaps, timelines including associated strategy regarding Healthcare Reform, ICD-10, ACA and ACO strategies.

Berkshire Health System, Pittsfield, MA 2011

Interim Vice President - Professional Services

Interim executive responsible for operations of clinical and administrative services including management of five directors, 125 physicians, 300+ staff. Accountable for performance analysis / measurement, strategy development / execution, budget / financial management and planning / control for entire multifaceted business entity. Consultant to executive team regarding professional services, operations, compliance, finance / revenue cycle and reporting.

Reported directly to CEO to assess opportunities for improvement including recommending changes in accountability for clinical and financial performance, revising management team, organizational structure, developing short / long-term strategic plans.

Provided executive oversight of implementation “Allscripts” Practice Management and Electronic Health Record systems.

Provided guidance regarding revenue cycle management, budget and reporting processes.

Negotiated physician contracts and incentive models based on productivity and quality outcomes.

Kevin M. Sablich, Fache / Mba Page 2

Ellis Medicine, Schenectady, NY 2009-2011

Director of Practice Management & Systems

Lead executive responsible for operational management of clinical / administrative services of 170 employed physicians / midlevel providers, associated staff generating $40M+ annual professional revenue, reporting to Senior Vice President / Chief Operating Officer and Chief Financial Officer. Consultant to executive team regarding professional services, operations, compliance, finance / revenue cycle and reporting.

Recognized for improving productivity, revenue enhancements for professional services ($4M), redesigning revenue cycle operations (reducing lag from 20+ to < 5 days), implementing reporting metrics to drive and manage operations.

Chosen as executive business sponsor for implementing $5M electronic health record (Allscripts), practice management system (Siemen’s PRM).

Implemented multiple services / programs to drive productivity and efficiency improving quality, associated compensation ($2M in additional revenue).

Significantly improved clinical operations in < 6 months.

Albany Medical Center - Faculty Group Practice, Albany, NY 2006-2009

Director of Operations

Lead executive for clinical and administrative services operations, managed 12 administrators, 250 physicians, 500+ staff in 20 practices (22 sites) generating $100M+ in annual revenues, reporting to President of Faculty Practice. Accountable for performance analysis / measurement, strategy development / execution, budget / financial management and planning / control for entire multifaceted business entity.

Achieved, on-time / on-budget consolidated practice billing operation recognized more effective and efficient with common procedures for 50 staff which reduced backlogged invoices 60%.

Recognized as key driver of revenue deliverables of up to $20M nearly each month, met / exceeded targets every year throughout tenure.

Chosen for executive team of five, functioned as Practice Business Sponsor on “Allscripts”.

EHR Project to ensure planning, build, communication, training and rollout occurred smoothly.

Significantly impacted improvement of policy / procedural management, overall communications, training and HR management in support of institutional goals and objectives.

United Health Services Hospitals, Binghamton, NY 1999-2006

Administrative Director

Reported to CEO of 550-bed facility, responsible for managing financial / operational projects, provided senior professional support to executives. Analytical review of contracts, cost / benefit plans of key operations, revenue enhancements and cost reductions. Negotiated Managed Care contracts; lead interface with MC companies regarding financial and operational issues.

Planned, directed, implemented first successful “CyberKnife” cancer treatment suite in New York State with a three year project timeline and $5M budget.

Implemented advanced technology projects - $3M Phillips “Digital Mammography” Center installation within all established plan milestones and parameters.

Analyzed, researched, recommended, oversaw re-organization of ED with new Rapid Care Center allowing non-acute patient wait times to decrease and customer satisfaction to increase.

Improved throughput, positively impacted organizational fiscal posture by conducting assessments of unprofitable or inefficient units, recommended closure / operational alterations.

Generated $5.5M with implementation of an Insurance Claims Denial Unit.

Women’s Health Connecticut, Avon, CT 1998-1999

Manager, Finance / Practice Managed Care Operations

Reported to Controller / CFO, responsible for risk / financial analysis of managed care contracts, financial statements and monthly operations reporting.

Conducted financial / operational reviews for 26 practice groups including accounts receivable, practice operations performance and collections.

Developed profit and loss projections, budgets and analysis of subsidiary operations.

Kevin M. Sablich, Fache / Mba Page 2

Aetna Us Healthcare / Health Plans, Middletown, CT 1993-1998

Financial / National Accounts Consultant & Senior Financial Analyst

Responsible for financial, business and systems analysis with corporate financial re-engineering project team and ongoing production of management information reporting system.

Transferred, promoted through several business units by Director as performance warranted and supported risk / financial analysis of contracts, policies and fiscal operations.

Provided quality sales support; identified opportunities, developed strategies, prepared proposals for national account prospects and customers to customer teams.

Reconciled financial information to internal source systems, reviewed financial and business data to assess quality and formalized and tested system enhancements and performance measures.

Education

University of Hartford, Hartford, CT

MBA

State University of New York, Binghamton, NY

BS, Industrial Technology,

Minor - Leadership and Organizational Studies

Technology Experience:

Clinical Informatics

Allscripts Electronic Health Record

Decision Support Systems

Siemens Financial / Hospital / Practice Management Products

Microsoft Office Products

Professional Certification / Affiliations

Fellow – American College of Healthcare Executives (FACHE)

American College of Healthcare Executives

Healthcare Financial Management Association

Medical Group Management Association

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