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Medical Manager

Location:
Pittsburgh, PA
Posted:
October 26, 2019

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Resume:

REBECCA L. BRADY

adaosd@r.postjobfree.com **** Wilson Drive

412-***-**** Bethel Park, PA 15102

To whom this may concern:

I am interested in the job opportunity you have posted for Hospice Executive Director – Gables Search Group.

I am presently the Chief Operating Officer of a Federally Qualified Health Center in McKees Rocks, PA. Prior to this, I was the CEO/COO of a Continuing Care Retirement Community in Pittsburgh, PA. In both roles, I led initiatives that enabled each entity to achieve profitability, following repeated years of net operating loss.

In September, I approached Board Leadership with a plan that would solidify the organization for its long-term future and enable some bright talent to emerge in my place. The plan would also enable me to move on to my next leadership opportunity within the next month or two.

I hold a Master’s degree in Organizational Leadership, a B.S. degree in Business Management, multiple Insurance Industry certifications, and more than 30 years of successful leadership experience in a variety of business disciplines including:

Large scale health care operations at the levels of hospital, community health, and nursing home care.

Financial analysis, corporate audit, financial recovery, forecasting and budget planning.

Medical insurance claims processing, billing, collections and call-center support.

Human resource management, staff recruiting, training and development.

Corporate real estate and large scale building, renovation, and construction projects.

Large-scale re-engineering and process improvement and project management.

Contract negotiations, public speaking and community service.

Business disaster management and recovery planning.

In addition to the experiences listed on my resume, I am an extremely dependable and flexible person who is well able to manage constant change. I work well both independently, and as a member of a team. I also have the unique gift of being able to easily and effectively collaborate with people of all types, irrespective of their age, level of education, and socio-economic status.

I maintain a professional appearance, a positive attitude, and disciplined organizational skills. Additionally, I am a person of integrity and excellent personal, as well as professional, references. I am hands-on, hardworking, dedicated, loyal and …no stranger to working long hours on difficult tasks, with seemingly unreasonable deadlines. I am open to travel as well as temporary and/or permanent relocation. I would also have no trouble obtaining NHA licensure in any other state if the position required it.

I would welcome the opportunity to meet with you to discuss whether or not I would be a good leadership fit for your organization.

Sincerely

Rebecca L. Brady, NHA

REBECCA L. BRADY – MSOL, NHA, PCA, AHM 5681 Wilson Drive, Bethel Park, PA

adaosd@r.postjobfree.com 412-***-****

Chief Operating Officer - FQHC

Energetic, results-oriented, innovative thinker with integrity and a commitment to excellence. Able to quickly size-up opportunities, develop strategies, and motivate self and others, to achieve successful outcomes, in complex situations.

PROFESSIONAL EXPERIENCE

Sto-Rox Neighborhood Health Council, Inc. (FQHC-Federally Qualified Health Center) July 2017 - Present

Chief Operating Officer/Associate Executive Director

Administer, coordinate, and direct all operational aspects of this FQHC. Responsible for leading efforts to ensure full program and regulatory compliance along with the delivery of high-quality, patient-centered, care and services. Analyze data and quality metrics to ensure workflows and services are meeting the needs of the community and achieving positive outcomes with regard to patient health and clinical metrics. Steward financial resources in compliance with HRSA grant funding. Well-versed in value-based reimbursement, UDS, meaningful use, PCMH, and a variety of other performance measures and payer models of excellence. Responsible for acquiring and maintaining contractual as well as collaborative relationships. Additionally function as the Compliance Officer, Quality Improvement officer, and Risk & Claims Manager for FTCA action.

The Reformed Presbyterian Home - CCRC, Pittsburgh, PA – January 2012- July 2017

Chief Operating Officer and Licensed Nursing Home Administrator. Responsible for leading efforts to achieve compassionate, high quality, cost effective, healthcare delivery by upholding the organization’s mission and values and by using them to guide decision-making, strategic direction, operational oversight and regulatory compliance for this $10 million Continuing Care Retirement Community (CCRC); comprised of Skilled nursing, Personal care, Independent Senior Living, and HUD (202 PRAC) apartments. Within the first six months, led change opportunities that produced the first profitable years the company had experienced, following eleven straight years of net operating loss. Through a variety of planned, strategic, initiatives, significantly reduced operating costs, improved the revenue mix, reduced days in receivable, improved cash on hand, paid down the debt and increased net assets. Led transformation by developing a results-oriented culture, standardized practices, and a common set of metrics which enabled the organization to move from 1-star to 4-Quality Star status. Well-versed in Medicaid and Medicare, Federal and State compliance, RUG and CMI payment methodologies, and Quality improvement initiatives. Able to effectively network, and partner, with other individuals and organizations to achieve mutual objectives that move both organizations successfully forward.

South Hills Assembly/Compassion Connection Counseling Center, Bethel Park, PA – June 2006 to July 2011

Pastor/Director of Adult Ministries- Planned, organized, managed, and directed the strategic business plan, budget, policies, procedures, staffing and operational support activities for the Adult Ministries department and the Christian counseling center. Identified the unmet needs of seniors and other underserved people groups and developed educational workshops and fellowship activities to meet the needs. Provided the elderly, under-privileged and the physically and mentally challenged with coaching, job-readiness training and opportunities to assist as volunteers. Helped adults find human services and educational assistance within Allegheny County. Acquired Interns, managed intakes, scheduled clients, allocated space, managed billing & collections. Developed and maintained external business relationships with community leaders, business owners, public officials and news media to organize community-wide events and fundraisers to raise awareness and utilization of the programs and services. Conference speaker, writer and facilitator of meetings, studies and groups. Directed food service preparation activities and events for groups of 250+ people. Provided assistance with sound and video multi-media equipment during awards presentations and special events. Researched Grant and Foundation funding opportunities and prepared the counseling center’s annual 990 Tax forms filing.

CIGNA HealthCare, Inc. (formerly INTRACORP, Inc.), Pittsburgh, PA - 1995 to 2006

Regional Director of Business Operations, Real Estate, and Corporate Internal Expense Control (1995 to 2006)

Planned, organized, managed, and directed the health administration strategic business plan, staffing, budget, and operational activities supporting three Medical Health Plan Call Centers nationally. Responsible for Accounts Payable & Receivable, Billing, Business Disaster & Recovery Planning, Collections, Clerical Support, Customer Service, Data Entry, Payroll & Benefits, Facility Maintenance, Fleet, Food Services, IT-LAN/Voice System Support, Office Ergonomics, Mailroom Services, Medical Records & File Maintenance, Real Estate, Report Production, Risk Management, Security Services and Workplace Safety.

Operations- Demonstrated 11 years of progressive responsibility as a senior leader, effectively managing the support of multiple large Call Centers and small office locations, nationally dispersed, as collaborative components of a larger health system.

Identified opportunities to streamline operations, reduce costs, and improve overall operational effectiveness.

Functioned as a Project Manager responsible for organizing and leading matrix teams to achieve the desired results.

Designed, implemented and managed the company Work-At-Home Program. Developed the policy and procedural guidelines, analyzed program data, and determined the financial and non-financial impact to employee satisfaction and business operations.

Designed the Business Recovery & Continuity Plan, tested it quarterly, and responded to real-life operational outages and events.

Real Estate- Provided oversight and management of the $13.2M corporate real estate portfolio (61 properties, 531K RSF) which included preparing and monitoring the budget, analyzing financial data and directing leasing activity.

Provided oversight to all real estate projects involving facility closures, office refurbishment and capital construction.

Developed strong relationships. Effectively collaborated, and successfully negotiated, within a matrix environment, to achieve corporate real estate restructuring goals while obtaining “win-win” outcomes for all departments involved.

REBECCA L. BRADY Page 2

Expense Control- Audited and analyzed activities, costs and operations, and reported the business performance indicators to stakeholders.

Developed and executed response strategies to achieve performance improvements and cost efficiencies.

Achieved average expense savings of $1.8M annually in addition to recovering $1.5 million in Treasury escheat funds annually.

Identified and implemented telephony system changes that resulted in savings of more than $5 million annually.

University of Pittsburgh Medical Center, Pittsburgh, PA - 1990 to 1995

Manager, Department of Pathology (1993 to 1995)

Supervisor, Inpatient Accounts Receivable (1990 to 1993)

Managed operations to identify areas for improvement; including the expansion of services and renovation of the physical space. Reviewed and evaluated the effectiveness of procedures and plans to develop and implement new, more efficient, systems and procedures to improve office operations. Managed the medical transcription workflow to achieve productivity guidelines and motivated the staff through coaching, recognition and support to maintain high standards despite pressing deadlines. Led revenue cycle implementation projects, completed cycle assessments and assisted with revenue cycle turnaround projects.

Prudential Insurance Company of America, Pittsburgh, PA - 1982 to 1990

Corporate Trainer, Medical & Dental Claims Processing (1986-1990)

Quality Control Reviewer (1984-1986)

Medical & Dental Claims Examiner (1982 to 1984)

Trained employees to review, price, pay or deny medical insurance claims covered by Medicare, Medicaid and Third-Party Payers. Provided training on medical terminology, diagnosis and procedure coding, and insurance products, contracts and coverage. Conducted instructional and motivational training seminars to develop and enhance staff productivity as well as enhance the quality of customer service performed.

Financial Estate Planning, Penn Hills, PA - 1982 to 1983

Stockbroker and Financial Planner- Part Time

Financial Sales (stocks, bonds, mutual funds, life insurance)

Federated Investors, Inc., Pittsburgh, PA - 1981 to 1982

Corporate Action Representative-

Administrative Assistant to the Director of Operations

EDUCATION & CREDENTIALS

M.S. Organizational Leadership, Geneva College GPA 4.0

B.S. Business Administration Management Robert Morris University GPA 3.8; Magna Cum Laude and the Dean’s List

NHA-Nursing Home Administrator (Pennsylvania State License #NHA007302)

PCA-Personal Care Home Administrator Certification

AHM- Assisted Housing Manager; certified housing professional; HUD subsidized multi-family housing, PRAC 202

CNA-Certified Nurse Aide Registration #10045837

Professional Tax Preparer for Jackson Hewitt (part-time) PTIN# P01656261

Licensed Minister-Assemblies of God International Fellowship (GPA 3.54) Berean School of the Bible

CPR/AED-Healthcare Provider Certification; American Heart Association

Act 34/Pennsylvania State Police Request for Criminal Records Check

Act 73/FBI Criminal Clearance; Act 33/Pennsylvania Child Abuse History Clearance

FLMI - Fellow, Life Office Management Institute; LOMA-Life Office Management Association

HIA - Health Insurance Associate; Health Insurance Association of America

ALHC - Associate, Life & Health Claims; International Claim Association of America

Financial Estate Planning Institute (License:NASD Series 7, NASD 63, Health, Life & Accident Insurance-all currently inactive)

Strong knowledge of Consumer Credit & Collection Laws; FDCPA, UCC, Act 6, Act 91

Crisis Intervention Training; Certified Therapeutic Foster Care Parent with The Bair Foundation (currently inactive)

References – excellent and provided upon request.

COMPUTER SOFTWARE, SYSTEMS & MISCELLANEOUS SKILLS

Quickbooks

Publisher

MS Outlook

MS Excel

MS Word

MS Power Point

Centricity

NaviNet billing

Matrix Medical Records

Medical Claims Processing

Income Tax Preparation

Media Shout

Medical Transcription

Typing 95 wpm

Account Collections

Real Page/OneSite

Sentric HR/Payroll

AllScripts/ECIN

Medical Terminology

Financial Analysis

Financial Reporting

Project Management

Corporate Trainer

Public Speaker



Contact this candidate