Larry R. Gentry Tampa, FL ***** 813-***-****

Willing to travel : Open to Relocation : Remote Interested adbvje@r.postjobfree.com linkedin.com/in/LarryGentry77 Strategic Senior Leader - Operations, Market, Product, and Project 20 years’ experience in clinical operations, team development, and leadership of high-profile program initiatives. Accomplished and Strategic-thinking executive with repeated success guiding cross-functional teams and business operations. This includes development and delivery of successful high-impacting program initiatives and transformational projects. Experienced within matrixed organizations, process improvement, and innovation to reach successful outcomes. Skilled in the identification and remediation of program gaps, process improvement, team dynamics, and cost/profit management opportunities. I have a talent for consulting and leading programs to sustainable change and efficiency. Expertise in the provision of healthcare and business systems, organizational transformation, project management, training, and market operations. Collaborative communicator capable of forging solid relationships with stakeholders, and championing consensus across multiple audiences to achieve operational excellence and program resource expansion. Areas of Expertise

● Department/Business Management ● Leadership & Change Management

● Executive Direction ● Project Management

● Market/ Healthcare (UM, CM, Ops) ● Training & Facilitation (Clinical and Business)

● Strategic Analysis & Planning ● Multiple Account Management

● Community Outreach & Advocacy

● Education & Development

● Quality Assurance

● Market Ops/Network Management

● Population Health, Medicare, Medicaid, Commercial, MSO

● Cost and Care Strategy

● Audit & Compliance (Joint Commission, URAC, NCQA, HEDIS, STARS)

● Contract/RFP Management/ Fiscal Management

Professional Experience

WellMed – Optum/United HealthCare/Wellcare - Florida – November 2018 to Present Strategic Market Operations Director

Work closely with Senior Executive Leadership partners from WellMed, Optum, United Health Care, and Wellcare to identify, manage, and exceed targeted business priorities

Own selected high-impact initiatives and projects (Provider relations, Cost, and Market Rep) o Market Operations go-lives, industry wide collaboration and partnerships, client specific programs, M&A analysis/integration, Fiscal Outcomes/Cost & Care, and PCP Performance

Develop, initiate, prepare/culture, and execute on strategy with value creation for the industry, as well as positioning market/business functionality to benefit our clients

Evaluate data/feedback, interests, and needs to ensure product advancement and lifecycle will continue to maximize opportunities, remain competitive, and deliver the desired customer experience while exceeding metrics

Oversee upstream product definition and downstream product development and execution in line with client needs and business goals/budgets/standards/compliance

Develop and advance solutions that maximize business success through alignment of enterprise and client objectives

Collaborate across the organization to create better alignment with business partners/units, business segments, and functional areas

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Build trust and inspire confidence internally and externally across the business, while ensuring persuasive delivery of information and negotiating win-win agreements

Drive and expect alignment around core product and client objectives, growth, and acquisition

Fulfill management and basic HR functions for human capital and supervision of direct reports across markets

Promote alignment for Market Medical Directors to support business across interdisciplinary teams

Facilitate business and strategy development meetings, while reviewing business analytic data/trends

Manage assigned accounts across Florida with Physician Practices Private Practice - Florida and Indiana – 2017 to 2019 Individual Therapist and Clinical Consultant/Clinical Trainer (Not Currently Active)

Successful small private therapy practice.

Individual short-term therapy for people needing short-term therapy or long-term therapy for wellness.

Tele-therapy and in-home sessions.

Acupressure therapy as part of a holistic approach with chiropractic clinics and per diem.

Clinical education and consulting per diem.

Wellcare Health Plans, Tampa, FL

Population Health Strategic Managing Director

*Transition over from Health Integrated via vendor reallocation (Health Integrated was a contracted vendor for Wellcare). Extension of Health Integrated position - May 2017 to Aug 2018 (left due to restructuring of department and alignment – Exceptional Performance Reviews and was in-line for promotion) Direct the day-to-day activities of the population health operations ensuring alignment of performance with organizational goals, contract specification, and regulatory standards. Provide strategic direction for departmental fiscal management overseeing Key Performance Indicators (KPI), evaluation of approvals and denials, and budget administration. Collaborate cross-departmentally and with executive leaders to drive and establish goals. Facilitate interdisciplinary meetings focused on continuous improvement of processes, performance, and efficiency. Liaise as a representative for integrated behavioral health and general utilization/case management. Lead and mentor a team of 10+ leaders and 200+ nationally dispersed personnel (remote and onsite). Participate on various committees focused on training, change management, process enhancements, clinical review, and workflow development. Held accountable for vendor management. Perform new hire onboarding and training. Manage call center, staffing, and strategic planning. Develop and execute strategies, policies, and procedures to drive quality case management. Host multidisciplinary clinical rounds and staffed complex cases. Ensured success of vendor relationships and performance. Chair meetings focused on cost analysis and the evaluation of KPIs.

Championed the development and execution of a 24-hour authorization and crisis intervention line for behavioral health.

Served as the inter-department project manager representative (nationally).

Managed all vendor relations and performance outcomes or correction plans.

Saved $3M in departmental costs by providing comprehensive analytics, reporting, and KPI management.

Enhanced quality and compliance standards to meet 100% of requirements from 40%.

Established a transitional care team linking UM with CM.

Partnered with platform and technical teams to stand up data-bases, systems, and process to ensure quality implementations and ongoing growth.

Developed and implemented a tracking mechanism for performance and production enabling the team to track budget impacts as well as conduct cost and staffing analyses utilized in staffing models.

Was given awards and multiple recognitions for successfully collaborating across departments and improving “internal customer service”.

Health Integrated (now an “EXL company”), Tampa, FL Senior Strategic Director and Assistant VP - Clinical Integration June 2015 to May 2017 (employment ended due to company buyout and department vendored overseas) Provided strategic guidance and leadership to a team of 60+ personnel in behavioral health utilization management and crisis call operations. Developed and implemented critical resolution strategies to drive enhanced service quality, processes, case management, and overall performance. Held accountable for compliance, financial management, workflow development, and the creation and measurement of KPIs. Managed the implementation of new programs and clients, quality assurance, and auditing processes. Conducted various analyses to identify operational gaps and integrate continuous improvement strategies. Engaged with clients to present business and clinical objective. Collaborated with client services to cultivate key relationships with potential and existing clients. Served as POC for Transition of Care (TOC). Coordinated monthly rounds, multi-state case reviews, and compliance efforts. Oversaw the performance of 10+ lines of business and 16 EMR/Clinical documentation platforms. Consulted on best marketing and sales practices. Led the BH Physician Review Team activities. Trained providers and clients on clinical care guidelines and utilization management outcomes/expectations.

Created training and workflow documents adherent to business needs and objectives. This included an on-boarding for new hires that I spear-headed with the training department.

Sole project administrator for all behavioral health initiatives, implementations, and technological stand-ups, sprints and UAT.

Directed multiple projects, transformations, and cross-department improvements geared to KPI and outcome success. Included collaboration company wide.

Spearheaded the integration of case management and intake into “one” clinical team, leading to centralization as well as cost savings and increased customer satisfaction.

Grew the Behavioral Health division into an independent department from an add-on service.

Executed role re-definition efforts to reorganize the BH staff leading to the department transitioning for a loss of 24% to a profit of 2% in one year.

Defined the BH department Philosophy, Mission, and Culture. Midtown Mental Health/ Adult & Child CMHC - Eskenazi Hospital Behavioral Health Partnership, Indianapolis, IN Multiple roles within hospital network - Senior Manager of CMHC 2001-2013 & 2014-2015 (left for advancement)

Managed the performance and delivery of eight 8 Quality Analysts while overseeing the Change Management Program. Supervised inter-disciplinary clinical chart audits utilizing data mining. Developed training programs to address audit findings and trends focused on enhanced care. Compiled, interpreted, and reported critical data points to the Executive Leadership team. Served as a Subject Matter Expert (SME) and consultant on clinical operations. Organized monthly Peer Review Committee care audits. Performed duties as the MRO and regulatory information expert. Presented macro/micro workflow processes.

Streamlined the audit process driving validity, adherence, and alignment with training and workflows.

Enabled accurate training presentations and materials through comprehensive analysis ensuring accuracy and current data allowing continuous training opportunities enterprise-wide.

Successfully identified audit high-risk areas resulting in problem resolution as well as compliance findings avoidance.

Facilitated organization wide initiatives to both identify budget impacting factors, process inefficiencies, and metrics specific for roles.

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Successfully identified audit high-risk/fraud areas resulting in problem resolution as well as compliance findings avoidance.

Oversaw the facilitation of Celebrating Families, Dual DX Program, Men’s and Ddx Group, Psychiatric, Residential, and Shelter operations. Performed intake and discharge processes aligned with wrap-around care. Developed strategies to enhance program offerings and quality of care. Provided comprehensive crisis management and intervention. Trained and mentored new staff and leaders. Created protocols and processes to promote safety and quality of care. Represented CSM, Inc. with the County. Led key investigations. Served as the primary representative for the Joint Commission audits and state facing compliance issues. Provided care to a diverse population including Adult, Geriatric, Child/Adolescents, Dual-Diagnosis, Court-ordered, Foster Care, Family, Sexual Offenders, and State Hospital.

Demonstrated expertise in hospital, clinic, community, residential, state, foster care, court-ordered, IOP, PHP, Detox, ER, and medical unit leadership.

Expanded bed capacity from 25 to 58 (various RTC, PRTF, Shelter Plus Care, Special Needs, Geriatric facilities across 3 counties).

Developed disaster plans associated with managed programs.

Led the development of various clinical programs focused on integrated care and medical home values.

Recipient of multiple promotions and consideration as an Ambassador for the hospital.

Treatment and clinical plan development across disciplines under medical home model of care.

Recognized as addiction expert for entire mental health district.

Tasked with special clinical solutions for complex cases across hospital network.

Successfully formulated and executed grant applications gaining approval for Shelter Plus Care paving the path for 75 additional clients to join the wrap-around care initiatives. This program reduces admissions by 33% and readmissions by 62% for high-risk clients.

Managed accounts with local college to secure grants and state funding to implement pilot programs for ACT and Family Programs.

Collaborated with local law enforcement to complete mental health and crisis training with officers that was utilized designate specialty officers for things like welfare checks and emergency detentions. Advantage Health Solutions, Indianapolis, IN

Prior Authorization Clinical Manager

2013-2014 (Contract position – was not extend; was promoted from Supervisor to Manager within 6 months) Led the daily operational output of five teams consisting of 26 cross-functional staff including RNs, LSWs, and LCSWs specializing in Behavioral Health, Home Health, Hospice, Long-term care/PRTF, and Medical/Elective Complex authorizations. Liaised between the teams, providers, and State FSSA entities. Reviewed performance and processes ensuring compliance with internal and external standards. Facilitated team training on the Indiana Administrative Code, Medicaid Provider Manual, Medical Policy Manual, and Indiana bulletins and banners. Leveraged technology to complete insurance pre-authorizations. Performed various audits. Analyzed and rendered decisions on clinical service requests. Evaluated treatment plans and progress. Served on a committee providing policy updates and regulatory analyses.

Selected to lead behavioral health, transportation, home health, long-term care, crisis, and complex medical operations enabling an integrated approach to authorizations.

Re-engineered workflows and job aids.

Additional Experience

Internship, Practicum I: Wishard Primary Care

Internship, Practicum II & III: St. Vincent-Ascension Health Networks Education

Master of Social Work in Leadership and Clinical Organization (similar to an MBA) Indiana University, Indianapolis, IN

Bachelor of Science in Organizational Psychology

Purdue University, Indianapolis, IN

Credentials & Licensure

Clinical Social Worker (LCSW) - IN and FL Clinical Addictions Counselor (LCAC) Mental Health Professional (LMHP) Qualified Mental Health Professional (QMHP) Qualified Mental Retardation Professional (QMRP) Professional & Community Involvement

Former Member - BH UM Standards Former Member – JOT Former Member - Crisis Intervention Adjunct Psychology Professor

References will be provided upon offer

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