Regional Network Director

VIKAS “RICK” DESAI

add3wt@r.postjobfree.com 562-***-****

EXECUTIVE SUMMARY

• Proactive and innovative Leader with the ability to interpret and provide solutions for the business needs of an organization

• Strong record of achievement and demonstrated success developing strong teams and delivering performance

• Extremely efficient and effective at developing best practices, forging solid relationships with external and internal business partners

• Results oriented with proven organizational, analytical, communication, decision making, and problem-solving skills

• Expertise in managing Statewide and National networks and operations

• Extensive experience in navigating through complexities of large scale and matrix organizations AREAS OF EXPERTISE

Driving Profitable Growth Managed Care Strategy Managed Care Operations Strategic Planning and Execution Physician Alignment Relationship Development & Management Effective Decision-Making Network Development Resource Alignment & Optimization PROFESSIONAL EXPERIENCE

CleanSlate Centers April 2017 - Present

Vice-President, Managed Care Contracting & Strategy

• Senior executive with oversight of business development and managed care strategy functions nationally including all areas of reimbursement, pricing and contracting activities.

• Have successfully led the growth in market penetration with Payers from less than 5% to 85+% in each market while concurrently improving performance across KPIs.

• Chief architect in the development and implementation of value-based care payment models throughout the enterprise with Payers across all markets resulting in material improvements in both clinical and financial performance and overall payer alignment. Artifex Strategies Consulting April 2016 - April 2017 President

• Provide strategic and operational healthcare consulting services to numerous Payer and Provider clients nationally

• Oversight of network development and overall Strategic Operations for large, national Payor and Provider organizations. Develop and implement organizational strategies to leverage value propositions to drive incremental financial and clinical performance WellCare Health Plans (California Market) August 2014 – April 2016 Chief Operations Officer / State Leader

Vice-President, Network Management and Provider Relations

• Responsible for P&L and all CA Market Network Management operations and performance including analytical and modeling functions

• Direct oversight of reimbursement and revenue cycle operations for entire provider network consisting of over 15,000 physicians, 80+ Medical Group/IPA and 450+ Hospital/ASC contracts

• Established and built strong relationships with external stakeholders and provider leaders to effectively improve alignment and partnerships

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• Developed and implemented Market Strategic Plan including creation of a High-Performance Network and reimbursement strategies resulting in significant improvements in clinical and financial performance for the market:

o Net Income improvement of over $34 million YOY

o EBIDTA growth of over $56 million YOY

o Developed and implemented effective Private Label Strategies Kindred Healthcare August 2012 - August 2014

Corporate Vice-President (West Region), Managed Care

• Oversight of all aspects of the Managed Care and Strategic Operations for Kindred’s West Region managing a staff of ten senior leaders including eight (8) Regional Directors and over

$2 billion in revenue and markets spanning twenty-one (21) States

• Demonstrated significant Rate & Volume growth in Region through strategic alignment of financial and clinical models and implementation of alternative reimbursement methodologies

• Key stakeholder in development of Kindred’s Reimbursement Alignment Strategy and Managed Care Analytics infrastructure

USC / Keck Health System October 2011 – May 2012

Chief Managed Care Officer

• Responsible for the planning and implementation of the managed care strategy for the USC Health System enterprise, including the five hospitals and the USC Care physician practice with 500+ medical staff and total revenues of over $1.8 billion

• Coordinated development of financial planning projections for managed care and members of the Executive Committee

• Oversaw all decision-making functions related to managed care operations, including financial analytics as well as growth of inpatient and ambulatory patient volumes, securing optimal reimbursement and protecting the interests of the organization in contract negotiations with payers and other relevant partners

Dignity Health August 2003 - October 2011

Service Area Director, Managed Care Strategy and Operations

• Responsible for Managed Care and Contracting Strategy for twelve (12) hospitals in Southern and Northern CA managing over $900m in revenue

• Coordinated as Managed Care liaison with leadership team in development of Clinical Integration platform for CA, AZ and NV markets

• Led all aspects of managed care contracting and payment operations, including detailed financial analysis, negotiations, revenue cycle and reimbursement with current and prospective purchasers of healthcare services

• Drove processes to negotiate high-level contracts, supporting retention and growth of the payer and provider networks

• Developed key relationships with the payor and provider community to maximize opportunities and revenue sources for the hospitals

• Provided strategic oversight and decision-making for the hospitals, working closely with business development and operations, which drove the proper alignment of incentives with providers and payers

Ernst & Young, LLP December 2002 – August 2003

Senior Consultant

• Led the entire west coast operations for Ernst & Young’s Health Sciences Service Line for the managed care practice. Delivered performance enhancement and risk management solutions to diverse healthcare and life sciences organizations Page Three

• Provided an in-depth managed care strategy and negotiation services to help clients evaluate risk and non-risk contracts as well as to develop recommendations to maximize reimbursement

• Evaluated organizational structures and alternative provider reimbursement mechanisms for major medical centers. Consulted on strategies to increase revenues and gain market share

• Utilized a data-driven approach to perform payor-specific analyses, pre-negotiation coaching, behind-the-scenes support, and representation during negotiations

• Performed assessment of market demand and service area economies, and forecasted the impact of planned projects on future financial performance

• Conducted performance of market assessments and competitive analyses with development of enrollment and financial projections for national healthcare providers Tenet Health Systems December 2000 - December 2002 Regional Manager, Managed Care and Strategic Development

• Accountable for managed care negotiations and the development and implementation of the contracting strategy for 40 hospitals in the Western Division of a national for-profit healthcare system. Secured new contracts and led negotiations, combining for $2 billion of fiscal year revenue for division hospitals

• Oversaw centralized functions and responsibilities to lead competitive negotiations while maintaining positive partnerships with payers and physician groups

• Collaborated directly with the hospital’s Chief Executive Officer and corporate senior management team to monitor contract performance, resolve operational issues, and evaluate financial viability and progress of hospitals

• Performed ongoing language reviews and oversaw the financial modeling of divisional hospital contracts for negotiations and assurance of accurate contract performance. Held direct oversight of prior fiscal year’s contract performance, resulting in a 52% growth in revenue and an 82% increase in accuracy and timeliness of reimbursements to divisional hospitals Universal Care Health Plan August 1999 - December 2000 Senior Contracts Manager

• Led the coordination of network development in creating the new Universal Care of Tennessee Health Plan and Universal Care Health Systems, Inc

• Oversaw all medical group, hospital, and direct provider contracting efforts in the Tennessee and California networks. Reported directly to the Vice President of Contracting to assist with the development and expansion of provider network

Long Beach Health Department (DHHS) July 1998 - August 1999 Public Health Fellow

EDUCATION

California State University, Long Beach (CSULB)

• Master of Healthcare Management/Administration (MHA) o GPA: 4.0

o Graduated First in Class

o National Dean’s List

o Single Recipient of Annual University Outstanding Graduate Student Award

• Bachelor of Science in Microbiology, Minor in Chemistry PROFESSIONAL AFFILIATIONS

• CSULB Executive Faculty Professor, Health Care Administration, 2014-Present

• CSULB Health Care Administration Advisory Board, Member, 2005-Present

• Healthcare Executives of Southern California (HCE), Active Member, 1999-Present

• American College of Healthcare Executives (ACHE), Active Member, 1999-Present

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