JAMES ANDERSON, MBA League City, TX 509-***-**** firstname.lastname@example.org
Operations Management Business Development Change Management Governance & Compliance Project Management Financial Management Data Analytics & BI Tools Performance Improvement Vendors & Payer Contracts Public Relations
Talent Selection Team Building & Mentoring
14+ years’ in Executive- level
operations leadership positions.
10+ years’ in C-suite level
20+ years’ in RCM, financial
modeling, and data analysis and
Managed over 500+ employees
in U.S. and internationally.
14+ years’ in Executive-
level operations leadership
10+ years’ in C-suite level
20+ years’ in RCM, financial
modeling, and data and
Managed over 500+
employees in U.S. and
SENIOR OPERATIONS EXECUTIVE HOSPITAL MANAGEMENT COMPLIANCE
Executive leader experienced in operations, financial management and business development with a hands-on approach to leadership.
Strong operational background with expertise in change management, system integration, financial strategies, and compliance.
Strategic leader driving operations and compliance in hospitals, emergency centers, rehabilitation centers and revenue cycle.
Broad business perspective; identifies and delineates concerns that impact decision-making surrounding critical business issues.
Passion for positive outcomes with clients, employees, patients, and providers while driving strategic business solutions.
MOODY NEUROREHABILITATION INSTITUTE
Contract & Data Support Director
09/2019 to Current
Negotiated all payer contracts resulting in organization increase of 50%. Led team to successful 3-year accreditation survey with CARF International. Audited patient screening assessments and program resulting in creation of new patient assessment tool and re-training of staff to minimize medical necessity denials. Financial modeling and analysis of board approved vehicle grant proposal, bed analysis, census break-even, staffing model, referral to admission conversion ratio, and competitive landscape and referral sources for business development target marketing and corporate strategic planning. LONE STAR HEALTHCARE CONSULTING
President & Partner
09/2017 – 12/2019
Decreased expenses 50% for Q4 of 2017 by reducing staff, re-negotiating vendor and client contracts, and selling unused IT and office equipment and furnishings. Evaluated and performed revenue cycle analytics and metrics with KPI’s with recommendations to resolve outstanding A/R and denials. Created website and ads on Facebook, Twitter and LinkedIn with SEO and campaigns to a larger diverse populations and healthcare service lines. FACILITY ENTERPRISES
Chief Business Development Officer
03/2017 – 05/2018
Assisted in the build-out and successful opening and operation of Kingwood Emergency Center. Managed vendor relationships including licensing and inspections. Performed P&L analytics to acquire a Neighbors ER facility. Evaluated performance and KPI’s on several national and local billing companies to determine appropriate RCM business relationship. NEIGHBORS HEALTH SYSTEMS
Vice President, Practice Management
07/2016 – 03/2017
Managed 10 direct reports with over 100 US and 200 offshore employees. Increased monthly self-pay collections from $200,000 to over $1M over a 4- month period. Implemented denial process, to include legal counsel, and outside consultation, on decreasing denials and creating appeals process. NATH HEALTHCARE BUSINESS SOLUTIONS
Director, U.S. Operations
08/2015 – 07/2016
Successfully managed RCM operations with offices in the U.S. and India. Managed 12 direct reports with 25 US and over 100 offshore employees. Developed a culture of trust and open lines of communication between offshore employees and U.S. based clients. Implemented new data analytical tools and BI reports for clients delivered weekly, monthly, and as necessary. U.S. AIR FORCE – Honorable Discharge 12/1989 – 07/1994
• Basic training at Lackland Air Force Base, TX (1989-1990)
• Technical training and certification at Lowry Air Force Base, CO (1990)
• 86th Airlift Wing, Ramstein Air Base, Germany (1990-1992)
• 92nd Air Refueling Wing, Strategic Air Command-Air Mobility Command, Fairchild AFB, WA (1992-1994) Awards:
• Air Force Meritorious Achievement Medal (Operation Desert Storm & Desert Shield)
• National Defense Medal (Operation Desert Storm & Desert Shield)
• Cold War Recognition Certificate
MBA – Information Technology Management (3.0 GPA) 06/2019 – 09/2020 Western Governors University, Salt Lake City, UT 84107 Bachelor of Science – Health Care Administration (3.03 GPA) 08/2005-01/2007 University of Phoenix, Phoenix, AZ 85040
Lean Six Sigma White Belt: HbqdnFZ7Ti 07/2020
Six Sigma White Belt: 3IZJ1koIuE 07/2020
AWS Cloud Practitioner (CLF) License S05BL22K1BE417G0 12/2018 Certificate/FEMA-National Response Framework 10/2010 Certificate/FEMA-Incident Command, Health Care/Hospitals 08/2010 Certificate/FEMA-Incident Command, Healthcare Organizations 08/2010 Certificate/FEMA-National Incident Command System (NIMS) 08/2010 MILITARY SERVICE
Managed 19 direct reports with over 200 U.S. and 300 international employees. Created and implemented Corporate Compliance Program across all subsidiaries. This ensured the company met compliance, governance and risk management across all levels and within our information systems and technology structure. Managed departments to improve HR and IT processes, assisted with financial and client security assessments and documentation in preparation for successful 2015 SOC-I and SOC-II audits. Increased revenue between 2014 to 2015 over $162k while expenses decreased over $459k. Increased EBIT over $100k. Reduced bad debt 7.26% from 2013 to 2014 while increasing revenue 3.06%.
ORION HEALTHCORP, INC
COO & Compliance Officer
12/2013 – 03/2015
Progressive career advancement: Director, COO & CFO, CEO. Executive leadership for 105-bed acute care trauma medical center (largest private employer in the city) with 5 outpatient clinics. JCAHO accredited with over 300 employees and physicians. Managed net revenue of over $47 million. Collaborated with CNO and Memorial Hermann to implement telemedicine and robotics to treat stroke patients. Promoted to COO/CFO when hospital was losing $10.6 million; reduced to a loss of $260,000 in 2012 with profit for 2013. EBITDA for 2011 was a loss of $2,435,602; for 2012 it was $1,719,402, gain of over $4 million with total operating expenses dropping from $50 million in 2011 to $45 million in 2012. Earned Joint Commission Core Measure standards for heart attack, heart failure, pneumonia, and surgical care in 2012. Reduced Net AR days from 73 to 42 days during 2010 and decreased it to less than 20 days in early 2011, eliminating aged accounts over 90 days old. Decreased unbilled days from 8.4 to less than 3 days.
CLEVELAND REGIONAL MEDICAL CENTER
Chief Executive Officer
10/2009 – 07/2013