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Health Care Operations Management

Location:
Clovis, CA, 93619
Posted:
November 08, 2020

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Resume:

Jimmy Webster

MA, BA, LPN, CCHP, ACHE

**** ********* *** ******, ** 93619.717-***-**** adhnhv@r.postjobfree.com

My professional background consists of over 25 years of public and private healthcare experience. I am known as excellent at building teams and relationships with clients and co-workers. I am very competent in communications and problem-solving. I thrive as an exceptional leader and data-driven in analyzing and decision-makers. I’ve worked in the private sector for the University of Missouri Hospital and Clinics and the James Clinic, a multi-specialty group practice. I am actively involved in multiple site Start-ups, Rebid opportunities, and postmortem processes. My experience includes the development and daily operations management for Medical, Mental, and Dental health care services provided to adults and juveniles in private and public hospitals, ambulatory, jails, and prisons settings. I have served as Statewide Vice President of Operations for Medical, Mental Health, and Dental services for the entire States of Pennsylvania, Alabama, and New Mexico. I am currently seeking a high-level position as CEO, Regional President, or Vice President in a health care management organization. I am genuinely knowledgeable about the health care industry and look forward to sharing my dynamic skills and abilities.

Core Competencies

•Medical Contract Monitoring-Multi-site

•Electronic Records Implementation

•Provider Network Contracting

•Excellent Analytical & organizational skills

•Vendor Provider Negotiations

•Financial Management

•Tele-health Coordination & Development

•Problem Resolution under Pressure

•ACA, NCCHC, and State OIG Standards Audit

•Patient/staff Process Improvement skills

•Exceptional Client Relations Skills

•Project management

•Budget Analysis

•Data-Driven Resolution

•Ability to Motivate staff

•Excellent Verbal/Written skills

•Able to develop cooperative relationships

•Process Improvement (QA)

•Staff Development and Training

PROFESSIONAL HEALTHCARE EXPERIENCE

Omnis Benefits Administrators, Plan Administrator, (CEO)-Dec 2018 to Present.

Currently responsible for self-funded benefit plan marketing, design, and sales. Provide training to over 1,000 Insurance Brokers and agents offering health care benefits packages to groups, individuals health care, and large companies.

Evaluate plan design considering industry trends and labor market conditions, claim cost trends, alternative delivery systems, and legal requirements. Evaluates plans following ACA strict requirements and ensure compliance. Reports to President of Trust.

Reviewed and analyzed claims experience data, claims service, efficiency, and accuracy of claims administration to ensure Union is receiving optimum service and benefits.

We improved monthly revenue by 60% in the first six months and increased new applicants by 50%.

I assisted in 401-k Retirement Savings Plan, Employee Benefits Design, Oasis Retirement Pension Fund, Financial audits, Erisa regulation, and Pension Administration.

I am very goal-oriented and is considered by many to be a good listener.

I developed strategic partnerships with various industry leaders in the areas of Insurance benefits and personnel support.

California Department of Corrections and Rehabilitations-Jan 2017 to Nov 2018

Chief Executive Officer (CEO)

•I directed the daily operations of health care services for approximately 3,000 patients. This position Included hiring, selection, onboarding, data review, compliance monitoring, budget review and development, mental and dental staffing, and other ancillary services.

•Overall staffing was approximately 350 professional and support staff.

•We increased overall OIG compliance from 69% to 81% in the First Year.

•Our team received the highest Environmental Inspection Compliance Report in DOC history 2017.

•The institution received the highest MOSS GROUP Compliance Inspection Report in History 2017.

•We reduced Patient Backlog from approximately 1500 to 125 over the 12 months of 2018.

•Our nursing team improved New Patient Intake compliance from 25% to 100% in 2018.

•I coordinated training for Trauma-Informed Inmate Model.

FLORIDA DEPARTMENT OF CORRECTIONS (DOC) CONTRACT, Jan 2013 – Nov 2017

Regional Director of Operations

•Negotiated and monitored well over 200 vendor contracts in 13 states

•Provided oversight of daily operations of all medical, mental and dental health care services

•Monitored daily health care activities to increase efficiency and process improvement

•Worked with corporate staff members to develop and implement policy and strategic business plans

•Recruited, hired and conducted performance evaluations and background checks for over 200 plus medical and ancillary staff

•Improved medical records available to provider staff by 80%

•Served as liaison for the development and implementation of pharmacy operations for the States of New Mexico and Virginia

•Credentialed more than 200 plus staff members to ensure contract and government compliance

•Provided operations management of multiple sites daily

PENNSYLVANIA AND ALABAMA DOC Dec 2005 – Dec 2012

Regional Vice President

•Provided oversight to medical, mental and dental services for 15 prisons and work release centers

•I assisted in the development of the first Statewide Telemedicine program for over 2500 HIV patients.

•Reduced overtime by 50% while improving overall operations

•I conducted many presentations on a wide range and level of staff

•Selected to serve as a liaison for the development and implementation of an Electronic Health Records System for the State of Pennsylvania

•Provided for the planning, directing and controlling of the day to day operations of 29 facilities 24 hours/day

•Maintained knowledge and understanding of Federal, State regulations and laws related to provisions of medical, mental health, pharmacy medication administration, laboratory, dialysis, and other ancillary services

•Reviewed monthly budget data for health care trends and outcomes associated with quality and cost-effective care services

ADDITIONAL CAREER HIGHLIGHTS

Regional Vice President of Jail and Prison Operations, WEXFORD HEALTH SOURCES, INC., Pittsburgh, Pennsylvania.

Director of Operations, CORRECTIONAL HEALTHCARE SOLUTIONS, Chalfont, Pennsylvania

Associate Regional Manager, PHS (Now CORIZON), PHILADELPHIA JAILS, Pittsburgh, Pennsylvania

Regional Administrator, CMS, GREENSVILLE CORRECTIONAL FACILITY, Jarrett, Virginia

Health Services Administrator, PINELLAS COUNTY JAIL, CLEARWATER, Florida

Practice Manager, THE JAMES CLINIC, Rolla, Missouri

Project Vendor Negotiator, CHAMPUS RETIREE BENEFITS-WISCONSIN PHYSICIAN SERVICES

Operations Unit Manager, UNIVERSITY PHYSICIANS, Columbia, Missouri

EDUCATION

DOCTOR OF HEALTH CARE ADMINISTRATION-(CURRENT)

NORTHCENTRAL UNIVERSITY- MAY 2020

Master of Arts – Business Management,

Webster University

Bachelor of Arts – Sociology

University of Missouri

CERTIFICATIONS

Certified Health Correctional Professional (CCHP), 2020

LPN Licensure, Columbia Health Occupation Center 1984-Valid May 2020

American Red Cross CPR Valid 01/08/2021

AFFILIATIONS

National Commission on Correctional Health Care (NCCHC)

American Corrections Association (ACA)

American Academy of Health Care Professionals (ACHE)

Pennsylvania Capital Region Ex-Offender Support Coalition (Re-Entry)

Executive Board for Amiracle4Sure Female-Re-Entry Services

Pennsylvania Children of Incarcerated Adults Executive Board Member

Kiwanis Club of Plant City

MU Alumni Association-Lifetime Member 2019

Fellowship Baptist Church-Member (Male Chorus)

REFERENCES

Kurt Ellington, Director of IT Services, Omnis Benefits Administrator, 330 Bullard Ave, Clovis California, 93612. Cell-559-***-**** Email: adhnhv@r.postjobfree.com

Robert Mitchell, MD, Chief Medical Officer, Central California Women’s Facility. Address- 23370 Road 22 Chowchilla, Ca 93610-1501 Region 2. Cell- 559-***-**** Work-559-***-**** Ext. 7027 Email: adhnhv@r.postjobfree.com

Regina Rose, PD Director of Pharmacy Services, California Department of Corrections. Address 3877 San Jose Ave, Apt 1 Village Terrace, Merced, Ca 95348. Cell 209-***-**** Email: adhnhv@r.postjobfree.com

Sylvia McQueen, MD. Associate Regional Medical Director, Corizon Health, 103 Powell Ct, Brentwood, Tennessee 37027 Cell 615-***-**** Email: adhnhv@r.postjobfree.com



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