Primary Care Internal Medicine
Resume:
John Manzella, D.O., MBA, PhD
Walnutport, PA 18088
*********@********************.***
Employment History
ACO Chestnut Primary Care & Heart Care Consultants, Philadelphia, Pa
Managing Director of Primary Care & Clinician
Internal Medicine Physician and Director of Prior Authorizations
10/2023-Present
Board certified Internal Medicine physician providing primary oversight and care of a multi-specialty ACO with an emphasis on cardiology and vascular care. Besides primary responsibility of patient care, directly responsible for review of other physicians, Nurse Practitioners and Physician Assistants Care Plans, billing and coding, RVU’s as well as RAF scores. Responsible for Prior Authorizations and denials.
Practicing Physician: Manzella Family Healthcare, Jim Thorpe, PA
Physician/Co-Owner 07/1999 to 08/2023
Combined innovative business strategies and medical expertise to build up successful practice. Established one of the largest independent medical practices in Northeastern Pennsylvania through implementation of the Trinity Plan proprietary business model. Augmented market share for the practice in areas dominated by several of the largest and best hospital systems in the United States as ranked by USA Today. Engineered the sale of one component of the practice without a restrictive covenant.
Medical Director Review Officer
Utilization Review, Prior Authorization Specialist, and Billing Specialist November 2013 to Current.
Allentown, PA.
Physician consultant for medical practices, Accountable Care Organizations, hospitals, home health, durable medical equipment, hospices, and billing companies. Provided training, clinical consultation, and clinical case reviews, prior authorizations, and denials. Troubleshoot companies for weaknesses in prior authorizations, billing, coding, documentation, and office procedures. Optimize revenue through streamlining electronic health record processes. Perform case and utilization reviews.
Medical Director and Practice Manager 02/2009 to 05/2022
MFHC & LV House-calls, Allentown, PA
Conceptualized, initiated, and created the start-up of a house call based medical practice in northeastern Pennsylvania. Visualized, created, and nurtured service opportunities. Launched a series of highly profitable ancillary services with repeat business cycles by optimizing proper billing codes on Medicare/Medicaid and third-party insurances. Developed strictest regulatory compliance models currently utilized as beta-version for an accountable care organization. Generated 25% YOY increase in profit by capitalizing on niche market. Reduced costs by 30% by eliminating overhead and payroll management.
Insurance Examiner, 1996-2012
Mobile Medicals, Clifton, NJ
Performed insurance exams, evaluations, and assessments of contestable claims. Charged with training physicians, Nurse Practitioners and Physician assistants in the process of appropriate insurance examinations.
Associate Clinical Professor 07/2001 to 8/2017 Philadelphia College of Osteopathic Medicine, Bala-Cynwyd, PA Teach and mentor students in the classroom as well as multiple practice settings. Clinically related topics, including pediatrics, infectious disease, hematology, and internal medicine. Trained more than 300 residents, medical students, nurse practitioners and physician assistants.
Medical Consultant and Host 01/1997 to 2013 Radio Talk Show, Lehigh, PA Host of "The Medical Moment," Actively running program on The Family Radio Network. Primary medical consultant and co-host of "Res-Q Healthline" for the past 5 years. Increased revenue and the return on investment for all radio advertisers. Provide commentary on political aspects of health care, Affordable Care Act, Medicare reform and insurance issues. Host a radio program running a live call-in platform with weekly shows aired in Philadelphia, San Antonio, the Lehigh Valley, and the New Jersey Metro area. Broadcast segments as an expert physician on a variety of medical topics, including the Sandy Hook Massacre, after 9/11, SARS and the Avian Flu outbreak.
Clinical Coordinator 07/2002-08/2013 East Central Allied Health Education Committee, Lehighton, PA Directed a federally funded program placing medical students in rural rotations for immersion in a complete medical education, including emphasis in the business of medicine. Transformed Lehigh Valley from lowest to highest ranked region in Pennsylvania for placement. Implemented tools for cost-containment and Draconian budget cuts. Established as one of the last surviving federally funded education programs in the state.
Medical Director 02/2008 to 05/2013 Arcadia Hospice, Allentown, PA
Spearheaded corporate turnaround by restructuring debt, avoiding bankruptcy, and resuscitating a previously failing company into a thriving organization. As Medical Director, provided superior in-home care for patients at end stage. Headed an aggressive marketing campaign by targeting specific markets. Created new revenue streams through a proprietary cost-effective medical care model. Increased census from 18 to 130 patients in a 3-year period through radio advertising and brand imaging. Established the company as one of the largest providers in northeastern PA with tremendous profitability and engineered the sale of the company.
Consultant 07/2000-05/2013 Pharmaceutical and Medical Technology Companies, Lehigh Valley, PA Enhanced development of a variety of pharmaceutical and medical devices for multiple companies. Primarily advised and implemented programs with Fortune 500 companies, including Pfizer, Novartis, Bristol-Meyers Squibb, and AMGEN.
Regional Sales Manager 1986-1991 AT&T Value Added Reseller Network, Parsippany, NJ
Education & Professional Affiliations
Doctor of Science (PhD Health Care Management): Medical Law & Managed Care, 06/2013 (University of Rochville Washington DC)
Certificate of Distinction in Law for Health Systems Student Council
Master of Business Administration: General Medical Economics, 06/2006 University of Rochville Washington DC
Recognition for outstanding performance in business finance.
Student Council Member
Internal Medicine/Pediatrics Residency (Beth-Israel Hospital/St. Barnabas Health Network) 1995-1999)
Seton Hall University South Orange, NJ, Traditional Osteopathic Internship (1996)
Doctor of Osteopathy, New York College of Osteopathic Medicine (1991-1995), Old Westbury, NY
Class President, all four years President
Judicial Ethics Committee Chairman
Bachelor of Science in Biology, Marquette University Milwaukee, WI
Honor Roll
Team Captain, Boxing and Lacrosse
Experience and Accomplishments
Lifeguard Health Initiative 2021
Certified DOT Toxicology Specialist 2021
Board Certified in Internal Medicine, 2000 and 2008
Board Certified in Pediatrics, 2001 and 2010
Certified Billing and Coding Specialist, 2014
Achievements
Smartest Family Physician in Diabetes by Smartest Doc, Medscape, February 2011 Top 100 Family Physicians by Smartest Doc, Medscape, 2011 Top 50 Family Physicians by Smartest Doc, Medscape, 2010
Boards, Associations and Publications (Past and Present)
American Medical Association
American Osteopathic Association Board of Osteopathic Internal Medicine
Pediatrics Board of Osteopathic Medicine
Pennsylvania Medical Society
Carbon County Medical Society
Knights of Columbus
“Common Problems with Uncommon Presentations,” Journal of the American Osteopathic Association, Volume 104, No 11, 455, November 2004
Hobbies
Bibliophile, Civil War, American History, Chess (Rating 1500), Fitness, Dogs.
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