Insurance, Healthcare & Real Estate Finance Leader

Background and acheivements of this Finance Executive are shown. Contact information is confidential. To reach this person, use the link from Finance Executive talent bank at the conclusion of the resume. Click HERE for more information, jobs, and resumes.

Position
Insurance, Healthcare & Real Estate Finance Leader
Location Confidential
Yes
Willing to Relocate
Yes
Industry
Financial-Insurance
Function
FINANCE--CFO/Control/Acctg./Treas./Tax,etc.
Compensation
$150,000 to $300,000

Resume Summary
CPA with 20+ years of experience in Insurance finance, claims, healthcare operations and real estate services as a finance executive. Excellent business acument with a strategic mind-set.

Resume Body      INSURANCE, HEALTHCARE & REAL ESTATE FINANCE LEADER

20+ years of experience in developing flexible and creative solutions to financial, operational, regulatory, IT and client service challenges and in applying strong analytical & leadership skills to problem-solving/decision-making.

FIRST AMERICAN TITLE INSURANCE COMPANY, CA Nov 2009 – Current
(A $3BN national leader of financial services company specialized in title insurance and settlement services)
Director of Finance – External Reporting, Corporate Finance
 Responsible for financial compliance for all regulated entities including their 70+ subsidiaries/affiliates
 Managing financial oversight & reporting transformation for regional financial service centers
 Responsible for Oracle statutory ledger implementation and business process conversion
 Responsible for NAIC Model Audit Rule 1st year implementation.
 Managing statutory and GAAP basis financial audits and regulatory examinations

MorganStrategic Consulting, CA 2009
• Silverlake LLC – Interim CFO, litigation support, purchase analysis/negotiations & debt refinancing
• Molina Healthcare – Finance consulting on financial insurance filings, audits & regulatory compliance

UNITEDHEALTH GROUP (PACIFICARE HEALTH SYSTEMS), CA 1994 to 2008
(A $75BN, 16MM-member healthcare/health insurance company offering HMO,PPO, Fee-for-Service products and services to commercial, Medicare and Medicaid and self-funded subscribers/members)
Project Director, Corporate Operations (2002 to 2008)
Project & Risk Management (Corporate & Business Units in a Matrix Environment)
 Operational lead for regulatory audits, corrective action plans and post-audit implementation.
 Developed, directed, and implemented strategic cross-regional & cross functional projects impacting billing, eligibility and broker operations of >$500MN
 Competencies in legal, regulatory, contracts, client service, sales & marketing and IT
 Managed multiple teams across the country for projects including strategic operational issues related to process reengineering, centralization, performance metrics development and measurement
Financial Operations (Cross-Functional)
 Defined/ documented/ implemented company-wide broker commission/incentive reporting practice to comply with ERISA prior to industry investigation; minimized company’s regulatory exposure and placed it in a leading position
 Centralized billing, eligibility & A/R function of a federal contract and improved efficiencies
Information Technologies
 Led system enhancements to align business strategy and IT following software development life-cycle and Sarbanes-Oxley IT documentation guidelines
 Financial analytics and data mining to convert line of business reporting in all operational systems
 Participated in Oracle financial suite conversion – AR Module and GL Module
 Participated in revenue cycle data warehouse development
Finance
 Developed SOX key controls in partnership with E&Y & D&T to streamline receivables management. Shifted A/R management focus, resulting in faster and higher cash inflows
 Corporate SOX compliance in-charge for operations
 Ongoing A/R management training, measurement & reporting & revenue cycle management
 Premium lockbox structure design, implementation & management
Mergers & Acquisitions
 Post-merger integration on best operational practices
 Conducted assessment, uncovered hidden potential in complex payment processes & reduced premium receivables Days Sales Outstanding from 10.0 to 7.0 over 6-month period
Corporate Finance Senior Manager, PacifiCare ($40BN Company) (1999 to 2002)
Financial Reporting
 Managed financial accounting and reporting for corporate ledgers
 Improved financial accounting infrastructure to provide timely financial information and analysis
 Established and implemented policies and procedures for centralized shared services
 Streamlined GAAP reporting & improved month-end close timeliness & quality
Mergers & Acquisitions
 Performed M&A accounting and analysis for FHP entities & Talbert Medical Group
 Led divesture accounting for Utah health plan
Regulatory Compliance & Oversight
 Developed/ implemented a monthly internal financial solvency projection model (Risk-Based Capital) and management reporting tools for 16 regulated entities
 Closely monitored reserve surplus for insurance entities, resulting in full compliance, meeting operational cash needs and successful corporate debt refinancing
• Developed an enterprise-wide understanding and appreciation of state regulations and impact on financial/regulatory compliance. Became a driving force of regulatory capital compliance
Risk Management
 Led operational reviews that ensured market compliance to certain policies and laws
 Instituted internal royalty fee income program and related accounting practices for all entities involved
Health Plan Controller – Business Unit, PacifiCare Dental & Vision ($100MM) (1995 to 1998)
Financial Reporting & Operations
• Managed HMO, PPO & indemnity general accounting and financial reporting, IBNR estimates/lag tables, A/P, premium billing, A/R management, purchasing, payroll, audits and regulatory and statutory reporting
• Developed accounting controls; evaluated controls and initiate/implement new controls over entire company. Overhauled finance accounting infrastructure to improve quality/timeliness of financial reporting and analysis
• Managed audit prep and operational & regulatory audits for 3 companies. Implemented new accounting application system. Managed third party administrators and reimbursements
Treasury
• Maintained contact with Banking, Credit, and Insurance relationships
• Streamlined banking structure & reduced bank accounts from 10 to 4, resulting in greater efficiency
• Converted disbursement banks & implemented control disbursements process
Regulatory Insurance Reporting
• Regulatory NAIC/DOI/DMHC filings & audits
• Drafted & implemented Corrective Action Plans as a result of the audits/exams
Information Technologies
 Designed, developed and implemented A/R system module, providing stronger internal financial controls
 Enhanced existing billing logic for all commercial groups on both HMO and PPO products
Provider Payment Processing & Contracting
 Managed capitation processing function for dental and vision providers
 Reviewed and audited provider contracts & resulted provider compensation savings
Senior Accountant, PacifiCare Life & Health Ins. Company (1994 to 1995)
 Managed GAAP and statutory reporting of PPO and fee-for-service insurance plans
 Managed operations of reinsurance and settlements (quota-share, stop-loss, etc.)

SQUAR & MILNER, CA 1990 to 1994
Senior Auditor
Managed audit planning, coordination, field testing work and report preparation for real estate clients.
Education - California State University Long Beach, Bachelor of Science, Business Administration 1986 to 1989
Professional - Active Member of American Institute of CPAs and California Society of CPAs, Fundamentals of Six Sigma & Leadership Academy – Situational Leadership, Aligning Accountability & Enabling People

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