Government Programs Health Care Executive

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Position
Government Programs Health Care Executive
Location Confidential
No
Location
East Central USA
Willing to Relocate
Yes
Industry
HealthCare-HMO/Hospital&Nursing/Med./Dental
Function
GENERAL-MANAGEMENT--CEO/COO/GM
Compensation
$100,000 to $200,000

Resume Summary
Extensive leadership with government sponsored healthcare programs. I am known for innovation, persuasion, strategy, implementation, and providing the ongoing support structure. Work has been centered in organizations that have led in transformation and improvement.

Resume Body      GOVERNMENT PROGRAMS HEALTH CARE EXECUTIVE

Dynamic management executive with a wealth of experience leading the forward development of large scale corporate and government healthcare organizations. Expertise spans short/long range planning, operations management, program development/execution, finance/budgeting, sales/marketing, and process improvement. Excellent team building, decision making, problem solving, and communication skills.


CAREER SYNOPSIS

Dedicated personal career to the startup, growth and expansion of healthcare management and managed care companies. Strategically mitigated political challenges, budget constraints, organizational changes and market conditions to deliver significant achievements in organizational planning, program leadership, and policy development.

SENIOR MANAGEMENT & LEADERSHIP EXPERIENCE

Independent Consultant 2012-Present

Providing health care consulting services related to government programs, e.g. Medicaid, Medicare, Affordable Care Act, Managed Care Operations, Health Information Technology, Health Insurance Exchanges, Health Care Spending in the U.S., NIH Funding, and International Health. Led 3 workshops related to health care reform in Barranquilla, Colombia. Topics included were Commercial Health Plans, Government Health Programs, and Managing Finances in Healthcare Organizations. Other work performed includes identifying managed care plans as acquisition targets for a private investor. Clients are primarily private equity, asset management, trade associations, and management consulting firms.


Product Development, Health Care
Bloomberg, LLP, Washington, DC
Bloomberg Government 2010-2012

Provided leadership as the subject matter expert for health care information. Led the health care product development that included ongoing enhancement of healthcare content, functionality, and data. Led the transformation of complex raw structured health care data sets into consumer facing intuitive, easy to use products and features. Stayed abreast of current trends and provided insights and analysis to Bloomberg operating divisions. Hands-on management of the health care product for the web-based subscription service of business information, news, and data. Established relationships with partners and
customers to evaluate product and solicit feedback. Conducted competitive research and identified opportunities to create unique product offerings.

Work of note:

Managed the software development for the creation of national and state specific chronic disease and health care expenditure products


Deputy Director
State of California, Washington DC Office
Office of the Governor 2010

As part of the Governor's senior leadership team, provided guidance, strategic assessments, and analysis to the Governor and other team members about the financial and managerial impact of federal legislation and regulations for Medicaid, health care reform, human services, small business, and taxes. Engaged the senior leadership at federal executive branch agencies and U.S. Congressional offices to ensure that the Governor's views, concerns, and interests were well known. Represented the Governor on the National Governors Association's workgroups for health care and economic development. The California health and human services annual operating budget was $100 billion with regulatory reach affecting 37 million people.

Collaborated with the state health and human services CIO on the interpretation of Affordable Care Act information technology provisions such as funding for Medicaid eligibility determination and enrollment activities and Health Care Exchange and Medicaid Information Technology Systems.

Served on the California Affordable Care Act implementation team advising on the impact of proposed federal funding opportunities, regulations, timelines, and other related federal actions. Navigated the California Medicaid Section 1115 waiver approval through the Centers for Medicaid and Medicare Services, which allowed the state to continue developing the Dual Eligibles program.

Managed the successful passage of H.R. 5610, the Independent Living Centers Technical Adjustment Act that resulted in a non-reduction of funding and services for Independent Living Centers throughout the country.

US Department of Health & Human Services (HHS), Washington, DC 2001 to 2009

Repeatedly selected to serve as Senior Advisor on major healthcare public policy programs and initiatives for two consecutive terms. Assigned to guide and advise senior leaders on strategic planning, program development and general administrative affairs. Representative assignments and major projects include:

Senior Advisor, Office of the Secretary / Office of the Assistant Secretary for Health

Advise and counsel Assistant Secretary for Health on administrative affairs, public policies and general operations. Supervised 385 employees and administered $625 million annual budget.
Managed 11 business units including National Vaccine Program, Disease Prevention and Health Promotion; HIV/AIDS Policy; Minority Health; Population Affairs; Research Integrity; Surgeon General; Women's Health; Human Research Protections; President's Council on
Physical Fitness and Sports; and Regional Health Offices.

Originated number of community-oriented events to dispense critical health screenings and relevant information on heart disease and HIV/AIDS.
Expedited health screening and medical records for 3,600 individuals in New Orleans immediately following hurricane Katrina.
Organized informational seminar drawing over 10,000 women to provide current data and facts on HIV/AIDS disease.
Implemented comprehensive, multi-site women's heart center; identified over 5,000 high-risk women and disseminated information on heart disease to an additional 4,000 women.

Senior Advisor, Office of the Deputy Secretary

Steered Chief Operating Officer in handling office administration, policy development and daily operations related to healthcare improvement, bio-terrorism strategies and Health Improvement Portability Act (HIPAA). The department consisted of 22 operating and staff divisions with total departmental budget of $500 billion.

Represented deputy secretary at intradepartmental budget meetings to address priority and outstanding issues.
Selected as Interim Director of regional office of HHS in New York City immediately following events of September 11.
Played an integral role in achieving the President's Management Agenda objectives.
Strategic management of human capital by improving talent management systems and effectiveness of workforce. One of the first federal agencies to achieve and maintain a satisfactory status.
Drove a series of competitive sourcing initiatives projected to save $450 million over a six-year period through consolidation, process reengineering, workforce realignment, and maximization of technology resources.
Improved financial performance by initiating financial transparency and accountability measures that concurrently empowered managers with financial criteria for more accurate decisions.
Agency earned sixth consecutive unqualified opinion on the FY 2004 financial statement audit.
Expanded Electronic Government - Directed implementation of Secure One to streamline services and communications, and leverage technology to drive cost savings. To date 99% of systems have been certified and accredited.
Budget and Performance Integration - Built transparency into budget processes to create a more results-oriented agency.
Contributed strategic insight and direction to reorganization of department; guided Secretary through recruitment and selection of senior-level personnel. Brought on board as acting White House liaison to screen and interview candidates for political staff, government boards, commissions and senior executive service openings.
Attended African Heads of State Summit on HIV/AIDS, tuberculosis and other infectious diseases in Nigeria.


Commonwealth of Virginia, Office of the Governor
Health & Human Resources Secretariat 1998-2001
Deputy Secretary / Senior Advisor, Health Policy

Oversaw daily aspects of the Secretariat and managed 13 state agencies including 15,000 employees and
annual budget exceeding $5 billion. Accountable for policy development, strategic planning, legislative
affairs and intergovernmental regulations. Provided senior leadership to agency heads and administrative
staff. Interfaced heavily with trade associations in connection with various Governor programs.

Launched wide scope of healthcare programs and new initiatives impacting adults, senior citizens and children. Representative projects include:
Provided executive management and direction to the Medicaid managed care program's service area expansion across the state.
Served as principal architect for Governor's Patients Bill of Rights which granted a wide range of health care protections to Virginia residents.
Organized the Center for Elder Rights which provided senior citizens and their families with a single source of contact for legal assistance, consumer protection, long-term care and advice with Medicare and Medicaid.
Partnered with Department of Social Services to increase annual cash grants from the Caregivers Grant program up to $500 for family caregivers.
Teamed with Department of Aging in creating Adult Day Care Incentive Grant program offering up to $100,000 in seed money for public-private partnerships.
Spearheaded the development of an innovative Children's Health Program which provides insurance to children and working families through public/private partnerships to replace a poorly performing, low-enrollment plan.

Managed Care Assistance Corporation, Washington, DC 1996 to 1997 Vice President, Managed Care

Directed daily operations for newly created Management Services and HMO Development company. Scope of responsibilities encompassed strategic planning, market analysis, and new business development and client relations. Prepared compelling responses to RFPs and served as company representative at prospective client meetings. Planned and developed HMO business solution projects with providers in Mississippi.


First Hospital Corporation, Managed Health Services, Inc., Norfolk, VA 1994 to 1996 Plan President / Corporate Vice President

Executive team member tasked with laying initial groundwork and development for HMO operations of company's first site in South Carolina. Conducted comprehensive market research, prepared five-year strategic and operational business plan and prepared the required licensing application.

Established organizational and reporting structure covering key areas of operations including information systems, medical management, finance, marketing and administration. Sourced and recruited qualified medical and healthcare professionals and developed appropriate contracts.

Howard University Hospital, Washington DC 1993 to 1994
Director, Business Development / Managed Care

Integral member of executive leadership team assigned to manage third-party contract negotiations and new business development for 515-bed teaching hospital. Headed physician hospital task force charged with conceiving strategic plan for primary care, ambulatory care, patient care services, quality improvement and P&L management.

Negotiated and secured two managed care contracts with revenue potential of $5 million.
Increased service reimbursements 15% by ardently re-negotiating existing managed care contracts.


EDUCATION & AWARDS

Bachelor of Business Administration, Accounting - Saginaw Valley State College, University Center, MI

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Government Programs Health Care Executive

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Debugging Information
ColdFusion Server Enterprise11,0,19,314546
Template /ResumeDatabase/SiteMapping_index_byFunction.cfm
Time Stamp 21-Jun-21 11:56 AM
Locale English (US)
User Agent ColdFusion
Remote IP 192.168.1.49
Host Name 192.168.1.49


Execution Time

Total TimeAvg TimeCountTemplate
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/Application.cfm
0 ms0 ms1top level D:\inetpub\wwwroot\ritesite.com\ResumeDatabase\SiteMapping_index_byFunction.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/ResumeDatabase/act/SiteMapping_indexAct.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/ResumeDatabase/inc/SiteMapping_resumeResultDetailInc.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/ResumeDatabase/lcl/spSelectIndustriesAndPositionsByResumeID.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/ResumeDatabase/lcl/spSelectResumeByResumeID.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/gbl/execLoggedOff_SITEMAP.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/gbl/site.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/gbl/sitemapping_resume_index_header.cfm
0 ms0 ms1D:/inetpub/wwwroot/ritesite.com/gbl/sitemapping_site.cfm
0 ms STARTUP, PARSING, COMPILING, LOADING, & SHUTDOWN
0 ms TOTAL EXECUTION TIME
red = over 250 ms average execution time


Stored Procedures

SelectPostedResumeByResumeID (Datasource=RiteSite, Time=0ms) in D:\inetpub\wwwroot\ritesite.com\ResumeDatabase\lcl\spSelectResumeByResumeID.cfm @ 11:56:04.004
    
parameters
typeCFSQLTypevaluevariabledbVarName
 IN CF_SQL_VARCHAR ZYJ4DVVQH77G  
 IN CF_SQL_INTEGER 1003  
    
resultsets
nameresultset
 rsSelectResumeByResumeID_1 1
 rsSelectResumeByResumeID_2 2
 rsSelectResumeByResumeID_3 3
 rsSelectResumeByResumeID_4 4
SelectIndustriesAndPositionsForResume (Datasource=RiteSite, Time=0ms) in D:\inetpub\wwwroot\ritesite.com\ResumeDatabase\lcl\spSelectIndustriesAndPositionsByResumeID.cfm @ 11:56:04.004
    
parameters
typeCFSQLTypevaluevariabledbVarName
 IN CF_SQL_VARCHAR ZYJ4DVVQH77G  
    
resultsets
nameresultset
 rsSelectResumeByUserIDAndConceal 1


Scope Variables

Application Variables: applicationname=RiteSite 
CGI Variables: AUTH_PASSWORD= AUTH_TYPE= AUTH_USER= CERT_COOKIE= CERT_FLAGS= CERT_ISSUER= CERT_KEYSIZE=128 CERT_SECRETKEYSIZE=2048 CERT_SERIALNUMBER= CERT_SERVER_ISSUER=C=US, O=DigiCert Inc, CN=DigiCert TLS RSA SHA256 2020 CA1 CERT_SERVER_SUBJECT=C=US, S=Louisiana, L=LaPlace, O=Ritesite Custom Career Services Inc, CN=www.ritesite.com CERT_SUBJECT= CF_TEMPLATE_PATH=D:\inetpub\wwwroot\ritesite.com\ResumeDatabase\SiteMapping_index_byFunction.cfm CONTENT_LENGTH=0 CONTENT_TYPE= CONTEXT_PATH= GATEWAY_INTERFACE=CGI/1.1 HTTPS=on HTTPS_KEYSIZE=128 HTTPS_SECRETKEYSIZE=2048 HTTPS_SERVER_ISSUER=C=US, O=DigiCert Inc, CN=DigiCert TLS RSA SHA256 2020 CA1 HTTPS_SERVER_SUBJECT=C=US, S=Louisiana, L=LaPlace, O=Ritesite Custom Career Services Inc, CN=www.ritesite.com HTTP_ACCEPT= HTTP_ACCEPT_ENCODING=gzip,deflate HTTP_ACCEPT_LANGUAGE= HTTP_CONNECTION=close HTTP_COOKIE= HTTP_HOST=www.ritesite.com HTTP_REFERER= HTTP_URL= HTTP_USER_AGENT=ColdFusion LOCAL_ADDR=192.168.1.28 PATH_INFO= PATH_TRANSLATED=D:\inetpub\wwwroot\ritesite.com\ResumeDatabase\SiteMapping_index_byFunction.cfm QUERY_STRING=mode=detail&ResumeID=ZYJ4DVVQH77G&executive=resumes&FunctionID=0&start=1&SITE_MAP_RESUMES_FILE=&SiteMapFunctionName=General_Mgmt.&RequestTimeout=999999 REMOTE_ADDR=192.168.1.49 REMOTE_HOST=192.168.1.49 REMOTE_USER= REQUEST_METHOD=GET SCRIPT_NAME=/ResumeDatabase/SiteMapping_index_byFunction.cfm SERVER_NAME=www.ritesite.com SERVER_PORT=443 SERVER_PORT_SECURE=1 SERVER_PROTOCOL=HTTP/1.1 SERVER_SOFTWARE=Microsoft-IIS/8.5 WEB_SERVER_API= 
Cookie Variables: CFID=1227442 CFTOKEN=29f05d3ed0633797-DB016278-BCE4-F3BE-8C08850894FDADD0 
Server Variables: coldfusion=Struct (10) os=Struct (5) 
Session Variables: cfid=1227442 cftoken=29f05d3ed0633797-DB016278-BCE4-F3BE-8C08850894FDADD0 jobrecon=0 reconwindowsame=1 resultsperpage=20 rsdirectonly=0 rsjava_ok=1 rswindowsame=1 sessionid=RITESITE_1227442_29f05d3ed0633797-DB016278-BCE4-F3BE-8C08850894FDADD0 urltoken=CFID=1227442&CFTOKEN=29f05d3ed0633797-DB016278-BCE4-F3BE-8C08850894FDADD0 
URL Parameters: FunctionID=0 RequestTimeout=999999 ResumeID=ZYJ4DVVQH77G SITE_MAP_RESUMES_FILE= SiteMapFunctionName=General_Mgmt. executive=resumes mode=detail start=1 
Debug Rendering Time: 16 ms