Longterm Oversight
Engagements
Healthcare Finance
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Provides firm interim leadership and maintains and improves hospital and clinic systems financial operations during executive searches.
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Develops strategies and approaches to achieve effective hospital and clinic budgets and financial planning.
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Handles capitation and fee-for-service rate development, including charges (and charge-master setup) and expected reimbursement by payer.
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Negotiates contracts with payers and providers who seek to secure institutional and professional services.
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Builds and enhances revenue cycle processes and systems to ensure maximum cash flow and collections.
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Develops cost and utilization reporting mechanisms to ensure accurate profitability and capacity pictures.
Managed Care Finance
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Provides firm interim leadership and maintains and improves health plans, health systems, and physician groups financial operations during executive searches.
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Develops strategies and approaches to achieve effective health plan budgets and financial planning.
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Handles capitation and fee-for-service rate development, including carve-out pools, risk pools, and incentives.
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Negotiates payer contracts, plan to plan agreements, and provider network agreements.
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Develops encounter, utilization, and productivity reporting mechanisms to ensure network adequacy and patient access.
Other Finance Activities
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Provides excellent financial expertise, advice, and analysis to health systems and health plans executives and leaders.
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Develops highly functioning financial management and analytic teams.
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Collaborates and communicates effectively with board officers, executives, managers, line staff, actuaries, auditors, consultants, vendors, and project managers.