Senior healthcare and finance professional with in-depth experience in successful business development, financial advisory, corporate finance and strategy, FQHCs, knowledge of Medicare, Medicaid, healthcare regulations, EMR/EHR, Peoplesoft; managing budgets and transactions totaling up to $1 Billion; finding cost savings of $2 million; supervision of up to 15 staff; leading ACO Integration, Physician Practice M&A, FQHC M&A, Planning, Operations, Real Estate, risk mitigation, healthcare startups.
TYPE 1 ADVISORS, Consultant/Founder, New York, NY 2008-present
Advised on clinical and patient-centered models for startup Web2.0 health service for Chronic Disease management. Developed de novo financial plan and designed and completed data analysis of patient markets with CMS, HHS, NIH, and disease-specific entities’ data. Modeled managed care organizations and provider best-practices in chronic disease management.
Oversaw business process re-engineering at tertiary-care hospital Emergency Department. Reduced lost revenue by $1.97 million, reduced elopement rate to 2 percent.
Advised small-cap electronic personal health record company on growing market share and entering new markets. Develop data-based strategies and analytics, communicate to senior managers for implementation.
Manage business affairs for Grammy Award-winning Producer-Singer-Songwriter.
DELOITTE FINANCIAL ADVISORY SERVICES, LLP, New York, NY2011-2013
Senior Manager, Healthcare Providers
Business Development of Services to Hospitals, Academic Medical Centers, and various Healthcare Providers, leading teams which brought in several new contracts.
Created de novo budget and financial plan for multi-billion dollar hospital-based Accountable Care Organization. Managed teams of up to 6 staff in developing accurate profitability, costing, and patient utilization models, budgets, and out-year financial plans. Elements of ACO include physician practice acquisitions and integration, IT systems purchase and integration, and ensuring adherence to Medicare regulatory requirements.
Researched ACO requirements and presented to client CFO. Worked with multi-disciplinary teams in creating post-ACO scenarios for acquired practices and profitability analysis for successful system post- ramp-up.
Advised on successful merger of three healthcare practices serving individuals from medically underserved specialty populations. Led team in developing merger model and budgets and financial plans for individual and consolidated providers. Model is service line based allowing for P&L accountability. Structured model to allow for flexibility of multiple Provider numbers or consolidation of Provider numbers dependent upon regulatory approval.
Led teams in Purchase Price Allocation valuation of multi-physician surgical practice acquisition by $1+ billion hospital system. Managed selection of teams and client’s needs on schedule and on budget. Valued non-compete agreement, company name, leases, and personal property/equipment, resulting in successful purchase.
Won sell-side engagement for $50 million multi-physician anesthesiology practice. Target buyers include venture capital (VC) platforms in anesthesiology space, hospitals, and other similar practices for roll-up.
Advised publicly-traded SNF/LTACH operator on fair market value of $200 million leases held in negotiation with Property Company, resulting successful transaction, and ability for client to expand operations.
THE VISITING NURSE SERVICE of NEW YORK, New York, NY 2006-2008
Manager, Financial Planning for $1B+ multi-line Home Health Agency
Developed and managed financial planning process for agency entities entailing: Home Health; Medicaid Managed Care; Medicare Managed Care; Long-Term Health; and other community-oriented healthcare delivery programs. Process entailed annual and semi-annual updates utilizing in-house performance data and state- and federal payer criteria, combined with budget and financial plan data for out-year plans and budgets.
Managed acquisitions up to $25 million. Created and completed valuation models, credit analyses, comparables analyses, and managed due diligence teams in Homecare, Hospice and Managed Long Term Care sectors.
Created, systematized and rolled out enterprise-wide Return on Investment and Business Planning methodology for new and ongoing programs.
Developed comprehensive econometric and analytic models integrating payer rates with program volumes. Predictive modeling included volume, revenue, margin, and clinical metrics. Used Oracle and Peoplesoft.
Programmed and implemented first profitability-by-payer model establishing costs and economics of homecare, hospice, and managed care services. Data analysis using data from Oracle and Peoplesoft databases.
Analyzed clinical outcomes data and recommended changes in treatment and billing mix to clinical leadership.
THE INSTITUTE FOR FAMILY HEALTH, New York, NY2005
Chief Financial Officer, Federally Qualified Health Center System
Managed and directed reporting of the Controllers, Finance, and Medical Billing departments. Managed 2 direct and 15 indirect reporting staff of multi-site independent Family Medicine Physician Practice.
Managed budgeting, negotiations, and reporting for three profit centers with budgets of $30 million. Negotiated financing terms of PCDC agency loan of $5 million for engagement of EPIC Electronic Medical Records system.
Reviewed and modified Revenue Cycle protocols. Analysis found rebilling opportunities of $1 million of aged A/R to Medicaid and managed care payers. Reviewed and re-negotiated Managed Care contracts for the first time in over two years, gained rate increases.
MONTBLANC BOUTIQUE, MACY’S HERALD SQUARE/GEVRIL, Luxury Sales, New York, NY 2013-present
Managing wholesale and retail sales for luxury watches.
EDUCATION / TRAINING
MPH, Health Services Management, COLUMBIA UNIVERSITY, New York, NY2004
MBA, Finance, SETON HALL UNIVERSITY, South Orange, NJ1987
BBA, Finance, EMORY UNIVERSITY, Atlanta, GA1983
BERKELEY COLLEGE, New York, NY 2010-2012
Adjunct Professor: Bachelor of Arts program in Health Services Management.
Quoted in The Washington Post, The Wall Street Journal
Appeared on CNBC as expert guest
Member, Board of Directors, Columbia University Mailman School of Public Health Alumni Association
Fellow, Healthcare Innovation & Technology Lab at Columbia University Medical Center
MS Office (Word, Excel, PowerPoint); EMR/EHR systems including EPIC, McKesson, GE etc.; Oracle, Peoplesoft; experience with CapitalIQ, Bloomberg.
Published in Healthcare Informatics magazine (September, 2006)
Third Street Soup Kitchen, Music, Cycling, Horology, Alumnus of the Colorado Outward Bound School