Profiel interim professional

    150 - 200
Ik adviseer verzekeringsmaatschappijen in Amerika op het gebied van zorgkosten, zorginkoop, ziekenhuis en artsen rekeningen.   Gemiddelde besparingen door mijn begeleiding zijn rond de 35%, sommige besparingen kunnen oplopen tot 96%.   Heeft U al een samenwerkingsverband met een onderneming hier in de VS voor uw zorgkosten, dan kan ik U ook te dienst staan als onafhankelijk adviseur zodat U het meeste waar voor uw geld krijgt mbt de besparingen die geleverd worden. 

30 jaar ervaring in zorginkoop in de Verenigde Staten.

 Samenvatting aanbeveling Score: (gebaseerd op 0 aanbevelingen)

Professionele kennis en expertise:
Commitment & motivatie:
Communicatieve vaardigheden:
Prijs-/kwaliteitverhouding:

 Opleiding

Instituut

Afstudeerjaar

Niveau

Diploma

MBA Erasmus University/RSM 1988 Post doctoraal Afgerond

    Werkervaring

jan 13 - heden

GEOBLUE
Director:
In charge of International Contracting, Cost Review and Fraud, Waste and Abuse
• Yearly savings of $ 2 million on Out of Network Negotiations, Fraud and overpayments
• Developed international database of Usual and Customary Rates for 50+ countries we do business in (10,000 + datapoints)
• Investigated fraudulent payments domestic and across the globe.

jan 11 - jan 13

BLUE CROSS BLUE SHIELD OF FLORIDA
Senior Manager Negotiations:
Reporting to Director West and Central. Managed 2 managers and 3 Provider Service Associates
• Lead negotiator for contracts with Hospitals, Health Systems and large physician groups, achieved 5% cost reduction in first year.
• Ensure that contracts meet BCBS contracting standards for both cost and quality.
• Work closely with Analytics to ensure contract modeling is within contract performance.

jan 09 - jan 11

PARIM Business Services
healthcare related companies Interim Manager:
2009 - 2011
• Network Development Consultant to Integral Quality Care (wholly owned Medicaid plan of Aetna), where I developed networks in DeSoto, Manatee, Sarasota, Polk and Charlotte County.
• Developed Network Business plan for a TPA in Lakeland, FL.
• Served as interim operations manager for Chakra Info Solutions

jan 06 - jan 09

HMO , Orlando
Regional Manager Network Contracting and Central Services:
Tampa, Florida
Not-for-profit Florida only HMO, 1,500,000 members statewide
Regional Manager Network Contracting and Central Services 2006 - 2009.  Oversight of network development, contracting and maintenance for 10 counties in Central Florida, managed, trained and coached 8 FTE's in two locations (Orlando and Tampa), responsible for P&L and departmental budgets and since March 2007 Acting Director for Central Florida Network Department. • Executed Board's strategic directive, which doubled number of contracted providers (from 3369 to 6841) in 12 months, while membership remained constant at 10,000. • Turned around troubled department through proper coaching and training, resulting in increased productivity. Renegotiated complex hospital/physician network contracts with several large health Systems, resulting in only 5% increase over two years.

dec 03 - dec 05

HRS ASSOCIATES
Consultant/Corporate Trainer:
• Lecture in American Healthcare at Ludwig Maximilian University in Munich.
• Coach executives of Munich Re, E On, BMW and Siemens in international business skills.

jan 03 - dec 03

ALLIANZ AG INTERNATIONAL DEPARTMENT HEALTH
Regional Manager Europe 1:
Worked in the consulting branch of Allianz Health Insurance division
• Evaluated Allianz Worldwide Care catastrophic claims for Allianz Board
• Developed plan for Allianz Japan
• Helped Dutch health insurer prepare for healthcare reform

jan 01 - dec 02

KEENAN & ASSOCIATES
Senior Consultant:
ZWA Business Consultants - Advising Dutch turn-around consulting firm on implementation of digital dashboards in healthcare facilities in the US.
Medsolutions - Consultant, increased networks in Mid-Atlantic and California by 300%.

jan 97 - jan 01

MULTIPLAN, Inc
Vice President-Southern Region:
Oversaw daily operations of the hospital, physician and ancillary network for 15 states and Puerto Rico and the Virgin Islands and directly managed four Regional Directors and 22 FTE's.
• Negotiated highly complex transplant contracts resulting in over $100 million in annual revenue.
• Exceeded recruitment goals by 300 % within 1st year.
• Developed full service networks in Florida and 6 other states.

   Cursus

Instituut

Afstudeerjaar

Accredited Healthcare Fraud Investigator NHCAA 2018

 Talenkennis

Niveau

English Uitstekend
Dutch Moedertaal
German Uitstekend
French Goed
Spanish Basis

Overige vaardigheden

COMPUTER SKILLS:
MS Office applications, Amisys, Macess EXP, Softeon, ACT!, Vistar, HTML, Qlik Sense, Salesforce

Hobby's/sport/interesses:

President Victory Toastmasters