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.

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MBA Erasmus University/RSM 1988 Post doctoraal Afgerond


jan 13 - heden

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

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

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

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

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

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.




Accredited Healthcare Fraud Investigator NHCAA 2018



English Uitstekend
Dutch Moedertaal
German Uitstekend
French Goed
Spanish Basis

Overige vaardigheden

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


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