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Professional Experience

2003-2004     The John Muir/Mt. Diablo Health System                                                                      Walnut Creek, CA

Contract Financial Analyst

 

Administrator for all capitation and shared risk arrangements within the health network. Lead auditor and liaison to health plans; superintended group liability and eligibility for a pool of over 70,000 members, 715 physicians, multiple network-owned medical clinics and labs as well as two acute-care hospitals. Duties also included financial modeling of complex IPA and hospital contracts, revenue recovery and representation of the health network to outside organizations.

 

1998-2002     CIGNA HealthCare of Utah                                                                                            Salt Lake City, UT

Controller (2000-2002)

 

Planned, budgeted and spent CIGNA’s $51 million in revenue.  Member of a team that turned a $1.9 million loss in 1998 into record earnings of $1.2 million in 2000. Prepared and submitted membership, revenue and managed expense plans.  Authored narratives detailing healthplan operations, and financial analysis.

 

Financial Analyst/Assistant Controller (1998-2000)

 

Developed financial plans, monthly operating and medical expense analyses, physician fee schedules, hospital contract analysis, billing audits and requests for proposals.  In addition to controller functions, actively participated on the Medical Management Team and the management of catastrophic/stoploss cases.

                                     

                        

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