Director Resume Example Alignment Healthcare

DIRECTOR

Core Qualifications

Great Plains, Sales 9+ years of experience working in a Department of Force, Crystal Reports, Ez Cap. Health (DOH) / Drug Enforcement Agency (DEA) Accounting software experience: QuickBooks, SAP, inspected pharmaceutical distribution facility. Great Plains. Strong knowledge of ARCOS reporting MS Office Intermediate Excel, Word and procedures. PowerPoint.

Professional Experience

Director10/2015 to CurrentAlignment HealthcareTampa, FL

Identify, evaluate and execute contracting and network development strategies in established and new markets.
Analyze current and projected network needs from cost/utilization and competitor standpoints for decision making purposes.
Negotiate all compensation methodologies including but not limited to capitation, per diems, case rates and incentive programs.
Develop new reimbursement models in concert with leadership.
Conduct contract modeling and analysis in coordination with Finance.
Analyze, negotiate, and draft contract rate and language proposals consistent with corporate guidelines for language, financial and operational performance.
Oversee administration of the contracts to ensure anticipated results, identify negative performance trends, and implement cost containment and other improvement strategies.
Collaborate with regional executive team and other departments to ensure contracted network support of operating goals, including STARS, HEDIS, RAF, and other initiatives.
Participate in monthly market review meetings with regional and corporate leaders.
Conducts regular meetings and JOCs with specified providers to review and improve operational and financial results.
Oversee the maintenance of all contract templates to ensure contract compliance with regulatory requirements and established policies and procedures.
Oversee assigned staff of 4-6 team members consisting of Provider Relation Specialists and Contract Administrators; recruit, develop and manage performance.

Compliance Manager10/2007 to 09/2015Amatheon Pharmaceuticals, IncMiami, FL

Ensured Amatheon's compliance with Chapter 499 of the Florida Department of Health in regards to the receipt, storage, security, distribution, shipping and destruction of scheduled / controlled pharmaceutical products.
Developed procedures for the control of scheduled drugs to ensure correct documentation, traceability and accountability (SOP's).
Conducted random audits and reviews of controlled substance inventories, as well as performed annual physical inventory as required by FL DOH.
Initiated and performed DEA training and provided support to other departments.
Performed investigations of inventory discrepancies and in-transit losses and reported findings to the DEA as necessary.
Managed the preparation and approved the submission of quarterly and annual ARCOS reporting via the ARCOS EDI automated system.
Conducted monthly state level reporting submissions through the Florida Department of Business and Professional Regulation (DBPR) web portal.
Managed all pharmaceutical drug audits for controlled substances with the DEA and DOH.
Managed day-to-day operations of DEA Compliance department.
Built and maintained a solid support staff through effective and thorough training processes.

Accounting Supervisor02/2006 to 10/2007Amatheon Pharmaceuticals, IncMiami, FL

Managed all accounting functions to support the close process: General Ledger.
Accounts Payable, Fixed Assets, Payroll Reporting, Accounts Receivable.
Responsible for the monthly and quarterly close and financial reporting processes.
Ensured efficient processes and control were in place in order to meet reporting deadlines and deliver accurate and timely financial reports.
Managed all general accounting functions: bank account reconciliation, credit card reconciliation, financial reporting and balance sheet management.
Managed Amatheon's engagement with external auditors, which included the implementation of agreed upon audit recommendations resulting from audit findings.
Responsible for communication of audit findings and financial control matters to the Chief Financial Officer.
Other responsibilities included interviewing, hiring and training employees; delegating responsibilities; appraising performance; addressing complaints and resolving problems.

Staff Accountant01/2003 to 02/2006Coca-Cola EnterprisesTampa, FL

Performed general ledger functions such (month-end close and account reconciliation) for assigned business units / plants for CCE's North American operations.
Cash Team reconciled bank statements for Coca-Cola's 300+ distribution centers on a monthly basis.
Prepared daily account analysis and journal entries.
Prepared month-end financial reports.
Submitted quarterly and year end corporate reporting packages.
Ensured compliance with GAAP, Standard Accounting Manual and in-house policy and procedures.
Utilized SAP accounting software.

Fund Accountant01/2002 to 01/2003Zimmer Lucas Partners, LLCNew York, NY

Reconciled monthly bank statements.
Responsible for Accounts Payable.
Maintained and reconciled travel expense reports for analysts and partners.
Prepared balance sheets, P&L reports and financial statements.
Analyzed costs, revenues, financial commitments and obligations to trend for future profits/losses.
Reported firm's financial status to directors via weekly meetings with partners.
Worked directly for the Chief Financial Officer.

Investment Assistant06/1999 to 01/2002The Bank of TampaTampa, FL

Assisted stockbrokers with entering daily stock and mutual fund trades.
Daily reconciliation of funds held in sweep accounts.
Prepared PowerPoint presentations for 401 (k) prospects.
General responsibilities: scheduled meetings and conferences, maintained T&E reports, preformed day-to-day clerical duties.

Education

Bachelor of Arts: History2014University of MiamiCoral Gables, FLHistory

University of Tampa / Hillsborough Cmty. CollegeTampa, FL

Skills

account reconciliation, Accounting, general accounting, Accounting software, Accounts Payable, Accounts Receivable, RAF, Agency, balance sheet, balance sheets, clerical, conferences, contracts, credit, Crystal Reports, decision making, Department of Health, DOH, documentation, eCommerce, EDI, training employees, expense reports, Finance, Financial, financial control, financial reports, financial reporting, financial reporting, financial statements, Fixed Assets, funds, General Ledger, Great Plains, hiring, inventory, leadership, market, meetings, Excel, MS Office, PowerPoint, PowerPoint presentations, Word, JOCs, modeling, network support, network, Payroll, policies, processes, proposals, QuickBooks, reporting, Sales, SAP, shipping, SOP, supervisory, trend, web portal

Resume Overview

Companies Worked For:

Alignment Healthcare
Amatheon Pharmaceuticals, Inc
Coca-Cola Enterprises
Zimmer Lucas Partners, LLC
The Bank of Tampa

School Attended

University of Miami
University of Tampa / Hillsborough Cmty. College

Job Titles Held:

Director
Compliance Manager
Accounting Supervisor
Staff Accountant
Fund Accountant
Investment Assistant

Degrees

Bachelor of Arts : History 2014

Director Resume Example

Resume Score: 90%

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