Senior VP Finance And Operations Resume Example Priority Health

SENIOR VP FINANCE AND OPERATIONS

Professional Summary

Senior healthcare financial executive with over 15 years of experience serving Spectrum Health in capacities across the health system. Proven track record of successfully achieving profitable market growth both in delivery system and health plan leadership functions, as demonstrated by financial turnarounds, growth, and third party financial ratings. Known as a collaborative leader who developed and implemented integrations such as shared services, hospital system integration and total cost of care value based programs. Trusted business partner driving thoughtful, data driven, solutions benefiting the System as a whole. Historical knowledge and deep relationships coupled with a passion to drive value-based solutions for the future provides unique and strong qualifications as the Spectrum System CFO.

Key Successes

*Created multi-million dollar cost savings through system integrated, value based payment aligned with clinical care transformation programs through collaboration between the Spectrum delivery system and health plan *Instrumental in achieving lowest quartile national benchmarks for both medical per capita costs as well as administrative efficiencies. *Complete turnaround of Spectrum Health United Memorial including hospital new wing construction and renovation (on time and under budget) *financial turnaround from 5% loss to 4% profit in less than three years, ultimately achieving market share growth of 10% and several top national ratings. *first comprehensive technology and shared service integration of Spectrum System, *Trailblazer in transparency leading HFMA's Transparency Taskforce, co-authoring HFMA whitepaper, and leading collaboration between Spectrum hospitals and health plan aligning market-based pricing in most shop-able services across Spectrum Grand Rapids and regional hospitals. *Lead Priority Health to become the only A rated health by AM Best in Michigan.

Work History

Senior VP Finance and Operations, 2012 to Current
Priority Health

Associate Vice President Finance / Controller, 2008 to 2012
Priority Health

Formulates financial strategy and objectives to proactively and effectively navigate the changing healthcare environment.
Integrates strategic plan into long range financial planning ensuring capital deployment aligned with strategic vision and operational initiatives.
Development of non-organic growth strategy including proforma and launch of Priority Advantage MAPD white label start up.
Consistently lowest quartile in administrative and per capita healthcare cost in national benchmarks to affordable care and competitive cost structure.
Annually achieving multi-million administrative savings through spend management and process improvement initiatives.
Financial turnaround of health plan from 270% to 550% Risk Based Capital.
Lead experience rated employer group underwriting turnaround and strategic pricing activities for fully funded, self-funded and stop loss products achieving profitable growth in a shrinking employer group market.
Incorporated enterprise-wide risk management into risk based capital planning, sensitivity modelling and strategic capital allocations.
Enhancing health plan operations, leading opportunity for multi-million claim payment integrity savings initiatives.
Executive sponsor for health plan's treasury function transitioning to corporate treasury shared services ensuring optimum return on investment portfolio commensurate to investment risk appetite.
Partnered with system treasury to develop Spectrum System Global Capital Assessment.
Leader in integrating strategic, financial, people and facility planning.
Complete renovation of Priority Health campus and optimization of work environment and capacity for our staff.

Chief Financial Officer, 01/2004 to 01/2008
Spectrum Health United Memorial

Responsible for financial planning, analysis and reporting; revenue cycle and reimbursement management; supply chain management and TIS planning and execution for United and Kelsey hospitals.
Significant improvements in internal controls, establishment of consistency and reliability of financial reporting, reduction in cost per adjusted admission and FTE per AOB.
Financial turnaround of United Memorial System from 5% loss to 4% profit in less than three years and ultimately achieving market share growth of 10% and several top national ratings.
Successful integration of Spectrum Health core information system technology including Cerner, Lawson and McKesson.
Initial shared service development and transition for patient billing, collections, revenue management and reimbursement; accounts payable; payroll and benefits and supply chain management.
Modernized the Greenville hospital through execution of $18 million construction project ahead of schedule and within financial plan.
Lead collaboration with Cherry Street for the successful application and establishment of an FQHC clinic in Greenville to provide health services for the underserved.
Contract negotiation and management of major physician groups for hospitalist, anesthesia, radiology and emergency physician services.
Participation in negotiation of employed physician contracts.
Negotiation and execution of plan for primary care physician practice privatization.
Performed process improvement reviews to identify productivity improvements.
Facilitated strategic planning sessions, performed SWOT analysis and identified strategic goals, tactics and performance measures.

Director, 01/2003 to 01/2004
Spectrum Health System

Responsible for financial planning and consolidation reporting for Spectrum Health System.
Initial assessment of Sarbanes Oxley regulations and recommendations to System Board of key governance controls including closing protocols and controls.
Financial analysis and reporting of captive insurance operations.
Developed tax function including initial tax exemption assessment.

Senior Audit Manager, 2001 to 2002
Ernst & Young, LLP

Senior Audit Manager, 1989 to 2001
Arthur Andersen, LLP

Regional audit director for Michigan, Ohio and Kentucky operations.
Successful planning, negotiation and integration of merger of multi-state Arthur Andersen practices into Ernst & Young.
Sarbanes Oxley regional champion during roll-out and initial implementation year.
Experienced in SEC reporting requirements including press releases, MD&A and annual and quarterly filings.
Developed trusted long-term relationships of over 10 years with clients in multiple industries including manufacturing, distribution, software development, construction, service and not-for-profits.
Initial public offerings for West Michigan based corporations.
Managed financial due diligence teams for several acquisitions, reviewed definitive agreements to identify more advantageous contract terms, also involved in post-acquisition integration planning to identify action plans to ensure value drivers are optimized.
Analyzed and proposed various alternatives for executive compensation plans including phantom stock, deferred compensation, stock options, stock grants and other bonus incentive programs.
Established activity-based costing and profitability model identifying potential savings through price increases, productivity improvements and exiting product lines.
Structured complex transactions such as recapitalizations, restructurings and public debt offerings including research of issues, document reviews, consultations with clients and firm experts and drafting of prospectus.

Education

MBA & Dual BS: Accounting and Computer Information Systems, Ferris State University -

Other Professional and Community Services

Governor appointed chairperson of the Local Community Stabilization Authority

Board member for Spectrum Health United Memorial System

Board member and Audit Committee Chair Samaritas

Board member for Ferris State University College of Business

HFMA Healthcare Economic Committee

HFMA Transparency Taskforce

Youth group leader

Resume Overview

Companies Worked For:

Priority Health
Spectrum Health United Memorial
Spectrum Health System
Ernst & Young, LLP
Arthur Andersen, LLP

School Attended

Ferris State University

Job Titles Held:

Senior VP Finance and Operations
Associate Vice President Finance / Controller
Chief Financial Officer
Director
Senior Audit Manager

Degrees

MBA & Dual BS : Accounting and Computer Information Systems ,

Senior VP Finance and Operations Resume Example

Resume Score: 60%

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