AREAS OF EXPERTISE

System Design and Conceptualization, conceptualization of the delivery system including types and mix of services, based on population needs, ethnic factors, incidence of illness, geographic considerations, etc.; development of integrated delivery systems internal to the organization, and externally with multiple public and private entities; establishment of “foundational services” based on research and best practice; linkage of services and providers; and continuity of care.

Governance and organizational structure, including optimal design of the organizational structure to maximize productivity and communication; governance theory; mission and values; interface with Board of Directors; bylaws; and fiduciary responsibilities.

Financial management, including budget preparation and tracking, achieving financial objectives, use of data in monitoring financial performance at all levels, financial analysis, staff buy-into financial performance, cost containment.

Crisis management, including turnaround strategies, managing in difficult, complex environments, impending financial collapse, rapid startup demands.

General management, including strategic planning, organizing, directing, regulatory compliance, contingency planning, organizational culture, value-based leadership and management.

Managed care, including instilling managed care values and philosophy in the organization, assessment of managed care readiness, network development, contracting, credentialing, utilization management, introduction of best clinical practice, member services.

Quality performance, including development of a comprehensive quality improvement philosophy and structure, risk management, Quality Improvement delegation, Quality Improvement studies and measurement activities, member satisfaction surveys, preparation for NCQA and JCAHO accreditation.

Human Resources, including recruitment, performance-based evaluation, disciplinary procedures, labor relations, dispute resolution, employee satisfaction, training, legal issues.

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