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Yyyyyy x. yyyyyy

3501 SW 139 Ave. | Miramar, XXXXXX xxxxxx xxx-xxx-xxxx |



Physician Executive


Patient-centered, expert-level Board Certified Physician Executive with a career history rooted in the delivery of seamless clinical patient management circa 1987. Adept at enhancing healthcare delivery methods using proven business practices and by leveraging integrated health acumen. Skilled in developing and leading profitable BCPI program operations. Also serve as a tech-savvy Integrated Medical Management Software Developer. Well-versed in supervising multidisciplinary teams in achieving organizational objectives and attaining high levels of growth. Seeking a President or CMO role with an innovative, care-focused healthcare organization that is poised for both growth and success.




  Core skills include leadership, strategic planning, finance, medical management, managed care contracting, marketing, sales, collaborative teamwork and Spanish xxxxxxuency

  Launched a successful BPCI program at TeamHealth that generated profit each quarter; steadily surpassed all financial and growth targets

  Earned the highest clinician engagement scores in the entire TeamHealth organization across all service lines nationally; upheld a 95.6% clinician retention rate

  Expanded the reach of medical management to include large global clients at PPHA

  Introduced a new cardiology reimbursement methodology and network at BCBS; garnered $7.4M in annual savings

  Launched a new Utilization Management Program in Central Xxxxxx that yielded 38% in Medicare product savings and 27% in BCBS commercial line of business

  Spearheaded the Orlando Turnaround Project at BCBS

o    Slashed Medicare product losses from $1.8M to $250K per month over the course of six months

o    Vastly improved the commercial HMO product by $4.70 PMPM, generating a fiscal transformation for the entire South Geographic Business Unit

  Integrated care and network functions at BCBS, which bolstered staff efficiency by 15%

  Led American Medical to a 55% membership increase during the first six months spent in the role

  Improved American Medical s net output by 40% per full-time staff member compared to corporate staffing ratios, also led productivity measures that incurred $560K in cost savings

  Unswervingly maintained American Medical s length-of-stay at 3.6 days for PPO and 3.3 days for HMO/Point of Service

  Expanded the Plaines network to almost all Xxxxxxoridian counties; increased ROI to $29.39 per dollar paid in access fees

  Expanded the Xxxxxx Physicians primary care group from 12 to 70 Physicians and an operating staff of 300 in a multi-county area with $43M in yearly revenue


Professional Experience


TeamHealth Hospitalist Division/ XXXXXXACS, President/Chief Medical Officer (2002-2017)

  Led the largest dedicated full-time hospitalist group in South Xxxxxx of 20 major health plans and 400 Clinicians at 46 hospitals, 109 Skilled Nursing Facilities and right LTACHS in Palm Beach, Xxxxxx, and Dade counties

  Contracted with a series of Managed Care organizations including MSOs, ACOs and IPAs

  Liaised with hospital CEOs to boost hospitalist efficacy and emergency room throughput, along with co-management of specialty referrals and medical-surgical

  Generated a 23% increase in hospitalist participation and expanded the group into new market segments

  Held meetings each month with Medical Directors, Chief Medical Officers and CEOs to achieve goals, lead strategic planning efforts and encourage innovative acute care practices


PPHA, LLC, President/Chief Executive Officer (1998-2010)

  Founded and led a multinational firm that served hospitals, health plans, self-funded employers and the public sector using fully-integrated medical management programs

  Expanded the organization to serve large populations in the areas of Medicaid, Medicare, Reform and Commercial across an array of disease management program offerings

  Designed and developed proprietary software to support Utilization, Case and Disease Management programs that were fully accredited and integrated

  Crafted custom wellness and preventive health efforts used extensively by large, self-funded employers

Yyyyyy x. yyyyyy




Blue Cross Blue Shield of Xxxxxx, Regional Director, Network Management and Development (1999-2002)

  Oversaw operations for state and regional network management of the largest managed care organization in Xxxxxx

  During tenure, generated over $5B in annual revenue and offered coverage to approximately 2.6M members

  Individually negotiated regional and state contracts in excess of $1.4B; also headed a statewide negotiation team that contracted 46 HCA hospitals across the state

  Tenaciously negotiated a two-year contract with Baptist Health Systems in Miami during a hostile termination; excelled in establishing an effective working relationship between both involved parties

  Brokered a contract for a simultaneous market-wide termination with Xxxxxx Hospital and Orlando Regional Medical Center; included 20 facilities in total throughout Central Xxxxxx

  Created and launched a statewide physician profiling process used to enhance physician performance and foster a number of sound, mutually beneficial health plan relationships

  Represented South Xxxxxx during the blueprinting and streamlined reorganization of three Blue Cross Blue Shield regions into two entities


Earlier Roles


President/Chief Executive Officer, American Medical HealthCare, 1997-1998

Chief Medical Officer, American Medical HealthCare, 1995-1997

Executive Director, Plaines Health Network, 1996-1998

Medical Director, Xxxxxx Physicians Medical Group,1994-1995

Associate Medical Director, Humana Health Plan, 1994-1995

Founder/Senior Partner, Orlando Family Medicine Associates, 1987-1995


Faculty Appointments


Asst. Clinical Professor, Dept. of Family Medicine, Nova Southeastern College of Osteopathic Medicine, 2000-2002

Asst. Clinical Professor, Dept. of Family Medicine, University of South Xxxxxx, 1988-1999


Education & Credentials


Master of Business Administration, University of Central Xxxxxx

Chief Resident, Family Practice, Western Reserve Care System-Northside Medical Center

Residency, Family Practice, Western Reserve Care System-Northside Medical Center

Medical Doctor, Universidad Central Del Este

Fellow, American Board of Family Practice

Diplomate, American Board of Family Practice

Diplomate, American Board of Quality Assurance and Utilization Review Physicians

Licensure, Board Certified Physician Executive, State of Xxxxxx


Memberships & Affiliations


Boca Raton Regional Medical Center | Hialeah Hospital | American Academy of Family Physicians

Xxxxxx Academy of Family Physicians | Phi Kappa Phi, National Scholastic Society

Beta Gamma Sigma, Business Honor Society

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