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News Administrative Resume Profile

WilliamsburG

Profile

Skilled senior leader with over 17 years of experience and 12 years in health care

  1. Outstanding leadership and critical thinking abilities Excellent at change management process improvement Demonstrated ability to develop and grow new ventures Has led business units of hundreds of employees Innovative thinker with a questioning attitude Collaborative and collegial Great teaching ability
  2. Significant work with corporate governance Logical and decisive Skilled public speaker and presenter Extensive regulatory compliance, accreditation, and government relations experience
  3. Early career leadership development as an officer in the U.S. Navy nuclear submarine force Earned MBA from a highly ranked business school Certified Six Sigma Black Belt

Knowledge Areas

Budgeting and Finance

Strategic Planning

Process Improvement

Negotiation

Project Planning Execution

Facility Design

Consulting/Advising

Regulatory Compliance

Construction

Legislative Processes

Analytics, Metrics Dashboards

Customer/Patient Surveying

Management Principles

Presenting and Public Speaking

Tools and Techniques

Business Transformation

Talent Development

Organizational Development

Leading Organizations

Coaching Mentoring

Teaching Training

Professional Experience

confidential

Riverside is an integrated health system with headquarters in Newport News, VA, and operations throughout Eastern Virginia. Its scope of services span across hospitals, a large employed provider group, post-acute care, and significant capacity and capabilities in senior housing and long-term supports and services LTSS . Approximately 8,000 team members work for Riverside. Annual consolidated revenue is roughly 1 billion. Riverside is Virginia's largest Program of All-Inclusive Care for the Elderly PACE , a program I was hired to build. PACE is a unique and innovative community-based health care program for frail, nursing home-eligible older adults. It is both a payer for and provider of comprehensive health care services. PACE is funded primarily by Medicaid and Medicare there are over 100 PACE Organizations across 31 states.

Confidential

  • Based in Newport News Administrative offices but travel extensively >50 of time to oversee operations elsewhere in Virginia. Met frequently with clinical teams and patients on site at PACE Centers.
  • As Vice President of PACE, responsible for a rapidly growing, six site, four locality, organization with over 450 employees and 45 million in annual revenue. Riverside-owned PACE Centers are in Newport News, Hampton, Richmond 2 , Petersburg, and Charlottesville, VA.
  • Managed 18 direct reports, including operations directors, clinical directors, and marketing directors. 450 employees in organization are multidisciplinary, including physicians, nurses, therapists, and transportation.
  • Led and developed cross-functional management team, including physicians. Responsible for decisions related to clinical staffing and direct patient care.
  • CRAIG CONNORS Page 2 of 5
  • Responsible for general management of the PACE health plan, including strategic planning, budgeting, marketing, operations, quality outcomes, and regulatory compliance.
  • Conducted multiple public speaking events and presentations on PACE and health care to various audiences ranging from provider groups, to trade associations, to health care consumers, to college students.
  • Involved in the advocacy and passing of new legislation by the Virginia General Assembly on nursing
  • home eligibility screening.

Key Achievements Results:

  • Led marketing and enrollment process redesign. Achieved 24 year-over-year same store revenue growth. Organization on track to achieve 50 million in revenue in 2015.
  • Achieved 80 improvement in PACE member retention through continuous improvement in patient satisfaction and responsiveness.
  • Led scorecard development and enhanced statistical tracking of key clinical and financial outcomes.
  • Worked with clinical and administrative teams to assure regulatory compliance success.
  • Collaborated with and developed Board of Directors for joint venture Corporation in Charlottesville, VA.
  • Led the formation of Virginia PACE Alliance, Inc., an industry association for Virginia PACE Organizations. Was elected Board Chairperson.

Vice President, Managed Care Operations

  • Riverside Health System corporate role, based in Newport News, Virginia. Worked at corporate administrative offices. Directly responsible for approximately 300 employees.
  • Managed 8 direct reports, including administrative and clinical directors.
  • Led system accountable care operations and development for all of Riverside Health System.
  • Responsible for negotiating payment and outcomes-based contracts with payers.
  • Collaborated on transformation of system-wide care management processes.
  • Led negotiations that resulted in a commercial Accountable Care Organization ACO deal.
  • Worked with several health plans on partnerships to manage care for dual Medicare/Medicaid eligible.
  • Delivered numerous talks on health care reform and payment to internal and external audiences, including physicians, health care administrators, and students.

Key Achievements Results:

  • Negotiated and closed a health system-wide deal with a managed care organization to collaborate on care delivery to Medicare Advantage enrollees.
  • Implemented a corporate governance structure for tracking and managing payer incentives.
  • Negotiated and closed a deal for a joint venture PACE Organization in Charlottesville, VA.

Vice President, Home Community Based Services

  • Based in Newport News administrative offices, but responsible for urban and rural operations throughout Eastern Virginia. Traveled extensively >50 to visit patients, employees, and contractors.
  • Responsible for leading and growing multiple business lines, including Home Health, Hospice, Outpatient and In-Home Infusion Pharmacy Services, Adult Day Care, Durable Medical Equipment DME , and The Riverside Center for Excellence in Aging and Lifelong Health CEALH . CEALH is an innovative applied health research organization.
  • P L responsibility for 70MM in annual revenue.Organizational responsibility for over 700 employees.
  • Managed 12 direct reports, including administrative and clinical directors. 700 employees in total organizational responsibility represented multiple disciplines, including pharmacists, nurses, and therapists.
  • Regular interactions with state and federal legislative and regulatory officials. Experience with Home Health, Hospice, Pharmacy and Medical Equipment Community Health Accreditation Program CHAP .
  • Involvement in corporate strategy and new business development.
  • Responsible for decisions related to clinical staffing and direct patient care.
  • Gained significant experience and expertise in health care services reform.
  • CRAIG CONNORS Page 3 of 5

Key Achievements Results:

  • Grew Hospice volumes significantly, by an annualized rate of >20 .
  • Led Home Health and Hospice operations to profitability, achieving average net margins of 7 .
  • Started new businesses in medical equipment and in-home private duty care.
  • Led the development of, and on the advocacy forefront of, legislation passed by the Virginia General Assembly creating a new long-term care insurance alternative called Community-Based Continuing Care.

Executive Director, Riverside PACE

  • Worked in Lifelong Health and Aging-Related divisional headquarter offices in Newport News.
  • Recruited to Riverside to start the PACE Organization from scratch.Was the first person hired for PACE.
  • Led the successful development and opening of Riverside PACE. Riverside PACE was one of the fastest growing new PACE organizations in PACE history.
  • Opened PACE in two geographic areas unique for PACE in two years.

Key Achievements Results:

  • Personally involved in detailed aspects of facility design and constructions. Built PACE Centers that were recognized nationally within the PACE community for their beauty and functionality.
  • Negotiated and closed unique financing deals for PACE Centers that enabled the use of historic tax credits to affordably rehabilitate buildings for use as care facilities.
  • Grew revenue from 0 to 20MM in three years. Assembled a multidisciplinary team of over 200 FTE. Managed from 1 to 10 direct reports, including clinical and administrative directors.

Confidential

Anthem, Inc. owns and operates health plan companies to deliver quality products and services that give their members access to the care they need. With nearly 69 million people served by its affiliated companies, including more than 37 million enrolled in its family of health plans, Anthem is currently one of the nation's leading health benefits companies. The company has 48,000 employees and annual revenue of 70 billion. Anthem corporate headquarters are in Indianapolis, Indiana. It has offices in nearly all states.

Medicaid Business Manager

  • Located in Richmond at the Virginia headquarters offices. Had statewide responsibilities for the Medicaid health plans. Collaborated with national corporate office and other states' teams on Medicare and Medicaid product development.
  • Part of executive team for Medicaid managed care product.Involved in all aspects of operations.
  • Led cross-functional projects, guided business decisions, and evaluated P L.
  • Developed subject matter expertise and capabilities in post-acute and long-term care services. Included start-up planning for a Medicare Advantage Special Needs Plan SNP for dual eligibles.
  • Established provider reimbursement strategies for network strength and product line profitability.

Key Achievements Results:

  • Reorganized and redesigned the member outreach functions. Resulted in better contact with members and more timely and effective care delivery, especially pre-natal care.
  • Plan achieved excellent profitability while delivering

Business Improvement Manager

  • Role based in Richmond at the Virginia headquarters offices. Responsibilities and projects focused mainly in Virginia, but involved collaboration and merger-related activities across multiple states.
  • Led improvement initiatives, advised on strategic direction, and performed other duties for the Senior Vice President SVP of Health Care Management.
  • Supported development, operations, and strategic planning for the Anthem Quality-In-Sights : Hospital Incentive Program Q-HIP . Consulted on program design and quality improvement indicators. Q-HIP is Anthem's hospital performance-based incentive PBI program.
  • Worked on statistical analyses of hospital performance. Developed scorecards that went to all participating Virginia hospitals.
  • Coordinated and led regional merger integration planning and other projects.

Key Achievements Results:

  • Through statistical and reporting work, laid foundations for Q-HIP's growth and success. Q-HIP is now a national Anthem program and a cornerstone of its hospital quality initiatives.
  • Delivered key advice and recommendations that contributed to formulary development and significant plan drug cost savings.

Organizational Performance Consultant

  • Member of an internal consulting team responsible for deploying Six Sigma and advancing Operational Excellence. Based in Richmond, Virginia, with project work and travel throughout the state.
  • Earned Six Sigma Black Belt certification.
  • Developed a model for identifying and addressing variation in the use of discretionary surgery. Collaborated with physician panels to validate model.

Key Achievements Results:

Developed a model for identifying statistical variation in physician practice patterns based on claims data. Outlier information was used extensively in meetings with providers and presentations to groups.

Confidential

  • Procter Gamble P G is a consumer products company that markets products in more than 180 countries. P G brands serve nearly 5 billion people. The company has 129,000 employees and annual revenue of 80B. It is headquartered in Cincinnati, Ohio.
  • Marketing Intern Summer
  • Worked as Assistant Brand Manager on Macrobid prescription drug. Completed projects that helped brand
  • regain lost market share. Based at corporate offices in Greater Cincinnati area.

Key Achievements Results:

Designed and developed a customer targeting system that focused sales and marketing efforts and saved company a minimum of 300,000 annually.

Confidential

EG G Technical Services was a defense contractor and provider of management and technical services to the Navy. It was acquired by URS Corporation in 2002, which was acquired by AECOM in 2014.

Technical Consultant Summer

  • Worked in local offices in Norfolk, Virginia.Corporate headquarters were in the Washington, D.C., area.
  • Advised managers on quality assurance and submarine-related issues. Prepared presentations to attract
  • government contracts. Worked on special projects designated by COO.

Key Achievements Results:

Developed a submarine maintenance tracking system that was used by the company for its contractors.

Confidentia

Quality Assurance Officer

  • Oversaw all maintenance, repairs and testing of systems directly related to safety and survivability of the ship. Ship was based in Norfolk, Virginia. Completed two full deployments and traveled extensively.
  • Assigned to the most senior-level role achievable by a junior officer aboard a submarine. Involved direct daily collaboration with Captain and other senior officers. Recognized for strong leadership skills by crew.
  • Coordinated a three-month dry-dock maintenance period. Collaborated with shipyard managers to reduce
  • costs and complete work safely.

Key Achievements Results:

  • Honored as Squadron Eight Junior Officer of the Year, 1998.
  • Certified by U.S. Navy to be Chief Engineer of a nuclear propulsion plant.
  • Successfully completed U.S. Navy dive school and was designated ship's SCUBA diving officer.

Confidential

  • Led and managed 5 different multi-functional divisions, each comprised of between 8 and 22 people.
  • Supervised diverse teams responsible for operation and maintenance of nuclear propulsion, auxiliary machinery, electrical and weapon systems.
  • Held senior position of Damage Control Assistant. Led casualty response of the ship's crew. Organized comprehensive fire fighting and flooding plans.

Confidential

Successfully completed rigorous graduate-level curriculum in nuclear engineering and plant operations.

Computer and Technical Skills

Excellent quantitative skills. Excellent PowerPoint presentation skills. Proficient in all Microsoft Office applications, including Microsoft Access. Especially capable in Microsoft Excel, including pivot tables, data analysis, and graphical representation. Significant past use of statistical tools and add-ons. User of Minitab statistical software. Experience with Electronic Medical Records, mainly GE Centricity. Use of health care payer claims analyses software, including Verisk. Working knowledge of Customer Relationship Management CRM programs, especially ACT . Past use of Computer-Aided Design CAD tools. Very adept at using multiple tools to solve complex problems. Exposure to multiple decision support and enterprise data management programs.

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