PAUL BRITT BIRMINGHAM, AL 35243 (205) 422-1805 paulbritt@yahoo.com http://www.linkedin.

com/in/paulbritt
Polished professional with diverse and successful experience in healthcare operations, contract negotiations, provider/payor/ government reimbursement, financial analysis, marketing, management, network development, and problem solving.

AREAS OF EXPERTISE
Account Management Provider/Payor Operations Process Improvement Strategic Planning Sales/Marketing Relationship Building Contract Negotiations Market Analysis Network Development

PROFESSIONAL EXPERIENCE
Abbreviated employment tenure from 2006 2011 was due to a spousal medical disability and a planned permanent move to Belize; both events are now behind me.

PRACTICE PARTNERS IN HEALTHCARE (BIRMINGHAM, AL)

Outpatient surgery center management company

March 2010 August 2011

Vice President of Operations

Managed daily operations for two ambulatory surgical centers specializing in pain management. Formulated strategies to streamline patient throughput and maximize efficiencies related to staffing, scheduling, payor reimbursement and procedure case mix. Initiated a time management study that resulted in process improvements which slashed patient wait times from over three hours to an hour and twenty minutes. Mined revenue cycle data to identify margins on all procedures performed. Money losing and break-even procedures were eliminated. Anticipated and adjusted to changing reimbursement policies from Medicare, Medicaid and commercial payors. January 2009 March 2010

UNITEDHEALTHCARE (BIRMINGHAM, AL)

The largest single health carrier in the US.

Senior Network Account Manager, Gulf States

Initiated and led negotiations with hospitals and ASCs in Alabama, Mississippi and Louisiana to produce a geographically competitive, stable network to achieve objectives for cost performance and trend management. Negotiated and implemented contracts to ensure compliance with reimbursement goals, language standards, and key process controls. Identified and targeted non-network ASCs with substantial spend amounts, initiating negotiations to achieve the objective of in-network status. Successfully added 10 ASCs within the first year, directly impacting the financial performance of the Southeast region. Established and maintained strong business relationships with C-level officers and physician leaders at hospitals and ASCs in order to promptly resolve issues within a self-directed environment. August 2006 January 2009

FAMILY MEDICAL LEAVE (SPOUSE)

HEALTHSPRING OF ALABAMA, INC. (BIRMINGHAM, AL)

A Medicare Advantage HMO serving 25,000 seniors in 42 Alabama counties.

January 2006 August 2006

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Manager, Institutional and Ancillary Contracting

Directed all functions of the Facility Contracting Department, responsible for contract negotiations for all Alabama hospitals and ancillary providers. Analyzed medical costs to identify re-contracting opportunities. Managed a staff of four and met frequently with hospital leadership to advance positive relationships, focusing on accurate claims payment, prompt resolution of provider concerns, and education related to the companys direction and strategy. Reported directly to the President and worked closely with the CFO and Medical Director to improve the provider network. I refocused the companys contracting philosophy to align solely with providers that had a proven history of cooperation, resulting in a smaller but vastly more efficient network of quality providers. June 2005 January 2006

INTEGRATED MAGNETIC IMAGING (MONTGOMERY, AL) Chief Operating Officer

Privately held company that owns and manages two multi-modality diagnostic imaging facilities located in central Alabama.

Maximized operational efficiencies to streamline patient through-put, billing and collections, RIS/PACS, payor contracting, credentialing and marketing strategy. New patient visits increased by 11% under my direction. Piloted the purchase and installation of a Toshiba 64-Slice CT scanner, successfully coordinating equipment procurement and delivery, room construction, financing, regulatory compliance and the sale and removal of the old scanner. Referrals increased by an average 11% per month and first-time physician referrals were realized. Managed the companys payor relations to ensure contract compliance and accurate, timely payments. By eliminating a wasted step in the payment process, funds were deposited an average of four days sooner. Established new markets via attorney liens and workers compensation, increasing new referrals by 6% from the previous year. September 2003 May 2005

TOUCHSTONE MEDICAL IMAGING, LLC (BIRMINGHAM, AL) National Director of Managed Care

Private company based in Brentwood, Tennessee, that owns and manages 19 diagnostic imaging facilities in nine states.

Directed all aspects of the companys interaction with national, regional and local commercial payors, plus Medicare, Medicaid and other government programs. Continuously sought opportunities to establish or improve the companys relationship and financial position with its payor partners, negotiating an average 1.5 new agreements per month. Developed and implemented the companys first-ever contract management system, involving document scanning, logging and file sharing of 400+ payor agreements to enable access by administrators and Touchstones billing partners. Efficiencies were immediately realized by eliminating the reliance on hardcopy documents. Supervised and trained coordinators in four states, providing leadership to manage local payor applications, credentialing and claims payment issues. Routinely traveled to each market to foster teamwork, advance company goals and further the teams knowledge of managed care trends. August 1999 April 2003

HEALTHSOUTH CORPORATION (BIRMINGHAM, AL)

One of the nations largest providers of rehabilitative healthcare services.

Assistant Vice President, Payor Contracting & National Accounts

Oversaw contract management and partnerships with national payors. Performed financial analysis of contracted rates for 1,700 facilities, encompassing acute care hospitals, ASCs, imaging facilities, outpatient physical therapy centers and inpatient rehab hospitals. National payor contracts valued at $200M in annual gross revenue were systematically analyzed for prompt payment compliance, regulatory issues, opportunities to maximize reimbursement rates, and overall value to the company. Initiated and led a company-wide overhaul of an inefficient contract approval process, streamlining it into a workable, centralized system where approval turnaround time was slashed by 47%. Trained the companys 50+ field contracting directors on contract language and financial analysis to ensure market-driven reimbursement levels. One of only four field-based directors in company history to be promoted to officer level.

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June 1998 June 1999

BLUE CROSS & BLUE SHIELD OF MISSISSIPPI (JACKSON, MS)

Mississippis dominant health insurance carrier.

Provider Contracting Consultant

Recruited and maintained a superior network of statewide physicians, hospitals and ancillary providers. Accountable for contract negotiations and compliance, physician education, and coordination of provider training activities. Researched, developed and implemented, internally and externally, new provider networks to contain costs and build market share. Project leader for the first-time development of a statewide chiropractor network as well as a unique alignment with a large Memphis-based PHO to offer a first-ever EPO product in northern Mississippi.

Early career (1993-1998) included progressive administrative and management positions with General Health Systems, a vertically integrated provider of hospital and healthcare services in Baton Rouge, LA; Mississippi Health Partners, a provider-owned PPO network of 11 hospitals and 500+ physicians in central MS; and Heritage Information Systems, a drug utilization review services company contracted with Mississippis Medicaid program.

EDUCATION MASTER OF PUBLIC ADMINISTRATION, HEALTHCARE EMPHASIS (MPA) Louisiana State University, Baton Rouge, LA 1993 1994 BACHELOR OF ARTS, JOURNALISM (BA) Louisiana State University, Baton Rouge, LA 1982 1987

TRAINING AND CONTINUING EDUCATION 18TH ANNUAL ASC CONFERENCE 2010 Chicago, IL EFFECTIVE NEGOTIATION STRATEGIES 2010 Three day training course, Atlanta, GA GULF STATES AAASC ANNUAL CONVENTION 2009 (Presenter) Biloxi, MS PSYCHOLOGY OF SUCCESSFUL NEGOTIATIONS 2002, 2003 Birmingham, AL HEALTHSOUTH UNIVERSITY 2002 (Presenter) Crouching Tigers & Hidden Dragons; Language Traps in Managed Care Contracts