KEITH D. BRADY, MBA, FACHE 2153 Greencrest Drive Rancho San Diego, CA 92019 email@example.com (800) 460-7602 www.linkedin.com/pub/keith-brady/3a897/b46
Hospital & Health Network CEO/COO experienced in strategic leadership and organizational restructuring.
Substantive knowledge of Medicare-Medicaid, health care reform, NCQA (HEDIS) & AHQR (CAPHS 4.0) Health Plan survey tools, Medical Homes, and Accountable Care Organizations.
Extensive knowledge of CMS Risk adjustment’s and bidding system and payments made to health plans based on health status and demographic characteristics of enrollees.
Excellent interpersonal, analytical, communication and presentation skills.
Proven ability to grow managed care networks, lead operational teams, improve financial results and build new businesses across multiple organizations.
Solid time management skills, including the ability to manage multiple activities with competing priorities. EXPERIENCE
MEDI GLOBE AMERICA, INC-St. Louis, MO VP/ Medical Practice Expertise & Services Present
Senior Healthcare Consultant for Medi Globe’s outsourced Practice Management/Revenue Cycle business, serving physicians, community clinics and home health agencies in six states. Responsible for financial results/impact to ensure negotiated pricing would translate into achieved underwriting and improved benefits for Medicare Advantage ( MA-PDs ), Dual Eligible/SNPs; and Program for all Inclusive Care for the Elderly ( PACE ),established benchmarks against organizational medical loss ratio targets. Oversight of Network Development Contracting and Database and Provider Relations staff through guidance and direction of contracting strategy, provider recruitment, new provider orientation and education, contract negotiation, contractual rate analysis; and retention of contracted providers and problem resolution. Interacts and builds partnerships with multiple stakeholders at all locations to proactively identify and resolve ‘issues’ in order to ensure compliance with goals and objectives of the organization.
STRATEGIC HEALTHCARE MANAGEMENT, San Diego, CA VP/ Physician Practice Network & Provider Contracting 20002010 Oversight of Network Development and activity related to expansion into newly identified Medicare markets and designated regions. Lead facilitator of Network Development and action plans to expand into newly identified Medicare markets across the East and West Coast for local Provider Sponsored Organizations and PPO, HMO Medicare Advantage plans. Develop and implement activities for the recruitment, contracting and retention of effective providers to promote evidence-based practices for solo & group practices, community clinics and home health agencies.
Negotiates, develops and designs contractual provider arrangements including language and pricing methodologies. Maintains assigned provider network; physician, hospital, ancillary, and/or carve outs. Assists in Provider Relations activities including servicing, educating, and distributing information to contracted providers; analyzes and presents financial reports to providers.
SOUTHERN INYO HEALTHCARE DISTRICT-Lone Pine, CA CEO/ Administrator 19971999 Responsible for organizing, directing, implementing, and evaluating the overall planning, financial, administrative and operational activities of Southern Inyo Local Healthcare District in accordance with the philosophy and mission of SIHD Board of Directors. Eight direct reports. Responsible for 15M annual budget. Improved hospital’s financial viability and improved cash flow by 40% within six months of hire; reported to the Board of Governors. Obtained $600,000 (within one week of hire), line of credit from the State of California Medical Assistance (CMAC) Commission, funds appropriated for hospital capital improvement projects and operational expenses. ANTELOPE VALLEY HEALTHCARE DISTRICT-Lancaster, CA MGR., Antelope Valley Physician Healthcare Network (AVPHN) 19961997 Responsible for developing, negotiating, and managing financial contracts by and between the Physician Hospital (payer) Organization and primary care physicians (capitation) and specialist physicians (fee-for-service) under contract. Manage, supervise and direct the daily activities and functions of the provider contracting team. Review financial data to manage complex analysis to prepare and interpret impact of reports. VILLA VIEW COMMUNITY HOSPITAL-San Diego, CA CEO/Management Services Organization 1996
Responsible for the overall daily operations of the Management Services (MSO) Organization owned by the hospital.
Led a talented team of eight direct reports of professionals that provided services to the hospital's Independent Physician Association (IPA). Information Technology (EHR-implementation) billing & collections, front office management support staffing, human relations policy and procedure development and implementation; provided to physicians practices under contract with the MSO. Built and maintained provider networks that promoted quality customer outcomes. Developed and implemented activities for the recruitment, contracting and retention of effective providers to promote evidence-based practices. Recruited 25 primary care physicians and 30 specialists that joined the hospital’s IPA. Achieved 2 M net profits annually to hospital’s bottom line due to management services provided to physicians under contract; annual budget of 2 million dollars. Developed and executed the strategic marketing and business plan for the MSO.
HARBOR VIEW HOSPITAL & MEDICAL CTR., San Diego, CA Chief Operations Officer 1990-1994 Managed daily operations of 156-bed acute care hospital and medical center and worked collaboratively with ten direct reports to ensure timely financial reporting, consistent delivery of quality care to patients and meaningful and open dialogue with physician staff. Responsible for P&L annual budget of $80 million dollars. Oversaw all aspects of construction related projects and capital equipment acquisitions. Revamped hospital’s Safety Risk Management program, which reduced employee injuries significantly; improved the loss ratio rating of insurance carrier thereby lowering the annual insurance premium, realized savings of $100,000 per annum. Consistently delivered corporate earnings before depreciation, interest/amortization and income taxes (EBDIT) of 3.5% or $400,000 thousand dollars per month to hospital’s bottom line. Managed the Hospital’s Long Term Acute (LTACH) in addition to the Acute Care Hospital. EDUCATION
MBA, Healthcare Administration, National University, San Diego, CA B.S. Health Education, California State University at Northridge, Northridge, CA
PROFESSIONAL DESIGNATIONS, AFFILIATIONS & ACCOMPLISHMENTS
Fellow-American College of Healthcare Executives-FACHE Board Member, State of California-County of San Diego, Health Services Advisory Board Featured on the December 1997 Cover of Modern Healthcare ( For the Article, “ The Healthcare Industry Struggles to Bring Minorities into The Top Executive Ranks.”) Member, Chief Executive Officer Circle , American College of Healthcare Executives (Past Member) 3
Contributing Healthcare Reporter to the San Diego Voice & View Point Newspaper Motivational Speaker-Healthcare Administration Department-California State University at Northridge
Financial Turanarounds- Succesful turnaround of Rural Healthcare District Hospital in California; Turnaround of troubled community hospital in Louisiana yielding three straight years of operational profitability and reestablishment of physican & community trust; Turnaround of business revenues for Workers’s Compensation Consulting firm through projects for major employers and creation of national Preferred Provider Network for complex back injuries.
Srategic Business Line Development- Executed strategy, product roll-out, and provider network development for Industrial Medicine/Occupational Health consulting firm serving major national clients.
Construction Management- Direct experience/responsibility for multiple hospital construction projects: 156 & 176 bed acute-care hospitals projects in San Diego, CA.
International Business- Development of International healthcare business importing/exporting services & products between United States, United Kingdom and India.
Marketing/Business Development- Execution of numerous joint-venture businesses and strategic relationships.
Provider Network Director, Managed Care- Developed/managed Physician recruitment and contract negotiations for a 176 bed acute-care hospital and behavioral health facility’s Management Services Organization; two M dollars contributed to hospital’s bottom line three successive years.
Performance Consulting- Provide hospitals/networks/health systems with state-of-the-art operational information from a range of peer national organization to accelerate client’s rate of organizational change; Provide strategic interactions on regular basis with leaders of Health Alliances and Systems in four states.
Skilled Nursing Home Administrator- Two years CEO of a rural hospital and 37 beds Skilled Nursing facility in California, full accreditations for both acute and long term care.
Manager, Physicians Healthcare Network- Developed network performance criteria, recruited physician providers in Lancaster & Palmdale, CA that joined Antelope Valley Healthcare Districtâ€™s Physician Hospital Organization; approximately 600 primary care physicians and three hundred specialist physicians in the network.
Published on Jun 17, 2014