Frank V.

About Frank V.

Accomplished healthcare finance, IT, and operations executive with proven experience and flexibility to contribute in both the strategy development, operational solution, and fund-raising execution arenas. Strong strategic managed care perspective for complex populations and ability to lead expansion of services across Medicare Advantage, Medicaid, and commercial populations for MMIS, health plan, MSO, ASO, ACO, IPA, Medical Group, Medical Practice, and self funded TPA. Successfully implemented and delivered multiple complex and high budget healthcare enterprise systems/platforms. Skills and Competencies:• Medicare Advantage Prescription Drug Plan (MAPD), Medicaid/Cal Startup Subject Matter Expert• Health Management Organization (HMO), Independent Physician Association, Management System Organization, and Physician Practice Operations Expert• Startup Small and Large Business, MMIS, MAPD, PACE, FQHC, and Other Local State and Federal Government Programs• Account Management, Client Partner, System Implementation, and Application Development • Healthcare -Finance, Accounting, IT/IS/MIS,(HEDIS, RAF, STAR) Informatics, Medical Management, • Project / Program Management / Consulting / Advisory• P&L Management, Business Development, Contract Negotiation, Fund Raising• Regulation Governance-DMHC, States DOI, NAIC, CMS, URAC

Experience

1. President & CEO Cofounder

   Verda Healthcare

   Sep 2021 — Present · Huntington Beach, CA, US

   Cofounder, Board Members, Owner.A different kind of MAPD SNP startup health plan to be filled for Knox Keene license with DMHC for CA and DOI for Texas operative to underserve seniors in 2024.

Education

• UCLA

  Bachelor of Science - BS, Mathematics / Econometrics Spcialized in Business & Administration and Computing

Skills

• Healthcare
• Healthcare Information Technology
• Hipaa
• Revenue Cycle
• Process Improvement
• Start-Ups
• Budgets
• Data Analysis
• Managed Care
• Insurance
• Strategic Planning
• Cross-Functional Team Leadership
• Team Building
• Business Analysis
• Customer Service
• Change Management
• Business Strategy
• New Business Development
• Product Development
• Quality Assurance
• Software Documentation
• Product Management
• Contract Negotiation
• Operations Management
• Negotiation
• Risk Management
• Sales Management
• Business Planning
• Team Leadership
• Forecasting
• Account Management
• Budgeting
• Compliance
• Process Engineering
• Customer Relations
• Contract Negotiations
• Strategic Partnerships
• Problem Solving
• P&L
• Contract Management