J. C. Flowers

Executive Vice President Revenue Cycle and Population Health @Nevada Health Centers

Tucson, AZ, US
MOBILE NUMBERS
+14•••••••86

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WORK HISTORY

Dec 2020 — Present

Executive Vice President Revenue Cycle and Population Health @Nevada Health Centers

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Las Vegas, NV, US

SKILLS

MedicaidExecutive ManagementPhysiciansEmployee BenefitsMedical TerminologyEhrHome CareHipaaEpic SystemsHealth Information ExchangeLong-Term CareRevenue Cycle ManagementHealth InsuranceHealthcareUtilization ManagementMedical CodingHmoMedicaid Managed CareHealthcare ConsultingAnalysisProvider RelationsHealthcare ReimbursementInpatientNetwork DevelopmentMedical BillingLeadershipHealthcare ManagementMedicareQuality ImprovementHealth Information ManagementNursingCredentialingHealth PolicyManaged CareMedicare/Medicaid ReimbursementInformaticsProgram ManagementPractice ManagementClinical ResearchDisease Management

ABOUT J. C. FLOWERS

I have over 25 years in Healthcare, with significant experience and leadership in the following areas. • Led negotiation, coordination, and oversight of all managed care, Medicaid, Medicare Advantage, and revenue cycle contracts for a four-hospital system, 90 physician medical groups, an outpatient surgery center, and 4 outpatient imagery centers, totaling annual net patient service revenue of more than $600M. Administered all patient financial service activities from registration through collection, including management of 450+ associates within revenue cycle sphere. Increased hospital point-of-service collection from 44% to 79% within the first year. Increased inpatient collections from 65% to 88% and Emergency Department from 45% to 57%. Consulted independently for physician, ancillary and hospice providers in the operations and revenue cycle departments. Reorganized collections processes and finance metrics. • Created and managed a Healthcare Division for an international consulting company, activities included marketing strategy, HIPAA Compliance development, and sales. • Negotiated all Managed Care, Medicaid, Medicare Advantage contracts, obtaining an average annual increase of 8% for hospital systems and physician organizations • Launched quarterly CEO, COO and CMO meetings to provide details on uncompensated care, point of service collections and payment trends among Managed Care and Government payors. • Played a key role in accomplishing membership increases from to over within a 2 year period in Southern Arizona, which included transitioning large membership groups, training and coordination of employer benefit departments responsible for those members, as well as meeting with contracting personnel to discuss specific individual care transitions. • Reported annual update on Managed care contract performance to Board of Trustees, including detailed analysis of impact of changes in payor mix and contract realization rates.

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