Mark Smith

About Mark Smith

I am a proven and versatile healthcare executive with more than 14 years\' experience in all areas of healthcare operations including budgeting, communications, QA/QI, revenue cycle, staff management, utilization, and more. I have successfully guided multiple departments by ensuring programs and systems operate at peak performance and meet performance goals on a day-to-day basis while ensuring that the company\'s short and long-term strategy and vision is actualized.When challenges or opportunities arise, I confidently and quickly assess the situation and develop the strategic framework that best aligns with the company\'s mission, vision, and goals. Then, through deliberate implementation and monitoring, I ensure the strategy is actualized.Some of my accomplishments include:• Strategic Operations (ongoing targeted operational improvement) • Cost Transformation (improved processes, scheduling, and utilization) • National Revenue Cycle Management ($110M+ in annual net revenue maintained)• Operational Change/Transformation (national cross-functional improvement)• Corporate Integrity Agreement and Compliance Plan (successful implementation and roll-out)• QA/QI program design and execution (ground up)• Data Analysis/Reporting (designed plethora of actionable reports and dashboards)• System Integration (multi-system data integration and process optimization)• Client Contract Negotiations (AP - reduced costs without sacrificing quality by more than 20%)• Supplier Contract Negotiations (AR - win-win contracts with multiple carriers at 200%+ standard rates)Expertise: Healthcare, Business Administration, Finance, Regulatory Compliance, Enterprise Strategy, Change / Project Management, Compliance, Negotiation, Process Improvement, Operations, Revenue Cycle Management, Utilization, Corporate Integrity Agreement, Data Analysis, and Reporting

Experience

1. Director, Strategic Operations and Analytics

   Covalent Health

   Feb 2019 — Present · Jacksonville, FL, US

   Part-Time from Sept 2021 - Oct 2024Core member of the executive team, guiding national and local directors and managers in the implementation of strategic objectives and priority-based plans. I also acted as the central leader in ensuring data was consistently available and actionable by the executive and field leadership teams. My purview has included:Analytics and Reporting• Developing custom reports designed to guide decision making (Crystal Reports and Tableau)• Designing cross platform integrated data sources/views (SQL and PostgreSQL)• Creating consistent data source cross platform alignment and automation processesOperations Leadership and Management• Building, developing, and leading adaptable high performing teams• Directing and guiding to management, ensuring safe, efficient, and ethical care• Monitoring effectiveness and timeliness of activities to meet division’s goals and objectivesInter-Departmental and Practice Location Alignment• Guiding directors in the implementation of strategic objectives and priority-based plans• Facilitating and improving inter-departmental collaboration, cooperation, and integration• Working closely with multiple physicians to realize clinical and growth objectivesBudgetary, Finance, and Revenue• Ensuring departmental expenses remain within budget• Monitoring effectiveness and timeliness of activities to meet division financial goals and objectives• End-to-end revenue cycle management, including revenue prediction and recognition modelsContracting and Negotiation• Contract negotiation as both client and contractor from initial submission to final execution• Solicitation of agreements/contracts from various vendors and suppliers (e.g. 401k, vendors, etc.)Revenue Cycle Management• End-to-end revenue cycle management ($110M+ annual net revenue)• Using RCM data and KPIs to drive revenue optimization and improvement• Ensuring adherence to a Corporate Integrity Agreement while maintaining profitability

Education

• Florida State College at Jacksonville

  Bachelor's degree

  2015

• University of Florida - Warrington College of Business

  Master of Business Administration (MBA)

  2016 — 2017