Robert P. Theis

Leveraging deep expertise in payer/provider contracting, healthcare operations, and complex service line development to drive outstanding results.

Role
National Director at CommonSpirit Health
Location
Reston, VA, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Robert P. Theis

I am a results-oriented executive with strategic vision, extensive experience in both for-profit and not-for-profit payer/provider contracting and operations, and a proven ability to thrive in matrixed and dynamic environments. My leadership approach emphasizes mentoring future leaders and driving financial performance as well as clinical quality, safety, and patient satisfaction. I am passionate about collaborating with physicians, clinical teams, board members, and payers to develop innovative solutions that enhance healthcare service delivery and provide exceptional value to the community.I have successfully directed operations at a Level 1 Trauma academic medical center and spearheaded finance, technology, and development strategies for a comprehensive, system-wide Neuroscience and Spine Institute. I’ve partnered with physicians and nurses to refine specialty programs in complex fields such as neuroscience, orthopedics, rehabilitation, and pain management, securing and maintaining specialty certifications in areas like comprehensive stroke and orthopedics.My leadership has also encompassed major expansion initiatives, including the opening of a new acute rehabilitation hospital and the expansion of an IDTF MRI center by integrating COPN-regulated technology. I have successfully acquired and scaled physician practices, enhancing their capabilities, locations, and staff.My commitment to operational excellence has driven a 60%+ improvement in both employee engagement and patient experience, achieved an average annual growth rate of 5.5% over five years, and delivered $13M in cost savings through the implementation of Lean methodologies.In addition to overseeing hospital, ancillary, and physician practice operations, I bring extensive experience in negotiating billions of dollars of complex payor contracts, supply chain agreements, practice acquisitions, and physician employment contracts. Currently, I lead the national strategy and relationships for CommonSpirit’s Health at Home division, which generates over $450M in net revenue annually across more than 80 Home Health, Hospice, and Infusion service locations in 23 states.

Experience

  1. National Director

    CommonSpirit Health

    Sep 2021 — Present · US

    Plans, directs, and implements managed care policies, goals, and objectives related to reimbursement, negotiation strategy, and national payer relationship management. This position negotiates a wide-variety of fee-for-service and value-based contracts worth over $900 Million across all of CommonSpirit Health’s geographies, focusing on the largest national health insurers and their numerous business lines (e.g. commercial, government, and service-line specific).

Education

  • Scranton Preparatory School

    Highschool, College Preparatory

  • Indiana University of Pennsylvania

    BS, Business Administration and Management, General

  • University of Scranton

    MS, Health Administration

Skills

  • Orthopedic
  • Healthcare Analytics
  • Health Insurance
  • Managed Care
  • Team Leadership
  • Inpatient
  • Hipaa
  • Physician Relations
  • Hmo
  • Provider Relations
  • Healthcare Information Technology
  • Medical Compliance
  • Credentialing
  • Hospitals
  • Practice Management
  • Physicians
  • Network Development
  • Health Policy
  • Revenue Cycle
  • Quality Improvement
  • Process Improvement
  • Medicine
  • Home Care
  • Healthcare Industry
  • Health Plan Operations
  • Medicaid
  • Acute Care
  • Program Development
  • Ehr
  • Medicare
  • Healthcare Consulting
  • Healthcare Management
  • Leadership
  • Healthcare
  • Government Programs
  • Strategic Planning

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Robert P. Theis — National Director at CommonSpirit Health in Reston, VA, US | Unifers