Ron Reed

Operations Leader @Gold Coast Health Plan

Salt Lake City, UT, US
MOBILE NUMBERS
+18•••••••40

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WORK HISTORY

Dec 2024 — Present

Operations Leader @Gold Coast Health Plan

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Providing senior level management for Ventura County Medi-Cal Managed Care Commission (VCMMCC) dba Gold Coast Health Plan.As part of the County Organized Health System (COHS), Gold Coast Health Plan (GCHP) is one of California’s premier models of managed care.

EDUCATION

N/A

Westminster University

MBA, Healthcare Administration

N/A

University of Phoenix

BS, Business Administration/Management

SKILLS

Process ImprovementTeam BuildingManagementBusiness Process ImprovementHealthcare ManagementSalesHealthcareSarbanes-Oxley ActHipaaCoachingU.s. Health Insurance Portability and Accountability Act (Hipaa)Contract ManagementHealth InsuranceManaged CareVendor ManagementCredentialingPublic SpeakingRevenue CycleStrategic PlanningStrategyVendor Relationship ManagementEmployee BenefitsContract NegotiationProvider RelationsLeadershipRevenue Cycle ManagementInsuranceMedicareClaimCustomer ServiceProvider Network DevelopmentNegotiationProject ManagementHealthcare IndustryConsultingPerformance ManagementPhysician RelationsPharmaceutical Sales

ABOUT RON REED

Energetic problem solver that enjoys owning organizational challenges; with leadership and Project Management experience in multiple disciplines of the healthcare industry. Creative and flexible thinker with talent for managing conflict. Strong listener and communicator skilled at building relationships, synthesizing ideas and influencing desired outcomes. Broad knowledge and experience in delivering great results in the following areas:• Health benefits administration: Claims, Customer Service, and Enrollment Operations with extensive enterprise Project Management.• BPO and SAAS consulting, implementation and delivery management.• Provider Relations, Contracting and Network Development (Managed Care, ACO, Bundled Payments, DRG, Value Based, and Risk Based arrangements.)• Provider Revenue Cycle Management and Reimbursement• Pharmaceutical, Medical Device, and other healthcare related sales.Exceptional business acumen, able to coordinate with all levels of leadership across all business units to achieve excellence in service and efficiencies in operations, leading to increased revenues, decreased costs and compliance with client and regulatory requirements. Passion for delivering value to the organization using a high level of energy and enthusiasm. Experienced in fast paced environments with shifting priorities. Committed to team and organizational mission and values.

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