Vicky Summogum

Executive Vice President @Healthcare Resource Group

Whittier, CA, US
EMAILS
v••••••••@hcrg.com
MOBILE NUMBERS
+13•••••••55

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WORK HISTORY

Jan 1988 — Present

Executive Vice President @Healthcare Resource Group

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Buena Park, CA, US

Designed and implemented financially efficient medical cost management solutions including, value based medical case management, alternative medical management, clinical intervention models, clinical pathways, high risk population management, disease management, fully integrated data mining, and data warehousing strategies, design and implement performance reports and demonstrate ROI.• Designed and implemented performance based business operations management• Developed and implemented a comprehensive continuing education product line for Healthcare Clinical Administrative and Executive Staff. Presented education programs nationally and internationally. • Developed and authored twenty continuing education manuals including four certification ones• Developed service based product lines and operations for Utilization Review, Bill Review, Case Management, and Lien Resolution• Consults with Payers, Employers, Legislators, Providers and the public at large on financial performance and medical cost management solutionsSoftware Application• Leads the design and development of five software applications to support the following product lines: Utilization Review, Case Management, Disease Management, Bill Review, PPO Management, and Health Management System.• Manage software development team Information Technology• Leads the design and development of IT Infrastructure to support the development of scalable business operations to cover global capabilities• Manage IT TeamInternational Experience• International experience in working on healthcare related assignments in the following countries: England, Canada, Middle East, India, and Africa.

SKILLS

Claim InvestigationClaimUtilization ManagementRisk ManagementWorkers CompensationLiabilityEmployee BenefitsLegal LiabilityLitigation ManagementClaims ManagementCustomer ServiceInsuranceCommercial InsuranceStrategic PlanningEmployee RelationsProperty & Casualty InsuranceHealthcareManaged CareMedicare

ABOUT VICKY SUMMOGUM

I am a clinical professional specializing in the Workers\' Compensation system with…

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