Jose R

Chief Executive Officer - 15 Years of Experience - Near 10036


Chief Executive Officer


New York, NY

Education Level:


Will Relocate:



SUMMARY OF QUALIFICATIONS Executive Management Skills: Effective communicator as management at an executive level with strong organizational and problem solving skills with proven abilities to liaise with various departments, institutions (providers), insurance companies, unions, and the public to raise awareness and bring support to facilities. Worked with the medical and behavioral health, care coordination and outreach departments to select, implement, train, and design EHR templates to improve internal and external communications, referrals, follow-ups, quality of care, as well as patient and employee satisfaction and experience at health centers. Managed, developed, planned, and executed Federally Qualified Health centers (FQHC), HIV/AIDS service organization (ASO) & major hospitals organizational transformations that changed the agencies operations, financials, internal and external partner relationships, fundraising and donor relations, and facilities. Executed and completed tasks also included managing the construction of a new facility in support of a company's mission and vision in expanding medical and behavioral health services as a senior executive at the Health Recourses & Service Administration (HRSA), the largest non-secular health system in the US and the largest HIV/AIDS Service organization in the Southeast. Held accountable for managing department and project/grant budgets, monitored and evaluated programs, clinical and organizational purchases including capital expenditures and vendor contract negotiations, program costs, and recommended adjustments as required to the CEO and CFO of organizations. Excellent collaborator in negotiating new EHR and payer contracts with insurance companies, as well as CMS, Medicaid, Prospective Payment System (PPS) rate and Medi-Cal waiver programs. Successfully created new physician and mid-level provider contracts with clinical, operational, and quality driven goals tied back to financial bonuses. Productively directed and administered existing budgets, and incorporated health care billing, care coordination billing, and improved patient revenue cycles tied to improved budgeting process. Ensured the financial evaluation, viability, and performance of all funding arrangements, including government grants, private donor contributions and/or Medicaid/Medicare/Private Insurance based reimbursements and negotiated with different insurance payer source contracts. Established and monitored cash management, negotiated a large line of credit increase with major US banks, established financial controls with the board that were in line with Medicare/Medicaid and ACA regulations, and used critical thinking to sought out investment opportunities. Prepared and presented periodic and ad-hoc reporting to internal and external stakeholders, and established and nurtured key relationship with agency contracts, financial institutions and vendors. Assured that policies and procedures and training programs meet the regulatory requirements for EHR security, HIPPA and protection of Patient Health Information (PHI). Instituted clinical quality programs mirroring federal requirements such as HEIDUS, PQRS and Meaningful Use. Additionally I oversaw the implantation and successfully awarded Level III Patient Center Medical Home Recognition (PCMH) at 22 sites across the country including Hawaii, Puerto Rico and American Samoa. Monitored, evaluated, advised and made connections with grantors, donors and corporate foundations on the impact of existing fundraising and other revenue opportunities. Consultant Skills: Effectively provided consultation using strategic leadership and management skills with proven track record of maintaining electronic health record (EHR) in diverse medical and behavioral health specialties, health center transformation and patient revenue cycles. Flawlessly written request for proposals for the EHR search efforts, managed the EHR selection committee, and worked closely with the finance department to analyze the chosen EHR vendor proposal. Professional that has strong communication and collaboration skills in negotiating costs with vender contracts. Effectively stabilized Medi-Cal Waiver program for Advanced HIV patients, and developed and managed health centers and outreach programs as consulting Director of Clinical Services and Integration. This included advancing practice transformation with proven tools and process. Leadership Skills: Managed and leader of development and execution of all practice transformation training and support activities. Successfully identified and engaged with outside consultants in program design and execution in the areas of billing and collections, selection and implementation of the HER, and the pharmacy 340b vendor. Technical and Software Skills: Proficient in health care technologies: electronic patient management systems, electronic medical records with proven abilities to identify areas of efficiencies and proficiencies in restructuring work flows to improve patient and provide experience. Created innovative financial strategies, and planned and implemented the integration of new accounting software: QuickBooks, Intuit, Microsoft Dynamics, Black Baud, Patient Management Systems, Medical and Vendor Billing Systems, Government Grants Management Reporting and Financial Systems (EHB, PMS, ARIES, HAB) and Electronic Health Record systems that are necessary for the agency to achieve its mission and strategic plan. Electronic Medical Record Systems: AthenaHealth, Allscripts, e-Clinical Works, GE Healthcare, Centricity Perinatal, Sunrise Clinical Systems, NextGen, and MediTab. Established, implemented, and monitored the EHR and IT strategies and policies while ensuring systems and capabilities meet staff needs in a manner that streamlines processes and improves efficiencies. Proficient in Microsoft Suite: Word, Outlook, PowerPoint, and Excel.