adam bean resume

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ADAM J BEAN JD Thornton, CO 80602 • (720) 315-0027 • [email protected] • http://www.linkedin.com/pub/adam-bean/19/381/68b ____________________________________________________________________________________________________ Skilled professional with impeccable talents in contract drafting, review and negotiation, customer service and team leadership, looking for an opportunity where I can utilize my communication, organizational and analytical skills to support a healthy, efficient work environment. Gifted in process improvement methods with strong problem solving and mediation talents, self-starter motivated by fast moving and team oriented atmospheres. Strong Analytical Skills Adept Negotiator Extraordinary Writing Capacity Practiced Customer Relations Expert Business Strategy Experienced Manager Detail Oriented Exceptional Team Organization Skills Operational Leadership Experience Staff Management EDUCATION JURIS DOCTORATE THE UNIVERSITY OF DENVER STURM COLLEGE OF LAW BACHELOR OF SCIENCE IN ENGLISH UTAH VALLEY UNIVERSITY ____________________________________________________________________________________________________ PROFESSIONAL EXPERIENCE MANAGER OF MEDICAID CONTRACTS June 2010 – Current COLORADO COMMUNITY HEALTH ALLIANCE - Denver, CO Responsible for non-clinical operations including network development, special projects, reporting, community engagement, contract development and negotiation. . Developed and implemented all internal non-clinical operations including reporting structure, contract negotiations, contractual compliance, data sharing and consumption that impacted services for over 120,000 Medicaid lives. Drafted and negotiated all vendor contracts to include delegation of care coordination agreements with local Federally Qualified Health Centers, Kaiser Permanente, Denver Health and Centura Health at rates that are 20% lower than all other RCCO’s. Managed processes and requirements for provider network development, special projects and community engagement. Successfully re-negotiated contractual rates for additional services with delegated entities to rates lower than any other RCCO in the state and reduced anticipated delegation costs by $300,000.00 annually. Created contractual construct that allowed for full claims data sharing between RCCO and the Behavioral Health Organization in our region, giving us a complete health view of our clients health needs both physical and behavioral.

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Page 1: Adam Bean Resume

ADAM J BEAN JDThornton, CO 80602 • (720) 315-0027 • [email protected] • http://www.linkedin.com/pub/adam-bean/19/381/68b

____________________________________________________________________________________________________

Skilled professional with impeccable talents in contract drafting, review and negotiation, customer service and team leadership, looking for an opportunity where I can utilize my communication, organizational and analytical skills to support a healthy, efficient work environment. Gifted in process improvement methods with strong problem solving and mediation talents, self-starter motivated by fast moving and team oriented atmospheres.

Strong Analytical Skills Adept NegotiatorExtraordinary Writing CapacityPracticed Customer Relations ExpertBusiness Strategy

Experienced ManagerDetail OrientedExceptional Team Organization SkillsOperational Leadership ExperienceStaff Management

EDUCATION

JURIS DOCTORATE THE UNIVERSITY OF DENVER STURM COLLEGE OF LAW

BACHELOR OF SCIENCE IN ENGLISH UTAH VALLEY UNIVERSITY____________________________________________________________________________________________________

PROFESSIONAL EXPERIENCE

MANAGER OF MEDICAID CONTRACTS June 2010 – Current

COLORADO COMMUNITY HEALTH ALLIANCE - Denver, CO

Responsible for non-clinical operations including network development, special projects, reporting, community engagement, contract development and negotiation. .

• Developed and implemented all internal non-clinical operations including reporting structure, contract negotiations, contractual compliance, data sharing and consumption that impacted services for over 120,000 Medicaid lives.

• Drafted and negotiated all vendor contracts to include delegation of care coordination agreements with local Federally Qualified Health Centers, Kaiser Permanente, Denver Health and Centura Health at rates that are 20% lower than all other RCCO’s.

• Managed processes and requirements for provider network development, special projects and community engagement.

• Successfully re-negotiated contractual rates for additional services with delegated entities to rates lower than any other RCCO in the state and reduced anticipated delegation costs by $300,000.00 annually.

• Created contractual construct that allowed for full claims data sharing between RCCO and the Behavioral Health Organization in our region, giving us a complete health view of our clients health needs both physical and behavioral.

Page 2: Adam Bean Resume

CONTRACT MANAGER June 2010 – May 2011

THE DEPARTMENT OF HEALTH CARE POLICY & FINANCING - Denver, CO

Responsible for several state contracts with multiple vendors to ensure contractual compliance and program outcomes.

• Managed utilization management vendor contract for Colorado Medicaid and ensured efficient operation of claims prior authorizations and state reporting.

• Developed financial reconciliation process for several special projects that generated forty thousand dollars in annual savings.

• Conducted internal analysis of contract development and tracked life cycle from first draft to execution that led to a 30% reduction in contract development time.

• Worked collaboratively with the Colorado Department of Public Health and Environment to develop an inter-agency agreement that allowed for comprehensive data sharing with Medicaid.

PROJECT ADMINISTRATOR December 2007 – April 2010

MCKESSON HEALTH SOLUTIONS - Broomfield, CO

Provided project oversight and operational management for the entire P4P program. Implemented quality projects and monitored program activities to ensure contractual adherence and overall program efficiency.

• Conducted analysis of program mailing structure and implemented process improvement measures which saved the company $7,000 annually.

• Developed, implemented and maintained all McKesson P4P policy, guideline and standard operating procedures. • Utilized reports and other P4P data sources to analyze P4P program areas for improvement. Developed strategies

and work plans including points of risk for approved recommendations, implemented plans and measured impact of prescribed efforts. Personally decreased turn around time for program funding by 20% through efficient document management.

• Leader and facilitator of a cross functional company team which developed strategic action plans with other departments in support of program to include Product Manager, Outcomes Manager, Account Management, Informatics, Marketing and Operation Management team (i.e. call center and field management)

• Identified barriers to the successful execution of the program and worked with operations management, product management, and outcomes management to resolve barriers. Individually prevented and repaired an internal error that would have cost the company over 100K.

PROFESSIONAL DEVELOPMENT/TECHNICAL PROFILE

• Well versed in the creation, storage, review and quality control of company policies and guidelines. • Eagle Scout 1992, Boy Scouts of America• Recipient Scholastic Excellence Award University of Denver Sturm College of Law 2006• Student Bar Association (SBA) Senator 2006-2007• Skillsoft Training Courses Completedo Working as a teamo Following up to Support Improvemento Influential Leadershipo Interaction Skills for Successo Personal Empowerment Taking Initiativeo Prescription for Success

Page 3: Adam Bean Resume

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