Curriculum Vitae

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Vincent M. Falco

19 Woods Court

Dunstable, MA. 01827

978 – 649 – 3634

 falco644@yahoo.com

INTRODUCTION and OBJECTIVE

Professional health care administrator with diverse management experience in physician faculty practice, health service delivery operations, clinical laboratory management, research administration, and biotechnology project management. Seeks executive position with medical center and associated physician medical group.

BOSTON MEDICAL CENTER

Administrative Director, Department of Neurosurgery 2007 – Current

Partnering with the department Chairman craft the future state vision for Neurosurgery. Define the systematic short and long term goals to achieve desired outcome. Create the financial, resource justification, and operational strategic plan for implementation timelines to achieve goals and performance metrics.

Collaboratively work and integrate with Faculty management organization, hospital administration and finance offices, and medical school business offices on multiple operational and project initiatives.

Faculty Practice Management .

Analyze monthly professional billing and reimbursement scorecard reports. Examine for trends/patterns that are indicators of operations such as Payment and Charge journal, Charge Lag, Days in A/R, Aged

A/R, Payer Denial, Payments/Payer Mix by Services. Write situational reports and meet with Chairman and Faculty to review. Develop and implement change to operations and process to correct to budget and performance metrics. Communicate with professional billing service and initiate corrective action to assure complete, accurate and timely receipt and entry of professional service charges.

Monitor all month end accounting and financial statements. Perform all standard operational audits.

Examine P&L, accounts receivables, reconcile payments to service level charge entry and collection rates, reconcile all accounts payable and check register. Directly query financial and accounting database to extract productivity and financial information.

Review and approve all Faculty practice and individual physician fiscal transaction. These include expense accounts, credit card accounts, accounts payable, accounting entries, bank cash transactions, payroll and salary change,bonus and incentive compensation.

Prepare annual operating budgets for physician professional practice. Analyze current and historic volume and financial statistics to prepare projections and justification in support of budget. Ensure compliance to Faculty management budget process and revenue/expense targets.

Create business plan proposals and financial ROI analyses in support of department strategic goals for new service expansion, clinical off site locations and clinical trials research.

Faculty Medical Staff Services

Directly work with Chairman and senior leadership on Faculty physician recruitment. Directly develop

P&L and volume/RVU clinical projections analysis, develop clinical service logistics,

Prepare physician offer letter, physician service agreement and contracts. Facilitate and complete documents for on-boarding processes with hospital, practice plan, academic payroll, and professional billing service company. Maintain confidential files.

Complete and submit all Faculty medical staff privileges documents. Prepare and submit all third party payer enrollment documents. Follow up with insurance to secure provider identification numbers.

Maintain all physician credential documents within expiration dates. Work directly with external credential agents.

 Prepare and submit to Dean’s office Faculty appointment and promotion forms. Directly coordinate with

University office on all matters of the faculty hiring process, compensation distribution details, benefits and other on-boarding processes.

Clinical Service and Ambulatory Operations

Analyze volume and expense trends to create annual ambulatory clinic operating budgets and staffing.

Directly liaison with Hospital budget and finance departments. Prepare all justification of expenses

Monitor all critical Hospital Statistical data as Outpatient volume trends, clinic budget variances, admissions and discharges, DRG discharges, LOS, Surgery volume, missing charges, referral management.

Develop and implement tactical operation practices for improved patient access, telephone response and customer service, billing and revenue cycle process and control.

Manage and oversight practice operations and facility/professional billing practices. This includes preregistration and registration activities, referral management, patient scheduling, physician schedules.

Manage and develop all front end processes of patient reception, patient flow, co-pay collections, fee for service collections, patient exit process and ancillary/follow up appointment scheduling.

Manage all back end process to assure encounter form completion, billing and revenue cycle, physician coding and compliance, physician dictation, communication to referral physician, charge entry and reconciliation to patient arrived, patient account and submission of billing charges/to professional billing company.

Develop, implement and monitor Department customer service initiatives to assure access to timely patient appointments and phone communication. Work directly with Physician network and referral office to ensure consistency and quality of access.

Project manage and coordinate business activities with Physician Network Office, Marketing and

Development, Research Administration, Budget and Finance, and General Counsel to develop external business service agreements and contracts.

Review and select proposals from external vendors in developing Department web site. Select vendor, determine web architecture, Neurosurgery content, referring physician portals, patient information and patient/customer user tools and links. Present Neurosurgery website and referral tools to external practices and health centers.

Coordinate with Risk and Compliance office to assure physician training and adherence to coding and medical record documentation. Write specific policy and procedure for billing and coding compliance.

Establish consistent monitoring and audit of medical records and billing and coding. Enforce all facility regulatory compliance in accordance to JCAHO, HIPPA, DPH, OSHA, and employee union.

Serve on several committees with charter responsibility to promote patient / customer high level service activity, advance Press-Ganey scores through systematic change management and process reengineering.

Personnel Supervision

Manage personnel and staffing operations. Create and structure all patient service activities with department staff. Write job descriptions, recruitment, training, performance evaluation, enforce progressive discipline / corrective actions, and deliver termination notice and exit strategy. Oversee weekly payroll and employee work hours, schedules, assignments. Communicate and implement hospital and departmental policy.

Review salary, wage and organizational structure of department. Re-structure all work efforts to meet business needs of Department.

Research Administration

Coordinate directly with other peer colleagues and physician leaders to create cross disciplinary clinical and research programs. Monitor directly all professional and operational performance metrics.

Coordinate with Office of Research Administration for grants, contracts and clinical trials. Create budget and staff proposals for grant application in accordance to federal regulation. Create budgets and contracts for clinical trial studies. Perform all pre-award and post award financial and regulatory activity. Monitor monthly financial reports, post-award activities and create ad-hoc analyses for recommendation of reallocation of resources.

Directly work with academic research administration on grant proposal budget, clinical contract budgets, resource justification, and capital equipment needs for Neurosciences lab. Manages all post award funds, budgets, expenses, and reporting. Manage all phases of administrative compliance with academic institute, federal and private and industry terms and conditions. Monitors clinical trial activity and recruitment participation. Develop marketing and promotion campaigns.

Selected accomplishments

Planned department accounting restructuring and implementation of new G/L accounting system.

Transitioned faculty to a P&L based structure. Developed all department accounts payable methodology and cash reconciliation process.

Crafted faculty compensation program as hybrid of P&L cash and RVU productivity incentives.

Operationalize professional billing function process Planned and implemented with professional billing service re-work processes to reduce aged A/R, reduce days in A/R by 40d, reduce billing time lag by

10d, increase collection rate by 10% .

Restructured research effort to manage clinical trials and neurosciences grant proposals.

Crafted Faculty service agreement with two (2) external clients to operate clinic sessions and surgical practice.

Serve on Patient First Service committee, New Ambulatory Building committee, and

Marketing/Development committee.

UMASS MEMORIAL MEDICAL CENTER

Division Administrator, Hematology and Oncology 2005 – 2007

Responsible for all operational performance for physician practice. Review all monthly financial statements,

(P&L, balance sheet, cash flow, expenses), volume statistics (patient visits, billable codes, products). Write variance reports and situational reports. Examine for trends/patterns that are reflective of operations. Create operational changes to maintain budget and performance.

Create business plans and financial analyses in support of department strategic goals for faculty recruitment, new service expansion, and clinical research development. Develop and implement tactical operation practices for improved patient access and service, and billing and revenue cycle enhancement.

Manage faculty physician accounts. Prepare and maintain confidential physician files, credentialing documents, payer enrollment, academic faculty appointments, professional contracts, and management service agreements.

Prepare annual operational budgets for physician professional practice. Analyze current and historic volume and financial statistics to prepare projections and justification in support of budget. Ensure compliance to institution budget process and expense targets.

Create all strategic business plans for oncology services as part of the development of NCI designated

Cancer Center. Report directly to the Cancer Center Director on all matters of tactical operations, marketing, and performance metrics of services.

Direct responsibility for staffing operations and personnel management. Create and structure all patient service activities with department staff. Write job descriptions, recruitment, training, performance evaluation, discipline/discharge. Communicate and implement hospital and departmental policy.

Research administration for grants, contracts and clinical trials. Create budget and staff proposals for grant application in accordance to federal regulation. Create budgets and contracts for clinical trial studies.

Coordinate pre-award and. Monitor monthly financial reports, post-award activities and create ad-hoc analyses for recommendation of reallocation of resources.

Selected accomplishments

Developed Multi-Disciplinary Clinics in Oncology service for GI, GU program.

Created new Divisional RVU based physician bonus compensation program.

Create ambulatory physician services at four (4) out reach community hospitals.

Manage all research administration and fiscal operation of MDS Clinical Trial Group.

ONE CELL SYSTEMS

Director of Technical Services 2004 - 2005

Responsible for business development of Bioprocessing and Core Flow Cytometry Services. Manage business functions for client service business.

Present and describe available services and technology service lease / purchase options.

Finalize client contracts. Process documentation with accounting.

Work directly with client scientific team to create experimental design and work plan milestones.

Prepare project milestone reports. Create statistical analyzes and presentation for client.

Provide on line and phone support for products and technology.

Develop technical information and marketing literature.

Conduct scientific symposia and staff exhibition booths at various conferences.

Project management operations. Product development and administration of laboratory facility.

Coordinate interdisciplinary cross functional team to execute laboratory functions.

Develop process and protocols of laboratory operations and experiment execution.

Monitor weekly progress and project documentation. Report to other internal teams and management.

Oversight project budget, supplies inventory and ordering.

Oversight data maintenance. Work with IS/IT team to develop data network and software analysis tools.

Create pro forma and ROI for capital equipment purchases.

Directly responsible for research and development of proprietary cellular assays.

Business strategic planning. SBIR Phase I & II Proposal submission.

Research new utilization and assay format redesign to position product to emerging research and clinical markets. Manage overall product development process from concept, goal milestones, work activities, commercialization. Oversight project process, time schedule and documentation of scientific results.

Write SBIR grant proposal specific aims section, experimental design methods, and statistical plan.

Selected accomplishments

Completed redesign of proprietary instrumentation.

Managing 10 client contract services with revenues of $100,000.00.

Successful service proposals for Merck, GlycoFi, NIH/NIAID, InVitrogen.

TUFTS-NEW ENGLAND MEDICAL CENTER

Business Manager, Department of Otolaryngology and the Department of Urology 2002 – 2004

Business Manager, Department of Otolaryngology and the Department of Dermatology 2002 – 2003

Responsible for all operational performance for physician practice and hospital ambulatory services. Review all monthly financial statements, (P&L, balance sheet, cash flow, expenses), volume statistics (patient visits, billable codes, products). Write variance reports and situational reports. Examine for trends/patterns that are reflective of operations. Create operational changes to maintain budget and performance.

Monitor weekly revenue cycle reports and performance metrics. Including patient account charges, accounts receivable, referral management, reimbursement and denial reports. Track labor FTE and non-labor expenses. Assure consistent ambulatory clinic processes to achieve productivity targets.

Create business plans and financial analyses in support of department strategic goals for faculty recruitment, new service expansion, and clinical research development. Develop and implement tactical operation practices for improved patient access and service, and billing and revenue cycle enhancement.

Prepare annual operational budgets for physician professional practice and hospital clinic services. Analyze current and historic volume and financial statistics to prepare projections and justification in support of budget. Ensure compliance to institution budget process and expense targets.

Direct responsibility for staffing operations and personnel management. Create and structure all patient service activities with department staff. Write job descriptions, recruitment, training, performance

evaluation, discipline/discharge. Communicate and implement hospital and departmental policy and procedure.

Manage faculty physician accounts. Prepare and maintain confidential physician files, credentialing documents, professional contracts, and management service agreements.

Research administration for grants and contracts. Create budget and staff proposals for grant application in accordance to federal regulation. Coordinate pre-award and post-award activities. Monitor monthly financial reports and create ad-hoc analyses for recommendation of reallocation of resources.

Selected Accomplishments

Created successful business plan and presentation for physician recruitment of three Otolaryngologist, one

Dermatologist, and two Urologist

Created successful business plan for Nurse Practitioner. Recruited and implemented NP practice and billing.

Reimbursement / Coding analysis resulted in gross revenue recapture of $150,000.00

Completed physician service contracts to develop off site practices.

TUFTS-NEW ENGLAND MEDICAL CENTER

Administrative Manager for Genetics and Perinatal Cytometry Genetics Research 1996 – 2002

Conduct all cytometric assays for the identification and isolation of fetal cells in maternal circulation.

Create experimentation protocols, collect and interpret data using various analysis software.

Financial management of research grants. Create budgets and personnel time effort allocation. Collaborate in developing technology transfer agreements.

Evaluate medical technology and capital equipment purchases. Create cost/benefit financial proposal and clinic implementation plan.

Successful business plan for Genetics Metabolism Clinic and Metabolic laboratory with Capital equipment justification of $200,000.

Negotiated laboratory client business contract for $90,000.00

LAHEY CLINIC

Flow Cytometry Laboratory Manager 1991 – 1996

Direct workflow operations, technologist scheduling and create laboratory budget. Directly operate, calibrate, and troubleshoot cytometers.

Write comprehensive procedure manuals, QC/ QA procedures to maintain laboratory competency and accreditation in compliance with CAP, CLIA, OSHA, and JCAHO.

Negotiate capital equipment purchases, service and reagent contracts.

Maintain database and image data. Oversee PC network.

Analyze multi-parameter laboratory results. Prepare interpretive report for pathologist.

Evaluate new cytometry technologies, products, and software applications.

DIANON

Manager Cytometry Laboratory 1990 - 1991

Developed new cytometry laboratory service business unit and product launch.

Direct workflow operations, technologist scheduling and create laboratory budget.

Write comprehensive procedure manuals, QC/ QA procedures to maintain laboratory competency and accreditation in compliance with CAP, CLIA.

UNIVERSITY OF VERMONT

Supervisor Core Research Cytometry Laboratory 1986 - 1990

Manage operations of University research facility. Collaborate with principal investigators in experimental design, data analysis, interpretation and presentations. Assist in grant writing, proposal development and research budgets.

Oversee data collection and storage. Implement data analysis software. Create graphic and image reports.

Lecturer at graduate courses. Develop training guide for graduate students.

MEMORIAL SLOAN KETTERING CANCER CENTER 1976 – 1986

Began healthcare career as a laboratory medical technologist. Participated in new technology evaluations

and introduction to clinical practice. Implemented Flow Cytometry applications to the Bone Marrow

Laboratory.

EDUCATION

University of New Hampshire; Durham, New Hampshire

Master in Health Service Administration

Adelphi University; Garden City, New York

Bachelor of Science in Biology, Medical Technology Concentration

MT(ASCP)

1999

1976

Publications

Wang, JY., Zhen, DK., Falco, V.M

., Delli-Bovi., Farina, A., Bianchi, D.W. (1997) Fetal cell recovery using anti-gamma globin: FACS versus MACS. Am. J. Hum. Genet. 61: 945

Bohmer, RM., Zhen, DK., Falco, V.M

., Campbell, TA., Bianchi, DW. (1997). Flow sorting of nucleated RBCs from maternal blood: comparison of anti-gamma and anti-zeta for yield and purity of fetal cells. Am. J. Hum. Genet. 61: 951

Wang, JY., Zhen, DK., Falco, V.M

., Sekizawa, A., Zilberstein, ME., Bianchi, D.W. (1998) Prenatal exclusion of unbalanced chromosomal translocation using interphase fetal nucleated erythrocytes isolated from maternal blood and

Poly-FISH technique. Am. J. Hum. Genet. 63: 591

Sekizawa, A., Zhen, DK., Farina, A., Wang, JY., Falco, V.M

., Elmes, S., Bianchi, DW. (1998) Improvement of fetal cell recovery from maternal blood: suitable density gradient. Am. J. Hum. Genet. 63: 978

Zhen, DK., Wang, JY., Falco, V.M

., Sekizawa, A., Elmes, S., Delli-Bovi, LC., Bianchi, D.W. (1998) Poly-FISH technique permits multicolor analysis of single fetal cell. Am. J.Hum. Genet. 63: 594

Zhen, DK., Wang, JY., Falco, V.M

., Weber, W., Delli-Bovi, L. and Bianchi, DW.(1998) Poly-FISH: A technique of repeated hybridizations that improves cytogenetic analysis of fetal cells in maternal blood. Prenatal Diagnosis. 18: 1181-

1185

Wang, JY., Zhen, DK., Falco, V.M

., Farina, A., Zheng, YL., Delli-Bovi, L. and Bianchi, DW. (1998) Comparison of fetal cell recovery using anti-gamma globin: Fluorescence activated cell sorter (FACS) versus magnetic activated cell sorter

(MACS). Human Genetics. (submitted)

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