Interview Story - Took Initiative

When I worked at MedVantx, Medicare Part D was enacted. The language in the policy no longer allowed for reimbursement for medication samples provided to Medicare members, a significant loss of revenue. One of our investors was a CMS consulting firm and I reached out for their feedback and a proposal. I requested $24,000 to work with the firm to meet with CMS. Following three meetings, CMS approved an alternative payment model for our program. The $24,000 was more than covered the first month after launch and resulted in an 11% overall increase in revenue. The project took 2.5 years, and I learned that risk-taking, collaboration, and perseverance pay off.

I implemented a nationwide call center to recruit new doctors (300 scholars) yearly and 2,500 healthcare facilities to provide services to the “underserved areas” within the USA and territories. METRiX firm hosted national, designed program structure, activities, and break-out networking sessions for the yearly conference facilitating the match-making process of the doctors engaging in employment contract negotiations with the underserved facilities.

We hosted national regional conferences to recruit qualifying under-serviced facilities to participate in the program. Our uniquely designed Microsoft CRM system tracked the process from initial interest, pre-employment interviews, and contract employment negotiations to executed contract employment agreements and subsequent incremental employment follow-up progress assessments with the doctor and healthcare facility. An appreciation and keen awareness for healthcare providers, facilities, and current hot button health issues ensued as an integral by-product of our engagement.

I managed the direct contract negotiations, monthly billing invoices, personnel staffing levels, and was the liaison between the 15 government system stakeholders. Interacted and represented the indirect cost accounting reporting and government audits. The contract had a performance bonus, resulting in METRiX receiving 100% of the funding level formulation based on exceeding our 12 scoring point system which included: .25% dropped systems calls, each CRT placed 99.5% of scholars in a job, and added a 60% increase in new healthcare facilities. The center handled an average of 2,800 to 4,000 calls weekly. We collaborated and implemented the Government and staff training in call behavior strategy and customer effectiveness and efficiencies in scripts plus resource referrals towards positive outcomes in exceeding the 12-point contract goal.