Daniel Zembrzuski has over 40 years of experience in senior leadership roles in the healthcare industry, specializing in hospital and physician networks, health plans, and business operations. He has a proven track record of reducing healthcare costs and improving financial and operational performance through strategies like accountable care organizations and self-insured health plans. Zembrzuski holds an MBA from Wayne State University and is a Certified Management Accountant with extensive experience in areas like contract negotiation, strategic planning, and employee development.
1. DANIEL ZEMBRZUSKI
25728 Island Lake Drive Novi, MI 48374 248.797.9728 dzembrzuski0504@gmail.com
SENIOR-LEVEL DIRECTOR
Hospital & Physician Networks / Health Plans
Health Care Industry Business Operations & Process Implementation
Motivated and dedicated senior-level professional with a proven track record of success in hands-on leadership,
establishing multi-year strategy, philosophy and organizational management. Effective in organizing,
streamlining, and strengthening operations to maximize performance and profitability. Adept ability to combine
financial expertise with tactical execution of company initiatives to enhance bottom-line performance. Core
competencies include:
Contract Negotiation Financial Performance
Business Application
Strategic & Business Planning
Employee Development & Training
Business Development
PROFESSIONAL EXPERIENCE
Beaumont Health System – Royal Oak, MI
DIRECTOR – BEAUMONT EMPLOYEE HEALTH PLAN, EMPLOYEE BENEFITS, EMPLOYEE
WELLNESS / EAP & OCCUPATIONAL HEALTH SERVICES (2001 - 2014)
Managed a staff of five direct reports to effectively and efficiently administer $200 million in annual employee
benefits. Includes self insured and self administered employee health plan. Selected accomplishments:
Consistently recognized as a ‘best performer’ by TowersWatson National Business Group on Health
annual employer survey on purchasing value in health care – strategies & practices.
Employer health care cost trend at ½ marketplace average - $5.0 million in annual savings achieved.
Accountable care organization strategy – established employee health plan ACO model in collaboration
with affiliated physician organization. Implemented provider reimbursement & quality measurements.
Strategically migrated employee wellness program from an activity to outcomes based approach.
Account-based health plan employee enrollment at 45% – 10 times above health care market.
Implemented key indicator reporting for health plan and employee benefits.
Developed & administered health plan benefits and provider network & reimbursement.
Health Alliance Plan – Detroit, MI
DIRECTOR – PROVIDER CONTRACTING & NEW VENTURES (1999 – 2001)
Responsible for all provider contracting activities. Selected accomplishments:
Development and maintenance of all payer reimbursement strategies, relationships and payer incentive
and contracting arrangements.
Developed, negotiated and implemented global risk-model provider agreements with hospital systems.
Computer Sciences Corporation – CSC Health Care Group – Southfield, MI
DIRECTOR – OPERATIONS & BUSINESS DEVELOPMENT (1997 – 1999)
Organized and directed a complete business development support team including marketing, proposal
development, client solutions, statement of work and development of service level standards, contracting,
pricing and operational implementation. Selected accomplishments:
Achieved over $150 million in new business contracts annually.
Developed strategic plan for the business process outsourcing area.
Developed a team and coordinated other CSC divisions to increase credibility and effectiveness with
current and prospective clients.
2. Detroit Medical Center – Detroit, MI
ADMINISTRATOR & CFO – MANAGED CARE (1990 – 1997)
Directed financial and operational activities including rating, underwriting, claims processing and information
systems for managed care. Selected accomplishments:
Responsible for all managed care contracting efforts for the DMC, including 26 managed care
organizations (MCO) as well as bundled payments/specialty agreements.
Developed, obtained approval by State regulators and began operations of a DMC Clinic Plan (similar
to an HMO entity) for managed care membership.
Coordinated independent physician associations (IPA’s) through management service organization
(MSO) including financial reporting, claims processing, UM/QM reporting, physician relations and
education.
Blue Cross Blue Shield of Michigan – Detroit, MI
DIRECTOR – HOSPITAL AND PROVIDER REIMBURSEMENT (1976 – 1990)
Directed development of reimbursement and contracting activities for all participating providers, including
hospitals and physicians, with total payout of $4.0 billion. Selected accomplishments:
Implemented complete conversion to price-based reimbursement systems resulting in a substantial
reduction in cost trends and significantly increased provider discounts, while maintaining provider
participation rates and satisfaction levels.
Developed automated mechanisms which improved the quality, timeliness and accuracy of provider rate
development process.
Communicated with corporate level board committees and lead negotiations with employer groups on
reimbursement methodology and rate setting.
* * * * * *
Additional positions with Blue Cross Blue Shield of Michigan and its subsidiary organizations including Blue
Care Network includes managed care Controller.
EDUCATIONAL BACKGROUND
Masters Business Administration
Wayne State University – Detroit, MI
Wayne State School of Business – Finance Major
1982
Bachelor of Science
Wayne State University – Detroit, MI
Wayne State School of Business – Finance Major
1976
Certified Management Accountant
National Association of Accountants
1984
PROFESSIONAL AFFILIATIONS
Beta Gamma Sigma – National Business Honor Society
Wayne State Alumni Association
National Management Association
American Management Association
Detroit Economic Club