1. JIGAR JADAV
Jacksonville, FL 32257 630.999.1995
www.linkedin.com/in/jigarjadav jbjadav@gmail.com
MANAGED CARE PROFESSIONAL
Proven record of Revenue Optimization, Cost Savings
Accomplished professional with eight years of experience in healthcare, contracting, finance, accounting, auditing
and analysis. Expertise in managing physician practices to include operations, administration and staff supervision.
Experience in managed care, MSO/IPA/Risk arrangements and alternative payment models. Understanding of
applicable regulatory and compliance requirements such as HIPAA, HCFA rules. Knowledge of ICD – 9, CPT,
MRA, HEDIS, STAR measures, Medicare products.
PROFESSIONAL EXPERIENCE
FLORIDA BLUE, Jacksonville, FL 2013 – 2015
Healthcare Reporting/Data Analyst, Revenue Program Management
● Responsible for account management of vendor services, identifying variances, and contract compliance.
● Managed intake, inspecting, and influence of vendor issues with end goal resolution.
● Evaluated vendor reports, conducted data analysis, communicated any data or reporting errors to vendors,
and generated report summaries as well as produced monthly/ad hoc reports.
● Prepared department’s performance reports, providers reporting, provided SME support to various projects
including MSO/Full risk arrangements.
● Saved $121,000 for the company as a result of vendor contract compliance.
PRIMARY CARE ASSOCIATES OF CITRUS COUNTY, Tampa, FL 2010 – 2012
Operations Manager, MSO/IPA Group
● Responsible for managing medical practices, coordinating multiple functions that focus on revenue, billing,
coding, training, data management, etc.
● Developed and maintained management tools, complex excel based financial models using pivot tables,
vlookup, and formulas to measure and analyze financial and operational information (e.g. key performance
indicators, management reports).
● Performed quality performance analysis of different departments, projects, etc. and prepared reports with
logical analysis and interpretations.
● Recommended improvements or changes in present work structure, policies, functions, systems, etc. to
enhance quality and efficiency of work.
● Responsible for analyzing accuracy of coding and timely submission of claims thereby improving revenue for
the company.
● Facilitated launch of the project in new county along with Humana Insurance Company.
● Improved MRA score by 33.33% thereby increasing the revenue for the company.
TAMPA BAY IPA, Tampa, FL 2010 – 2012
Assistant Administrator, MSO/IPA Group
● Monitored all Medicare Advantage plans.
● Advised respective centers/physician practices on HEDIS, STAR measures and CMS issues, how to
perform better by increasing revenue and maintaining quality healthcare.
● Attended meetings with key Medicare Advantage plan employees/management and advised physicians and
staff accordingly.
EDUCATION AND PROFESSIONAL DEVELOPMENT
M.S. with Business Administration, Gujarat University, Ahmedabad, India.
B.S. in Business Administration with concentration in Accounting, Gujarat University, Ahmedabad, India.
Currently working towards Certified Public Accountant (CPA) certification.
TECHNICAL SKILLS
Proficient in the use of Microsoft Office products (Word, Excel, PowerPoint, Access).
CERTIFICATIONS AND PROFESSIONAL ASSOCIATIONS
Chartered Accountant, The Institute of Chartered Accountants of India, Ahmedabad, India
Member, The Institute of Chartered Accountants of India