This document is a resume for John J. Felicio. It summarizes his experience in leadership and management roles within the healthcare field, with a focus on the Military Health System. He has over 25 years of experience in healthcare administration, most recently as a Supervisory Program Analyst at the TRICARE Regional Office South in San Antonio, TX. His resume highlights leadership roles and achievements across several organizations, as well as qualifications including graduate degrees and professional certifications.
1. J O H N J . F E L I C I O
OBJECTIVE
To obtain a challenging and career enhancing position that fully uses my
leadership and management skills in the National Capital area.
EDUCATION
1988–1990 Baylor University Waco, TX
Master of Health Administration
1975–1979 University of Rhode Island Kingston, RI
Bachelor of Science, Physical Education
TRAINING/PROFESSIONAL DESIGNATIONS
Fellow of the American College of Healthcare Executives
Designation as Managed Healthcare Professional from the Health
Insurance Association of America
Certification in the Federal Financial Management Certification Program
Certification as Contracting Officer’s Representative
Graduate of the Army Command and General Staff College
Graduate of the Army Combined Arms Service Staff School
Graduate of the Army Military Personnel Course
Graduate of the Army Medical Department’s Health Systems Functional
Proponent Course
EXPERIENCE
2006-Present TRICARE Regional Office South, San Antonio, TX
Supervisory, Program Analyst
Co-Chaired the T-3 Clinical Support Agreement (CSA) workgroup that
developed and obtained agency approval of CSA guidance that allows
military services to contract for clinical staff through the Managed Care
Support Contract (MCSC).
Support Acting Regional Director, by ensuring enterprise wide and MTF
centric Military Health System Support Initiatives (MHSSI) are
acceptable for consideration by DHA’s flag level Medical Operations
Group (MOG). Major enterprise initiatives approved by the MOG are
the Air Force Medical Services’ Physical Therapy and the 81st Medical
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Group’s Genetics Reference lab, that are projected to achieve total net
savings of ~$8.2M in the first year of operation.
Coordinated with Humana Government Business (HGB) Inc. and TMA
Pharmacy to implement the Regional Poly-Pharmacy pilot initiative
within four months of concept. Pilot targeted 1,084 Network enrollees
on 13 or more medications contributing to a reduction in
pharmaceuticals, hospital admissions, and emergency visits valued at
~$1.9M.
As Resource Sharing (RS) subject matter expert, proposed language to the
T-2017 RFP and TRICARE manuals to improve the effectiveness of
the RS programs.
Principal architect in substantially overhauling the FY14 MHSSI program
guidance and Business Case Analysis tool. The tool now accommodates
new provider productivity criteria and is focused on purchase care cost
benefits rather than the agency’s previously used Prospective Payment
System reimbursement methodology.
Served as Acting Regional Director, the Acting Chief Operating Officer
for TRO South, and detailed as the Acting Chief, Business Operations
Section. During my tenure all requirements were accomplished to the
satisfaction of my senior leadership.
Served as on-site Government Technical representative for the
Information Technology Solutions and Consulting contract supporting
TRO South.
2002–2006 TRICARE Management Activity, Falls Church, VA
Program Analyst
Facilitated the Resource Managements directorate’s strategic planning
effortto ensure alignment with the President’s Management Agendaand
Defense Health Program performance measures.
Led the transition of 15 Lead Agent offices into three TRICARE
Regional offices (TRO) resulting in a 59% staff reduction with no
disruption in services.
Built the TRICARE Regional offices’ fiscal year (FY) 2006$34.4 million
annual budget and programmed for operation through FY 2011.
Developed and implemented the $30 million Venture Capital Program,
the predecessor to the current MHSSI Program, which evaluates
initiatives that increase military treatment facility workload productivity
while offsetting private sector care liabilities.
2000–2002 Dilorenzo TRICARE Health Clinic, Arlington, VA
The Pentagon
Deputy Commander for Administration
Provided resource and administrative support to 127 clinic staff who
furnish health care services to about 15,000 beneficiaries, to include key
Department of Defense senior officials and political appointees.
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Supervised seven subordinates responsible for financial management,
human resources, information management, space management, patient
administration, logistics, ancillary services, contingency planning,
security, and patient ombudsman.
Directed all operational, logistical, and administrative effort to support
the clinic’s expanded 24 hour operation during and after the September
11th, and subsequent anthrax attack on the Pentagon.
Increased the clinic’s workload by 12%.
Managed clinic operations within the $10 million annual budget.
1998-2000 Great Plains Regional Medical Command, San Antonio, TX
Director, Managed Care
Established the command’s data quality program resulting in data quality
improvement which allowed the region to be the only one to implement
on time the Pharmacy Data Transaction System.
Spearheaded implementation of the outpatient visit Bid Price
Adjustment (BPA) metric in ten military treatment facilities in the region
resulting in a $500 thousand decrease in two regional BPAs.
Procured two regional productivityinitiatives resulting in a 3%recapture
of unused clinic appointments and 14% increase in workload.
1996-1998 United States Army Medical Command, San Antonio, TX
Chief, Programs Branch/Utilization Management Staff Officer
Through consensus developed the Army Medical Command’s
Utilization Management Policy.
Facilitated the implementation of the first internet node to the Army
Medical Department’s Knowledge Management Information Network.
Assisted in defining beneficiary services contract requirements for the
TRICARE program‘s MCSC.
1995-1996 Humana Corporation, Louisville, KY
Managed Care Fellow – Training With Industry Program
Completed market analysis of the U.S. over 65 population’s migration
patterns which enabled the Corporate Marketing office to develop a
service area extension program.
Assisted in developing the Private Health Care Services interface plan
which identified resources and tasks required to build an electronic
interface between Humana’s information systems and their provider
network.
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