Brian Goeser has over 15 years of experience in pharmacy benefits management, health insurance, and financial analysis. He currently serves as Senior Manager of Pharmacy Network Economics at Argus Health System, where he leads teams in analyzing data to determine pricing. Goeser holds a Bachelor's degree in Business Management and has received training from UnitedHealth Care and OptumRx. He has a track record of developing pricing models, managing vendor relationships, and improving processes through technology.
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
The Healthcare Financial Management Association’s (HFMA) professional credentialing program recognizes healthcare workers who had reached an acceptable standard of knowledge and proficiency in the revenue cycle field. Employees who meet the requirements of the program earn the designation ‘Credentialed Revenue Cycle Representative’ (CRCR). The CRCR Program is recommended for revenue cycle staff including (but not limited to) Patient Access, Financial Representatives, Managed Care Operations, Health Information Management, Case Management and Compliance.
The Direct Contracting Model Options team hosted office hours on February 4, 2020. During the session, the Direct Contracting Model Options team provided a brief review of key aspects of the Direct Contracting financial model that were covered during the Payment Part One Webinar, such as its risk-sharing options and risk mitigation strategies, as well as its capitation and other advanced payment alternatives. This session offered participants an opportunity to ask follow-up questions about these topics.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Healthcare Financial Management Association’s (HFMA) professional credentialing program recognizes healthcare workers who had reached an acceptable standard of knowledge and proficiency in the revenue cycle field. Employees who meet the requirements of the program earn the designation ‘Credentialed Revenue Cycle Representative’ (CRCR). The CRCR Program is recommended for revenue cycle staff including (but not limited to) Patient Access, Financial Representatives, Managed Care Operations, Health Information Management, Case Management and Compliance.
The Direct Contracting Model Options team hosted office hours on February 4, 2020. During the session, the Direct Contracting Model Options team provided a brief review of key aspects of the Direct Contracting financial model that were covered during the Payment Part One Webinar, such as its risk-sharing options and risk mitigation strategies, as well as its capitation and other advanced payment alternatives. This session offered participants an opportunity to ask follow-up questions about these topics.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Skutecznie wyszukujemy i dostarczamy kwerendy i materiały do prac doktorskich ze wszystkich dziedzin nauki i wiedzy dla doktorantów w języku polskim angielskim i niemieckim
Do take actions to remove 1startpage.com browser hijacker when you realize the infection of it. Usually, this browser hijacker enters target computer by making use of other programs like free downloads, pop up ads, commercial links and email attachments. It will continue harming your computer if you do not remove it as soon as possible.
Nasza korporacja naukowa zrzeszająca pracowników nauki jak i ekspertów dziedzinowych pomaga na każdym etapie skonsultować swoją pracę dyplomową, magisterską, doktorską czy rozprawę habilitacyjną w zakresie merytoryki jak i prawidłowego procedowania całości.
U nas można skonsultować:
prawidłowość „konstruktu” pod względem rzeczowo – formalnym tematu pracy naukowej, jego cech naukowych / „brzmienia” i formy,
konstrukcję merytoryczną koncepcji bądź konspektu pracy naukowej / rozprawy – potrzebnego do otwarcia przewodu doktorskiego (a w nim: celu pracy, uzasadnienia wyboru tematu, metodyki, spisu treści i bibliografii),
wstęp i zakończenie opracowania pod względem składniowym i merytorycznym,
prawidłowość doboru narzędzi, technik oraz metodologii badań w zakresie wskazanym w temacie pracy,
analizę badań w tym: prawidłowości wyników i dyskusji do niej,
rozszerzenie bibliografii (tzw. kwerenda) do pracy dyplomowej / magisterskiej / doktoratu i publikacji naukowej w zakresie dostępu do materiałów znajdujących się poza zasięgiem zamawiającego jak również w naukowych bazach danych (polskich i zagranicznych – płatnych i bezpłatnych),
niezależną opinię naukową o pisanej pracy dyplomowej / doktorskiej / monografii,
korektę stylistyczno – techniczną,
wsparcie w publikowaniu artykułów naukowych i konferencyjnych,
inne wg. możliwości.
A leading provider of comprehensive human resources is seeking a Director of FP&A. The chosen candidate will develop and deliver financial reports by translating hard numbers into factual information using internal reporting, collaborating with team members, evaluating complex financial issues and recommending solutions to guide future organizational decisions and ensure alignment with business objectives.
1. BRIAN GOESER
4770 190th Street West, Farmington, Minnesota 55024
Cell: (612) 201 3790 - bgoeser@yahoo.com
Professional Summary
Enterprising, articulate, and performance-driven professional, seeking a career opportunity that would effectively
utilize my outstanding work ethic and determination. Competent professional who embraces change and thrives
on financial challenges, with the capability to increase productivity through powerful combination of background
in account management, presentations, business relations, and customer care. Strong analytical skills, with
aptitude for analyzing and interpreting information in multiple viewpoints; well-developed skills in prioritizing,
decision-making, and time management.
Education and Training
Bachelor of Science: Business Management w/minor Statistics
Iowa State University - Ames, IA
UnitedHealth Care Management training and OptumRx Culture Training
Boys Scouts Adult Leader and Youth Sports Association coaching experience
Skill Highlights
Managed Care Specialty Pharmacy & Medical Management Making & Independent
Financial experience Experienced Time Management & Project
Adaptive Team Leader and player Management
Strong business analytical skills Strong Finance experience
Underwriting Professional Specialty Pharmacy Profit & Trend expertise
Medicare Trend & Financial Presentation Cultured trained leader
experience Sergeant in the Army National Guard’s
Budget & Forecast experience Highly visible experience
Provider Networking experience Experience SQL, SAP, Microsoft products
Professional Experience
SENIOR MANAGER PHARMACY NETWORK ECONOMICS
September 2014 to Present
Argus Health System
Lead staff in analysis of large, complex datasets of business, pharmacy provider, and customer data, including
determining generic product pricing
Establish work priorities and delegate work to ensure deadlines are met, managing resources to optimize staff
productivity
Communicate on day-to-day basis across multiple teams to plan and deliver daily management activities for pricing
models
Ensure appropriate revenue streams are available within pricing models and to generate and optimize revenue through
models
ASSOCIATE DIRECTOR OF UNDERWRITING FINANCE
April 2012 to September 2013
UnitedHealth Care
In charge of internal small group audits, Risk Management processes, and Financial reporting
Maintained and created process improvements for a risk management database through leveraging
technology
Developed and created operational underwriting processes to identify key risk areas; Strategic National
approach to implement internal financial key controls
Interface with business leaders to support the Vice President on Financial and Operational Reporting
Maintained and created Town hall and Executive Dashboard slide presentations
Managed direct staff reports with a focus on tangible steady progress toward continuous improvements
Created and developed a production audit SOP for the Underwriting Risk Management department
2. MANAGER NETWORK PRICING
May 2009 to April 2012
OptumRx
Developed and Implemented Specialty/Home Infusion drug pricing using several different drug databases
Support and validated Provider Network Pharmaceutical (physicians, hospitals, pharmacies, ancillary
facilities etc.) contracting and unit cost management activities through financial and network pricing
modeling, analysis, and reporting
Lead the development of drug pricing methodologies including MAC development, project fund
management and tracking process management
Managed relationships with external vendors
Managed direct report staff with continuous improvements
Applied expertise in pharmacy and medical claims data and the use of access, excel and or SQL to
analyze against contract and business requirements
Lead and contribute to process improvement through technology and industrial practices
Supported the clinical team with compliance and adherence to Specialty clinical programs
MEDICARE REGIONAL FINANCE MANAGER
August 2007 to February 2009
Blue Cross Blue Shield of Minnesota
Handled over 360K members monthly cash distributions to seven state plans estimated at $70 million with
annual budget $1 billion
Perform monthly close and lead the understanding of monthly results against the financial plan
Support the annual Part D CMS bid process leveraging cross-functional departments
Prepared external and internal audits and reconciling statements
Created financial reporting, budgeting, and forecasting for senior management and the Board of
Managers
Consulted with BCBSMN departments related to accounting, actuarial, budgeting, treasury, financial
statement preparation, and forecasting
Proactively lead accountabilities concerning business planning and innovative financial product pricing
and profitability margin analysis
Created annual strategic goals, objectives and budget with recommendations to reduce medical costs
Developed monthly accounting and financial reports for distribution to regulators
Facilitated and developed annual Financial presentation for the Finance Summit meeting
Created and maintained Medical cost reduction trend reports
MAJOR/NATIONAL SENIOR UNDERWRITER
August 2005 to August 2007
Blue Cross Blue Shield of Minnesota
Analyzed complex client risks during department projects
Underwritten experience in Managed Care, Medicare, Medicaid LOB's
Coordinated efforts to management on internal/external underwriting risk
Trained and coached peers along with providing technical support to lower level underwriters
Earned promotions from large groups, service cooperatives, to major national accounts
SME expertise in pharmacy and medical claims data with the use of analytical tools such as Excel or SQL
for selling additional value-based products
SENIOR REGIONAL FINANCIAL CONSULTANT
October 1999 to August 2005
Express Scripts Inc.
Assisted initiatives to obtain gross margin enhancements; underwrote various types of businesses from
managed care to public sector to Workers Compensation cases which ranged from small to jumbo-size
clients
Lead and Identified margin related issues through financial review meetings with the client
Improved financial tools for customers renewal strategies including cost saving projections
Integrated new underwriting processes to maintain accurate underwriting models
Volunteered for special projects for the entire department concerning client cost saving methodology
Leverage pharmacy expertise for value based and added services for current and potential clients