1. CYNTHIA A. TERRANO, CPA
38120 Windy Hill Lane, Solon Ohio 44139 Cell phone (440) 785-7789
Healthcare executive proven at driving annual net revenue improvements, responding to price transparency
trends and developing collaborative third party relationships. Comprehensive experience in managed care with
a focus on innovative pricing techniques, population health initiatives and strategic development within all lines
of health care including Medicare Advantage, Medicaid, commercial business and Health Care Marketplace.
Skilled in value-based contract negotiations from strategic inception (including financial and competitive
analysis) to implementation and monitoring.
PROFESSIONAL EXPERIENCE
Cleveland Clinic, Independence, Ohio 1997 – present
Senior Director Managed Care, Business Development & Contracting 2006 - present
Accountable for the evolution of health plan relationships through new pricing techniques, multiple accountable
care relationships, and negotiation of a clinically integrated network resulting in 4,000 employed physicians and
1,400 independent physicians.
• Generated a 4+% increase in revenue for Health Plans year over year, yielding $150-$200 million in
incremental revenue annually
• Negotiated a $900 million dollar business relationship with new features including pay for performance, an
accountable care program, and bundled payment features
• Set strategy and negotiated new relationships for the Health Care Marketplace, yielding first year growth
within the individual market as well as the reduction of bad debt
• Designed, negotiated, and implemented four Medicare Advantage shared savings agreements covering
40,000 Medicare lives in Northeast Ohio, with premium revenue estimated at $408 million
• Collaborated with Clinical leadership in the design of risk/reward relationships and pay for performance
arrangements, driving a 2+% economic opportunity
• Negotiated a newly formed clinical integration initiative contracting for 5,400 employed and independent
physicians, including the development of an incentive program funded by health plans to reward
participation, quality improvement and cost efficiency
• Scaled risk performance capacity to prepare organization for risk contracts. Hired a team of actuaries,
purchased analytical tools, and developed performance reporting
• Designed innovative bundled pricing (technical and professional services) for complex transplant
procedures and for national networks focused on orthopedic and cardiac services
Director of Contracting 2000 - 2006
Directed all aspects of contract negotiations, including rigorous financial analysis, legal preparation and the
implementation of agreements. Achieved a portfolio of 118 health plan relationships for physicians and
hospitals contracts, generating $2 billion in annual net revenues.
• Directed a team of 13 professionals to support financial, administrative, and negotiation functions
• Negotiated additional reimbursement for implantables and high cost drugs generating $14 million dollars in
revenues in the first year of implementation and in excess of $30 million annually

2. • Implemented protections in PPO contracts to prevent unauthorized misuse of discounted rates. Supported
revenue recovery efforts, which generated $3.1 million in identified errors.
Senior Contract Manager 1997 - 2000
Negotiated for system wide managed care agreements as a result of the merger between Cleveland Clinic and
local community hospitals. Executed business plan to include new standard terms and pricing objectives.
Meridia Health System, Mayfield Village, Ohio 1985 - 1997
Senior Managed Care Analyst - Meridia Health Plan 1993 - 1997
Conducted analysis of managed care contracts representing a revenue stream of over $80 million from 15
organizations. Participated in analysis and negotiation of risk contracts. Designed effective payor contracting
strategies.
Controller/Financial Analyst – Meridia Institute 1987-1993
Developed accounting and reporting for eight newly developed home health care partnerships, including tax
and governmental filings. Revenue stream approximated $10 million.
Accountant – Meridia Hillcrest Hospital 1985-1987
Created accounting policies and procedures for non-acute care partnership arrangements. Prepared
consolidated financial reports.
Ernst & Whinney, Cleveland, Ohio 1981 to 1985
Senior Auditor 1983 to 1985
Client base included non-profit, real estate and manufacturing. Extensive technical experience in financial
reporting, disclosures, analyses and taxation.
EDUCATION AND PROFESSIONAL DEVELOPMENT
The Ohio State University, Columbus, Ohio
Bachelor of Science in Business Administration – Accounting
Graduated with honors; Summa Cum Laude
Certified Public Accountant, Ohio
AFFILIATIONS
• The Ohio Society of Certified Public Accountants
• Healthcare Financial Management Association