Russell Manns
SENIOR MANAGER
Russell Manns has more than 30 years of healthcare consulting and provider industry experience. As a delivery oriented professional his consulting experience has focused on developing and implementing strategic objectives and facilitating operational alignment in payer and provider organizations.
Russell has leveraged his background in accounting, finance, audit, and compliance to help architect detailed solutions that address operational issues while also considering financial targets and budgetary limitations. His work requires creative and innovative thought, critical problem-solving, and collaboration and group facilitation skills to effectively motivate and lead teams to achieve desired outcomes. He is responsible for the management and execution of complex projects and leading client facing teams.
Experience
Co-managed the End-to-End Sourcing and Implementation of a New Healthcare Informatics Solution Involving Multiple Vendors as Well as Internal and External Stakeholders
The project included scope definition, workstream planning and coordination, staff and stakeholder engagement and training, standard operating procedure (SOP) development and implementation of several new applications for end users.
Managed the Assessment of Business Operations and Processes for a Multistate Home Health Company Across Four Subsidiaries, Provided Recommendations for Operational Improvements to the Current and Future State Operating Models and Developed a Phased Plan for Implementation
The assessment included the review of core operations, clinical operations, compliance, internal audit, finance (including billing and collections for services provided) and the human resources and business development functions.
Conducted the Review of Provider Contracts Including the Evaluation of Contract Structure and Reimbursement Terms, Analysis of Payment Term Configuration in Relevant Systems, Identification of Root Cause for Issues Identified and Mapping to Internal Processes
Provided oversight of claims accuracy analysis identifying numerous claims adjudication concerns.
Directed the New Vendor Identification Effort for a Federal Program Including Development of a Request for Proposal (RFP) Valued at Over $45M
The vendor identification process included market research to identify vendors operating on the global stage and vetting potential vendors to determine those capable of meeting the program’s needs. Development of the RFP included creation of the proposal timeline, identification of internal stakeholders, gathering of business requirements, RFP document development, issuance and response evaluation and scoring. Also directed site visits, post-site visit RPF re-evaluation and final scoring calculations. The process resulted in the provision of a final vendor recommendation that was accepted by the client.
Worked with the Department of Corporations of the State of California
Assisted in the oversight, monitoring and liquidation of a large physician practice management company having annual revenues in excess of $1.3B and serving over 1.2 million members.
Served the Superior Court of Orange County, California as Conservator of an HMO Located in Irvine, CA.
Responsibilities included oversight of all aspects of the organization’s operations including, among others, all financial operations liquidation of assets, negotiations regarding the settlement of debts and human resource issues.
Served as CFO of a Behavioral Health Company
Responsible for overall financial operations including monthly financial statement development, new program costing and development, review, revision and implementation of processes, procedures and internal controls, billing and collection activities, expense monitoring and annual operating and capital budget development.
Maintained Financial Responsibility for a Three-Facility System
Maintained financial responsibility a three-facility system operating 550 inpatient beds, an Urgent Care Center and an ASC and participated in the planning and implementation of financial and operational initiatives focused on turning around the financial performance of these facilities.
Prepared Annual Operating Budget for an Academic Acute Care Hospital
Prepared the $260 million annual operating budget for an academic acute care hospital with appropriate procedures and controls surrounding the organization’s spending including conducting analyses and financial modeling for current and proposed new product lines with a focus on resource planning, feasibility and profitability.