Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joseph Safran

Davis

Summary

Accomplished Healthcare Executive with a proven track record of obtaining results for several healthcare organizations throughout career spanning forty years. Expertise in Provider Contracting and Network Administration. Spearheaded multi-functional teams to achieve JCAHO Accreditation, showcasing exceptional leadership and operational excellence. Skilled in Quality Improvement Processes and P&L management, significantly enhancing profitability and operational efficiency.

Personable and analytical with proven ability to navigate complex IT environments, ensuring seamless operations and strategic advancements. Possesses deep understanding of Healthcare Industry, coupled with advanced skills in project management and systems integration. Committed to driving significant improvements and fostering innovation within organization.

Overview

41
41
years of professional experience

Work History

Senior Network Manager

Blue Shield of California
10.2000 - 04.2023
  • Led a team of Provider Contracting Managers responsible for negotiating contracts with a variety of Provider types including physicians, clinical laboratories, free standing Imaging Centers, DME, Dialysis,Specialty Pharmacies,
  • Collaborated with executive leadership to align departmental goals with overall strategic objectives, maximizing ROI on technology investments.
  • Optimized network performance by conducting thorough assessments and implementing necessary improvements.
  • Interacted and negotiated with vendors and providers to secure services.


Achievements/Highlights

  • Recipient of Pat Boone Spirit Award 2002, 2007, 2012
  • Recipient of Spot Bonus Awards 2005, 2006, 2020, 2022



Director of Operations, Physician Practice

Woodland Healthcare
01.1998 - 03.2000
  • Responsible for operations of large multi-specialty physician practice
  • Accountable for operational performance of Medical Business

office

  • Responsible for operations fiscal performance of inpatient psychiatric unit


Achievements/Highlights


  • Successfully led multi functional teams to attain JCAHO Accreditation for physician group practice
  • Developed provider productivity measurement and reporting capabilities necessary to support physician compensation
  • Successfully reduced operating costs in all areas of accountability
  • Instituted redesign of Medical front office and Business Office processes to improve profitability of organization
  • Improved reimbursement for inpatient psychiatric unit by attaining Medicare PPS exemption

Administrator/Director of Managed Care

Gallatin Medical Foundation
05.1994 - 12.1997
  • Managed operations of forty physician multi-group practice
  • Negotiated contracts with Healthplans and Managed Care Organizations
  • Developed and managed MSO functions ( Claims, Provider Relations, Utilization Management) necessary to support contracted provider network
  • Responsible for operations of physician compensation system


Achievements/Highlights

  • Developed contracted provider network to augment physician group network
  • Successfully negotiated managed care (risk) contracts
  • Developed provider productivity reporting to support physician compensation system

Clinic Operations Manager/Plan Manager

FHP
07.1987 - 05.1994
  • Responsible for operations of large multi-specialty group practices
  • Responsible for contractual and regulatory compliance of contracted provider networks( IPAs)
  • Negotiated provider contracts with IPAs, physicians, and ancillary providers


Achievements/Highlights

  • Led start up activites of several IPA networks
  • Attained certification in Quality Improvement Process
  • Oversaw the star up of a primary care clinic
  • Developed provider productivity reporting capabilities
  • Consistent results oriented performance resulting in three promotions in five years

Financial Analyst/Assitant Supervisor

Kaiser Permamente
06.1982 - 05.1984
  • Responsible for development Operating, Capital Asset, and Rate Setting Budgets for 900 bed Inpatient facility
  • Supervised administrative and clerical Business Office staff in union environment


Achievements/Highlights

  • Implemented Budget monitoring and reporting processes
  • Trained hospital setoff on accounting, budget, and financial managements principles

Education

Bachelor of Arts - Economics

University of California At Irvine
Irvine, CA
06-1982

MBA - Marketing Research

Uniserity of California At Irvine
Irvine, CA
01-1982

Skills

  • Provider Contracting and Provider Network Administration
  • Multi-Specialty Group Administration
  • P&L Responsibilty
  • Quality Improvement Process programs
  • People Leadership (People Manager)

Timeline

Senior Network Manager

Blue Shield of California
10.2000 - 04.2023

Director of Operations, Physician Practice

Woodland Healthcare
01.1998 - 03.2000

Administrator/Director of Managed Care

Gallatin Medical Foundation
05.1994 - 12.1997

Clinic Operations Manager/Plan Manager

FHP
07.1987 - 05.1994

Financial Analyst/Assitant Supervisor

Kaiser Permamente
06.1982 - 05.1984

Bachelor of Arts - Economics

University of California At Irvine

MBA - Marketing Research

Uniserity of California At Irvine
Joseph Safran