John MacDonald's Email Addresses & Phone Numbers

Chief Financial Officer @ VNA Community Healthcare & Hospice Executive leadership responsibility for both financial and operational aspects of a large growing organization. Driving success in the full continuum of services offered including all aspects of skilled care, hospice, adult day care, psychiatric nursing and private non-medical home care. Guilford,CT.Reimbursement Audit Supervisor @ Empire Blue Cross Blue...

Chief Financial Officer @ VNA Community Healthcare & Hospice Executive leadership responsibility for both financial and operational aspects of a large growing organization. Driving success in the full continuum of services offered including all aspects of skilled care, hospice, adult day care, psychiatric nursing and private non-medical home care. Guilford,CT.Reimbursement Audit Supervisor @ Empire Blue Cross Blue Shield Directed and coordinated the timely completion of field audits for Medicare, Medicaid and BC. From December 1983 to November 1988 (5 years) Audit Supervisor @ Empire Blue Cross Blue Shield Directed and coordinated the timely completion of field audits for Medicare, Medicaid and BC. From January 1981 to January 1988 (7 years 1 month) Chief Financial Officer @ Hartford Healthcare Medical Group Overall responsibility for the financial performance ($150 million+ budget) of this division of Hartford HealthCare (HHC) System, a UCONN Teaching Affiliate. System wide accountability of 60 physician practices associated with 5 different hospitals within the HHC system. Primary responsibility includes leading change via doctor performance analysis and communication.•Oversaw the financial and operational start-up and consolidation of 5 legacy medical groups into the new company(foundation model) including: GL system, MD contract committee, IRS applications and third party contractual arrangements.•Designed, proposed and negotiated new Management Service Agreements between the medical group and 5 acute care hospitals within HHC system.•Implemented a compelling financial reporting system with a modern dashboard that improved the bottom line by 2%+ for FY 2013 on a same resource basis by communicating P&L results at all organizational levels. 2014 is growing at 19% with expenses up 9%.•Led Revenue Cycle system restructure that created an environment allowing enhanced communication between front end site of service and back end CBO functions including coding.•Accomplished the total disaggregation of the medical group budget and actual revenue and expense from the hospital system. This allowed for the routine generation of P&L's at the department, section and M.D. level.•Providing a leading role in the physician compensation redesign, including the move from a volume to value proposition.•Took lead role from the Medical Group's perspective during payer contracting for professional services. The successful outcome was based on the utilization of new contract management application which was recently installed providing timely and accurate feedback on payer compliance and modeling.•Established credible presence with Board of Directors. From November 2012 to January 2016 (3 years 3 months) Hartford, Connecticut AreaMedical Group Director of Finance @ Yale New Haven Health System Took on the leadership role for the financial performance of Affiliated Physicians of St. Raphael a division of YNHS representing 436 physicians and 147 mId-levels. System wide accountability of physician practice performance including leading change via establishment of a practice dashboard feedback system to enhance doctor performance.• Provided full admin. leadership of the Medical Group upon the Executive Director's resignation.• Oversaw the new company (foundation model) start-up including GL system, MD contract committee, IRS applications and third party contractual arrangements.• Implemented a compelling financial reporting system that improved the bottom line by 7%+ for FY 2011 on a same resource basis by communicating P&L results at all organizational levels. 2012 grew at 15% with expenses up 3%.• Recruited and trained superior staff (i.e. financial analysts) to create a superior team dynamic which has allowed achievement of system goals.• Accomplished the total disaggregation of the medical group budget and actual revenue and expense from the hospital system. This allowed for the routine generation of P&L’s at the department, section and M.D. level.• Provided financial oversight and took lead role in due diligence related to recent practice acquisitions for surgery and pulmonology.• Developed physician compensation models, including base plus productivity based incentive - wRVU in relation to MGMA productivity percentiles, as well as quality indicator based measurement criteria. • Oversaw payer contracting for professional services during which increases kept pace with medical inflation as well as achieving a 4% bonus increase for meeting performance targets from major payers. From September 2010 to November 2012 (2 years 3 months) New Haven, CTSenior Site Financial Administrator @ Ellis Hospital Overall responsibility for the financial performance of 23 physician practices. System wide accountability of physician practice performance includes credentialing, billing and coding. Financial responsibility for 82 bed SNF and full operational oversight of Ellis Dental Center.Reduced days in practice receivables by 35.4% by reengineering the revenue cycle.Prepare monthly Financials for all physician practices followed by challenging service line administrators to find improvement in their business. Coordinated recent financial feasibility studies for Cardiac Surgery and OB Laborists Implemented campus wide productivity standards with ongoing department head follow up to enhance profitability in the new organization. From June 2008 to September 2010 (2 years 4 months) Principal @ Community Tax & Accounting May, 2007 to June, 2008Provided management consulting for market-leading health plans, ARC's, and providers throughout New York. Client list available upon request. Provided project support in strategy and business planning, staffing design, operations and organization and health care finance.St. Clare's Hospital Interim Director of Reimbursement.Developed practice valuation and sales advice for upstate DDS.Created a Financial Improvement Plan for upstate developmental disability provider.Provided statewide insurer/provider with a comprehensive work plan to revamp staffing, scheduling, financing and collections. From May 2007 to June 2008 (1 year 2 months) Chief Financial Officer @ American Dental Partners (1st Advantage Dental Management) Managed complete oversight of accounting, billing and collection, information systems, payroll, banking relationships and accounts payable. Oversaw all business systems for the new company that promulgated its stability and profitability.Created positive cash flow by reducing DSO 55% while implementing accounts receivable and collection protocols.Facilitated completion of annual business plan by designing and implementing policies and procedures, preparing narrative descriptions, P&L, Balance Sheet and Profit Share Analysis.Improved EFO by 14% by reducing positions which supported the company.Ensured the achievement of a healthy environment by proving leadership at shareholder's meetings and communicating to all stakeholders. From October 1999 to August 2002 (2 years 11 months) Vice President & Chief Financial Officer @ Mary McClellan Hospital & Skilled Nursing Facility Provided leadership to registration, maintenance, dietary, housekeeping, purchasing, accounting, reimbursement, billing and collection, information systems, payroll, banking relationships and accounts payable. Treasurer of the Mary McClellan Foundation.Reduced expenses by 6% by overseeing the hospital financial improvement plan - a reengineering program.Enhanced revenue by establishing successful contracting strategies with MCO's.Reduced DSO by 40% by designing and overseeing the reorganization of the registration and patient accounting departments. Achieved regulatory compliance by coordinating the implementation of an institution wide corporate compliance program. From July 1993 to October 1999 (6 years 4 months) Reimbursement Manager @ Ellis Hospital Oversaw the entire revenue and reimbursement function for the hospital, skilled nursing facility, hospice and all outpatients departments, including preparation of Institutional Cost Report, Grants, Rate Appeals and Capital Budgets.Achieved hospital vision and goals by preparing Net Revenue Budgets in a more than timely fashion which allowed required strategic changes to overall operations.Enhanced revenue via analysis of third party payment rates and submitting appeals. From November 1988 to July 1993 (4 years 9 months) Director of Operations @ American Dental Partners August, 2002 to May, 2007(ADP purchased 1st Advantage Dental on August 1, 2002.) Lead the business operations of a three state dental group through the development of strong partnership relations with the PC and MSO leaders and staff. Oversaw the financial performance of the practices. Managed employee performance and development processes.Increased revenue from $14 million to $25 million.Developed acquisition plans for several $1M+ practices.Provided leadership in the highly successful three state implementation of a new practice management software. From August 2002 to May 2007 (4 years 10 months)