An MD / MBA with Transformational Strategic Business Experience in healthcare and insurance: Optimistic leader who thrives in the opportunities of change. Curious and intelligent bringing powerful solutions that result in business growth. Intuitive and enjoys calculated risks and bringing stakeholder rewards.
Resourceful – Gets the Mission Accomplished: Extremely knowledgeable in the operational, financial and medical aspects of the healthcare and insurance industries. Creative and aware of the big picture and the environment. Plays full out. Catalyst for
meaningful change and clinical innovation.
Authentic Leader Who Creates and Communicates the Vision and Inspires
People to Thrive: Pulls together solid teams; nurtures individual growth;
capitalizes on strengths; challenges and empowers people to succeed together;
celebrates shared accomplishments. Strong relationships with people at all levels in
an organization and with clinicians, customers and partners.
Specialties:
- Board & C-Level Experience
- Transformative Innovation in healthcare and insurance products and models
- Visualizing and implementing successful counter-intuitive solutions
- Population Health
- Strategic Managed Care and Capitation / Delegated Risk / Accountable Care
- IPO and Private Equity Involvement including developing Investment Thesis and Advisory roles
- Key Customer / Strategic Partner Relationships
- Corporate Governance
- Turnarounds & Start-Ups
- Mergers and Acquisitions
- Wellness and Pre / Post Acute Models
- Workers Compensation
-mHealth, Mobile Health, and Wireless affinity
- International Interest and Familiarity
- Business Development
E-mail: drmarcmiller@gmail.com
Executive / Medical / Strategic Advisor and Consultant @ Immunization Access Providers, Inc: infrastructure, processes and revenue cycle pathway supporting retail pharmacists in providing in-store wellness and chronic disease
management services.
Inovatzia, Inc: a research company created to patent, develop, and license or sell a rich pipeline of platform technologies capable of revolutionizing healthcare and other industries.
LinkCapital, Inc: Link has partnered with health care systems and private investors to offer medical professionals flexible refinancing loan programs at attractive rates, tailored to their risk profile and unique career stages.
N-Squared Growth Capital, LLC: private investment group formed to make highly selective, growth-stage investments in cash-generating and platform potential transformational, small-to-medium U.S. healthcare related companies. Hospital-based Physician Services and Specialty Healthcare and Pharma Services investment focus. Evaluating acquisitions, developing investment theses, and contributions to deal structure. (2012 -2014)
ScriptGuard, Inc.: unique clinical informatics solution synthesizes aggregated prescription data to deliver real-time medication oversight, provider validation, and prescription risk assessment at the point of care.
Tyler and Company, Inc: management consultancy retained search firm specializing in CEO and other high-level executives for the healthcare and life science industries. From 2012 to Present (3 years) Chief Executive Officer @ Healthcare and workers compensation start-up developing, modifying, and distributing innovative predictive and care management models. Target customers are risk bearing entities. From 2013 to 2014 (1 year) Chief Medical Officer / SVP @ Corporate Officer of pre and post-IPO insurance holding company with expanding national footprint.
• Reduced healthcare costs by >65% through creating and implementing innovative strategies, predictive modeling, increasing treating physician collaboration, in sourcing, and vendor management (e.g. pharmacy, clinical partners, network management, bill review, etc.).
• Responsible for $400m of cumulative medical spend.
• Creating industry leading focused interventions such as changing clinician narcotics prescribing with a 70% success rate.
• Spearheading M & A initiative and achieved 80% increase in acquisition’s revenue in first year. From 2004 to 2013 (9 years) Board of Directors @ Innovative web based decision making tools changing the way employers compare, evaluate, rank and buy insurance policies. The company's expertise includes software development, transformative mathematical analytics, comparative analysis, internet commerce, and healthcare insurance. From 2010 to 2012 (2 years) Post Acquisition Chief Operating Officer @ With SeaBright's acquisition of this managed care company, after driving the transaction's M&A activities, I served as COO spearheading changes to key operating systems to enhance productivity and promote scalability. Proactive strategic account management initiatives to make fans out of clients who were in the zone of indifference or lower. Within the first year post-acquisition, we achieved an 80% increase in revenue. From 2007 to 2009 (2 years) Advisory Board Member @ Technology company dedicated to improving healthcare performance and clinical quality.
This is achieved by helping hospitals and health systems migrate from traditional financial methods to activity-based models. From 2003 to 2009 (6 years) Management Consulting @ Advisory services, focusing on strategic partnerships, market knowledge, strategic planning, capital, and program development to medical device, biotech, life sciences IT, and healthcare delivery private and government sector clients in the U.S., Europe, and the Middle East. Significant engagements are described separately below. From 2000 to August 2004 (4 years) Management Consulting / Medical Director @ Provided medical management for a well received turn around of high visibility medical care program for at risk population while crossing political mine field as a part-time employee. From 2002 to July 2004 (2 years) Management Consulting / V.P. Business Development @ U.S. presence, including business development and strategic planning, for this activity based cost accounting healthcare IT company with research and development based in Israel. Transitioned management team, ops, and sales through relocation to the U.S. Continue relationship as a friend of the firm. From 2000 to 2003 (3 years) Chief Executive Officer @ Start-up focused on internet centric delivery of dispute settlement services for health plans and as a benefit product offering. Assembled management team, funding, product development, and marketing. From 1998 to 2000 (2 years) Medical Center Administrator @ P&L responsibility for all operations, marketing, facilities, etc. for a multi-specialty outpatient clinical practice focused on a large capitated Medicare senior population.
• Within a year returned medical center to profitability prior to subsequent sale.
• Partnered with payers to grow senior membership through shared marketing strategy and targeted services.
• Expanded capabilities to attract commercial and pediatric patients. From 1996 to 1998 (2 years) Medical Director @ Health insurance carrier, provider group, and interim hospital Medical Director for a large capitated integrated healthcare payer system of IPAs, staff model HMO, hospitals, and other product lines in Southern California. Responsibilities included utilization review, quality assurance, provider training, and conflict resolution.
• Medical management leading to 15% reduction in costs.
• Interim Hospital Medical Director for community hospital.
• Key role in successful rescue and on-time rollout of a distressed new product integrating workers compensation and group health coverage. Extensive network development experience. From 1993 to 1996 (3 years)
M.B.A. @ Golden Gate UniversityM.D. @ Rush UniversityB.A., Human Bio @ Stanford UniversityResidency Training @ Stanford University School of Medicine / Calif Dept of Health ServicesM.P.H. @ University of California, Los Angeles Marc MBA is skilled in: Strategic Healthcare, Managed Care, Private Equity, M&A experience, Healthcare, Healthcare Management, Business Strategy, Corporate Development, Strategic Planning, Private Equity Firms, Corporate Advisory, Board of Director..., Board Governance, Board Level, Community Health, Preventive Medicine, Medical Group Management, Synergies, Turnaround Experience, Property & Casualty..., Health Insurance, Occupational Health, Corporate Health, Public Speaking, Mentoring, Mergers, Capitation, Accountable Care, Medical Homes, Board of Directors, International, Mergers & Acquisitions, Entrepreneurship, Turn Around Management, Cross-functional Team..., Employee Benefits, Insurance, Program Management, Management, Start-ups, Medicare, Strategy, Executive Management, Disease Management, Change Management, Business Development, Leadership, Product Development, Marketing Strategy, Management Consulting