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 Expert  728191

Expert in Provider Relations, Operations, Provider Network Development, Provider Contracting

Available for your Consulting and Expert Witness Needs

Pennsylvania (PA)
Education Work History Career Accomplishments Consulting Services Expert Witness

Summary of Expertise:

Listed with other top experts in: 

Expert has been involved in Provider Relations/Network Development and Operations in the Health Insurance Industry as an executive (VP/Manager), both domestic and international and is experienced in all aspects of contract negotiations. At one HMO he led the team efforts to successfully double the network in a highly competitive region where the company was one of the smallest players, with no substantial membership growth during the same time. He also worked as VP of Operation for a national PPO network where he successfully developed a full provider network (Hospitals, Physicians and Ancillary) in several states.

Having worked in network operations and provider relations for the past 15 years he has developed an extensive experience in performance improvements. This, combined with his vast IT knowledge has proven to be very valuable in being able to take complex problems and bring them down to a manageable size in order to formulate a plan of action.


contract negotiation




health care


health care industry


health insurance




HMO insurance


HMO procedure


HMO referral


insurance contract




preferred provider organization

Show Secondary and Basic Areas of Expertise
Expert may consult nationally and internationally, and is also local to the following cities: Tampa, Florida;  Saint Petersburg, Florida;  Orlando, Florida;  Clearwater, Florida;  Cape Coral, Florida;  Palm Bay, Florida;  Lakeland, Florida;  Melbourne, Florida;  Deltona, Florida;  and Largo, Florida.

Year   Degree   Subject   Institution  
1988   MBA   Strategic Management   Erasmus University/Rotterdam School of Management  
1986   BA   Criminology   Florida State University  

Work History:
Years   Employer   Department   Title   Responsibilities

2009 to 2011







He developed Network Business plan for a Third Party Administrator in Lakeland, FL. He served as Interim Operations Manager for Chakra Info Solutions, a physician software and billing company headquartered in Chennai, India, overseeing day and evening shift (total of 125 FTE's).

2006 to 2009


AvMed Health Plans


Network Contracting and Service


Regional Manager


He oversaw network development, contracting and maintenance for 10 counties in Central Florida, managed, trained and coached 8 FTE's in two locations (Orlando and Tampa), responsible for P&L and departmental budgets and since March 2007 Acting Director for Central Florida Network Department.

2003 to 2005


HRS Associates






He coached executives of various companies in international business skills.

2001 to 2002


Keenan & Associates



Sr. Consultant


Consultant to specialty radiology network.

1996 to 2001




Southern Region


Vice President


He oversaw daily operations of the hospital, physician and ancillary network for 15 states and Puerto Rico and the Virgin Islands and Directly managed four Regional Directors and 22 FTE's.

2011 to 2013


Florida Blue


Network Devekopment


Senior Manager


2013 to




International Contracting




Career Accomplishments:

MENSA Toastmasters International


MHP - Managed Healthcare Professional

Professional Appointments

President Victory Toastmasters

Consulting Services:
Selected Consulting Examples:
  • He wrote the business plan for network development for a TPA in Lakeland
  • He developed the network in 4 states for a national radiology plan
  • He helped implement digital dashboards in various healthcare related facilities
Recent Client Requests:
  • Preferred provider organization expert expert for consulting on Healthcare Technology Startup Looking for Services.
Click the green button above to contact Expert for a free initial screening call regarding your expert consulting needs.  Expert is available for consulting to corporate, legal and government clients.  Remember, your initial screening call to speak with Expert is free.

Expert Witness:
Recent Litigation Client Requests:
  • Expert in PPO issues.
Click the green button above to contact Expert for a free initial screening call regarding expert testimony, litigation consulting and support, forensic services, or any related expert witness services.  A few litigation needs include product liability, personal injury, economic loss, intellectual property (patent, trademark, trade secret, copyright), and insurance matters.  Remember, your initial screening call to speak with Expert is free.

International Experience:
Years   Country / Region   Summary
2003 to 2005   Germany   He conducted varous training sessions with business executives from various German corporations in both business skills and GMAT testing
1981 to 1982   The Netherlands   He served with the Royal Netherlands Military Police
2013 to   Worldwide   He is currently the Director of International Contracting for Expert's Firm, the international branch of Blue Cross Blue Shield, negotiating contracts and rates in all countries Expert's Firm does business.

Language Skills:
Foreign Language   Description
Dutch   Dutch is his native language
German   He speaks and understands German very well
French   He has a basic mastery of French
Spanish   he speaks a little Spanish

Additional Skills and Services:

Instructor for GMAT Training in business skills, sales and negotiations

Other Skills and Services

Competent Communicator with Toastmasters International


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