STEVEN P. DAVIS
49 Prospect Street, Easton, MA 02375

PROFILE

Financial and Operational Manager with significant health care industry
experience and an M.B.A. Expertise in contract negotiation and administration,
budget modeling and financial reporting, managed care, team development and
business process improvement.

EXPERIENCE

Blue Cross Blue Shield of Massachusetts, Boston, MA 
2003 - 2008
Behavioral Health Contract Leader

•Completed negotiation and implementation of provider contracts with large
community based and tertiary hospital affiliated group practices. 
•Successfully re-contracted with entire behavioral health hospital network,
acute general hospitals with psychiatric units and other institutional providers
signing them to “all-product” agreements.
•Drafted boilerplate contracts for professional and institutional providers with
Legal Department. 
•Contracted with institutional and large group practices to support company wide
managed care vendor carve-in initiative of approximately 1.7M members. 
•Led cross functional team in complex re-contracting initiative with community
mental health centers across Massachusetts. Coordinated change in reimbursement
methodology from institutional to professional billing format including multiple
provider communications.
•Partnered with Provider Audit, Provider Relations and Claims area to enforce
financial provisions of acute general hospital and physician group contracts and
resolve billing discrepancies. 
•Led cross functional teams in implementation of Division of Insurance mandated
intermediate level of care benefits, e.g., residential, crisis intervention and
partial hospitalization. Drafted rate filings as needed with Division of Health
Care Finance & Policy.

Division of Medical Assistance, Boston, MA 
2002-2003
Interim Director, Acute Hospital Program 
•Executed signed contracts with sixty-eight acute care hospitals with combined
spending of $800M. 
•In conjunction with Office of Strategic Purchasing, Division of Health Care
Finance and Policy and the Division’s Budget Department analyzed current,
developed, implemented and evaluated new reimbursement methods and policies.
Complete contract amendments and regulation changes.
•Designed and delivered PowerPoint presentations to groups of hospital
executives. 
•Evaluated Division’s and provider compliance with regulatory and contractual
requirements. 
•Developed statistical and financial report on Massachusetts hospitals for use
by Commissioner. 
•Supervise professional staff in day-to-day management of program activities. 
 
Correctional Medical Services, Dedham, MA 
2001
Financial Manager

•Oversaw financial performance and contract compliance for comprehensive managed
care plan worth $55M annually and covering over ten thousand lives.
•Developed position control and other mission critical analysis to support
proposal for renewal of Massachusetts Department of Corrections contract.
Compiled budget for entire program. 
•Solicited bids and participated in negotiating terms with subcontracted
providers for radiology, lab, dental, ambulance and hospital services.
Communicated contract terms to field personnel.
 
New England Medical Center Hospitals, Boston, MA 1995 to 2001
New England Eye Center 1999 to 2001
Administrator 
•Reporting to the Chairman of Ophthalmology, overall responsibility for
financial and operational issues for 22 F.T.E. physician group with $12M in net
revenues, 75K clinic visits per year and 100 employees. 
•Achieved a $1M financial turnaround and awarded significant salary increases
and bonuses to staff. 
•Performed utilization analysis, prepared presentation materials and negotiated
a twenty percent increase in rates on a large managed care contract. Maintained
positive relationships with plan representatives.
•Presented business case to Hospital Finance Committee and secured funding for
large space renovation and capital equipment purchase. Negotiated price and lease
terms on other medical equipment.
•Redesigned encounter form for seven hospital based clinics allowing for
enhanced revenue capture and streamlined billing process. Implemented
departmental procedures reducing A\R from 130 to 70 days.
•Developed financial reporting tool to measure physician productivity and
profitability. 
 
New England Medical Center Hospitals, Boston, MA 
New England Health Care Foundation
1995 to 1999
Budget & Financial Reporting Manager 
 
•Designed and implemented annual and monthly budget process for seventeen
professional corporations. 
•Automated production of presentation quality monthly financials and supporting
schedules.
•Reviewed progress toward achievement of budget with Physicians, Administrators
and Hospital Senior Management. Provided productivity analysis, cost and other
financial information for discussion.
•Coordinated collection of physician time studies for inclusion in hospital Cost
Reports.
•Maintained physician and support staff position control system.
•Prepared due diligence information for potential merger partners.
•Hired, supervised and evaluated six support staff in two departments; Budget
and Systems.
•Implemented help desk software and managed multiple projects to completion.

National Medical Care, Inc., Boston, MA
1993 to 1995
Operations Analyst
 
New England Deaconess Hospital, Boston, MA 
1989 to 1993
Senior Financial Analyst
 EDUCATION

Western New England College, Springfield, MA 
M.B.A. - Health Care Management, December, 1993 

Bentley College, Waltham, MA
Graduate Certificate, Computer Information Systems, December, 1987

University of New Hampshire, Durham, NH
Bachelor of Science, Business Administration, May 1982 

COMPUTER SKILLS
Excel, Word, General Ledger and Powerpoint – Expert 
Access, IDX – Intermediate