Frank Leider is a seasoned and successful Healthcare Finance executive, with primary emphasis in assisting Managed Care organizations effectuate change.

He has experience in all phases of the business cycle, from start-up to  wind-down and dissolution. His Managed Care Consulting experience, along with his CPA licensure, is invaluable to Healthcare providers and payors, alike.

His knowledge and experience enabled him to design revenue enhancing and cost saving initiatives in both new and mature companies.  Frank’s technical and financial knowledge is extensive.  He has developed processes to support complex Healthcare functions such as pricing, claims adjudication, audit programs, and internal and regulatory mandated reporting.

Education:

Managed Care

HIP Health Plan of New Jersey—Director / Deputy Liquidator On-site supervision of the Rehabilitation and Liquidation activities for this Health Maintenance Organization with revenues in excess of $350 million and members in excess of 200,000. Processed over 8,700 Proof of Claims.
Responsibilities included:
- Investment Banking sale of assets
- Forensic Accounting in support of litigation and settlements
- Development of Proof of Claims and Notice of Determination processes
- Accounting, investments, and funds management
- Medical claims adjudication processes
- Audit management resulting in over $7.5MM in recovered cash
                
Commonwealth Health Associates (CHA) - Financial Manager for the start-up of this state-wide Health Maintenance Organization.  Responsible for finance and accounting including state regulatory reporting, Department of Insurance audits, IBNR reporting, provider contracting fee arrangements, risk management, and underwriting.
 
Regional Managed Care Organization - Managed MIS, claims processing, provider reimbursement, billing and enrollment, and human resources.
 
Other Industry Experience

Rand McNally - Controller with Division responsibility

Commercial Map - Director of Operations

Champion Map - General Manager

Education:

MBA, Finance and Marketing, University of Chicago
BS, Accounting, University of Illinois

Certifications:

Certified Public Accountant, IL

Florida: 440-842-6410
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