ROBERT BRIAN OOTON

5528 York County Road

Columbus, Ohio 43221
614.850.8313 - home
614.286.4295 - mobile
rocd9616@westpost.net
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CONTRACTS * COMPLIANCE * CONSULTING
Demonstrated research, analysis, project management, and communication strengths
-analyzed contracts and legislation to define the legal and financial language t
hat best mitigated risk, maximized revenue, and fueled negotiations for a client
portfolio valued at more than $550+ Million.
Proven ability to reduce exposure and improve controls through first-time proces
s design-created the operating infrastructures, policies, processes, and procedu
res necessary to drive consistency within organizations, improve efficiencies, e
nhance team-wide effectiveness, and control risk.
Leverage analytical and administrative skills to work with key organizational st
akeholders-cultivate strong relationships with financial, technical, and adminis
trative contributors, both internally and client-side, facilitating the developm
ent and deployment of robust processes and solutions.
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CORE SKILLS
* Costing, Forecasting, & Budgeting
* Interest-Based Negotiations
* Financial & Legal Analysis
* Relationship Cultivation
* Client Acquisition
* Federal & Ohio Business Law
* Process & Procedure Design
* Technology Deployment
* Regulatory Compliance
* Training & Coaching
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EXPERIENCE
Strategic Health Care, Columbus, Ohio
Client Manager, 2007-2009
Performed financial analysis, legislative review, and negotiations for multimill
ion-dollar managed care contracts-$.5 Billion for key client-on behalf of large
hospital networks, provider associations, nationwide wound care suppliers, state
wide provider networks, physician practices, and surgery centers. Forged long-te
rm relationships between clients and insurers, liaising between process stakehol
ders to resolve potential concerns surrounding changing legislation and contract
compliance. Developed revenue projections, and assisted clients with determinin
g and allocating costs, in an effort to provide key organizational leaders with
the quantitative data to make informed financial decisions.
* Played a critical role in the review, analysis, and re-negotiation of 50+ cont
racts-in under 60 days-for Christ Hospital, resulting in an average reimbursemen
t gain of 7% despite reduced bargaining power due to separation from Health Alli
ance; thwarted potential losses caused by legislative changes, cutting organizat
ional exposure in half for managed Medicare plans.
* Improved organizational efficiencies and effectiveness through design of first
-time formalized processes in such areas as financial analysis and metric tracki
ng; created sharing tools, group documents, and data repositories to ensure maxi
mum synergies throughout the team.
* Circumvented added competitive pressures and depleted revenue opportunities fo
r clients, by identifying areas of concern in HB125 and securing language modifi
cations to protect the interests of Strategic's clients, and specifically exclus
ivity contracts for select provider types.
* Bolstered clients' trending and reporting capabilities by advising on the depl
oyment of financial systems, translating contract language to programmer-friendl
y reports, and creating the analytical tools to demonstrate the impact of new te
rms and methodologies on expected income.
* Performed significant research and costing work to design a chargemaster for A
dvanced Tissue and Redbank Ambulatory Surgery Center, ensuring appropriate prici
ng structures not only based on regional norms, but the drilled-down cost of goo
d and services.
* Assisted in new business acquisition efforts, serving as the finance expert on
the team to facilitate a client's understanding of the impact Strategic Health
Care could have on an organization's bottom line.
Molina Healthcare of Ohio, Inc., Columbus, Ohio
Consultant, 2006-2007
Consulted with the Provider Services Department to review healthcare contracts f
or accuracy, completeness, and mitigation of potential legal concerns. Spearhead
ed project management functions and facilitated cross-department relations as a
liaison between Provider Services, Contracting, and Credentialing. Coordinated t
he efforts of up to 20 project-based team members, serving as their trainer and
'go-to' resource for contract review-related questions. Played a critical role i
n audit preparation.
* Developed a first-time system to manage workflow and ensure process consistenc
y throughout the organization; analyzed existing practices to identify gaps and
redundancies, and enacted process improvements which generated efficiency gains.
* Ensured process changes accounted for the needs of various teams, working coll
aboratively with multiple departments and the parent company in California to dr
ive consistency in the application of processes, procedures, and policies.
* Improved access control, mitigated risks, and reduced expenses by initiating p
rojects to improve existing systems and create first-time operational expectatio
ns. Managed a project to take Provider Services paperless, automated healthcare
professionals' contract and application processes, and migrated provider data fr
om an overburdened spreadsheet to an efficient database.
* Assisted in handling and resolving ODJFS complaints by researching issues, con
tacting providers, developing corrective action plans, and driving internal and
ODJFS compliance.
Gained foundational exposure to corporate and personal taxation, reporting, and
compliance as an office assistant and clerk with the Illinois Department of Reve
nue.
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EDUCATION
University of Akron School of Law, Akron, Ohio
JD, Concentration in Corporate Law, 2006
Honors: CALI Award for the highest grade in Accounting & Finance for Lawyers; De
an's List
Illinois State University, Bloomington-Normal, Illinois
BA in Political Science, Concentration in Law & Global Studies, Minor in Economi
cs, 2003
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AFFILIATIONS
Registered Attorney, Supreme Court of Ohio, #0081186
Member, Ohio State Bar Association
Member, Columbus Zoo & Aquarium Colo Club