Michael Tucker

Michael Tucker

Assoc. Director/Director-Managed Care

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location of Michael TuckerJacksonville Beach, Florida, United States

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  • Timeline

  • About me

    1

  • Education

    • University of Iowa

      1980 - 1983
      Master's-Hospital & Health Administration Health Adminstration

      Activities and Societies: Letourneau Award nominee

    • University of Iowa

      1972 - 1977
      Bachelor of Arts (B.A.) with honors Psychology

      Activities and Societies: Lifetime Alumni member

  • Experience

    • Shands Jacksonville/Methodist Medical Center

      Sept 1997 - Oct 2000
      Assoc. Director/Director-Managed Care

      Serve as SME @ Methodist Medical Center & lead all Payer contract negotiations, member of upper mgt. leadership for planning & facilitating the creation of Shands JAX(merger of former Methodist and University Medical Centers; responsible for integration of managed care business

    • PARTNERS National Health Plans of N.C., Inc

      Oct 2000 - Dec 2002
      Vice President, Netwok Development & Management

      Member of upper mgt. team responsible for P & L (~$700m), strategic planning, provider network development, provider contracting and relations, internal workflows including corporate wide Critical Path Methods process

    • DNM Consulting (health care business)

      Jan 2003 - Dec 2005
      Senior Consulting Partner

      Health care business consulting in multiple aspects of health care delivery, operations, contracting & reimbursement

    • Shands Healthcare & U of Florida Physicians

      Jan 2006 - Jun 2008
      Manager-Managed Care

      System-wide (8 hospitals, 1,400 MDs & all ancillaries) contract negotiations with assigned Payers, primary liaison for all input from internal stakeholders including senior mgt.; lead negotiations w/ external customers (HMOs, PPOs, MCOs, Behavioral Health, Gov't payers, i.e. Work Comp, Medicare, Medicaid, etc.

    • ProCure Treatment Centers, Inc.

      Jun 2008 - May 2010
      National Director Managed Care

      Served as corporate SME, lead negotiator on all major Payer contracts, achieved significantly higher contracted reimbursement compared to corporate pro formas and investment banking & private equity partner models, etc.

    • Florida Income Properties Management

      Jun 2010 - now
      General Manager/Owner

      Know & adhere to applicable local, state & federal housing regulation, inc. Section 8 HUD, etc., Conduct Applicant interviews, responsible for income generation, expense management, property tax & ins. escrow, property maintenance, etc.

  • Licenses & Certifications

    • National Assoc. of Long Term Care Administrator Boards (NAB current)

      Jan 2014
    • Juran Institute for Quality-CQI

      Florida-SunHealth Care Plns of Florida
      May 1992
    • Phillip B. Crosby Quality Institute-TQM

      Mutual of Omaha
      Mar 1990
  • Volunteer Experience

    • Chair, Staff Parish Relations

      Issued by Glynea Grace UMC-Jacksonville, FL
      Glynea Grace UMC-Jacksonville, FLAssociated with Michael Tucker
    • Staff Parish Committee

      Issued by UMC of Interlachen
      UMC of InterlachenAssociated with Michael Tucker
    • Lay Director

      Issued by FL Crown Emmaus on Oct 2011
      FL Crown EmmausAssociated with Michael Tucker