Roger W.

Allison 4520 Brookridge Drive 972-680-7930 (h)

Richardson, TX 75082 214-762-2145 (c)
rac18768@westpost.net
MANAGED CARE / HEALTHCARE OPERATIONS
I am a strategic and creative managed care professional with significant experie
nce in managed care operations including network design and analysis, network a
nd service area expansions, provider contracting, analysis of options and altern
atives that provide favorable or creative solutions, motivate and influence staf
f, and am committed to superior customer satisfaction. Addition experience incl
udes both inpatient and outpatient hospital operations, and ambulatory (medical
office) operations.
PROFESSIONAL EXPERIENCE
August 09 - June 10 UnitedHealth Group (UnitedHealth Military & Veterans Servic
es) - Ewings Associates, Inc. - Senior Network Manager (Team Lead)
* Worked in concert with the Director of UMVS Network Development and others to
design and implement a provider contracting strategy for the North Texas service
area which incorporated 162 counties.
* Reviewed numerous documents, policies, contracts, and other business developme
nt related plans to ensure compliance and/or cohesiveness with existing Texas pr
ovider practice guidelines.
* Contracted with physicians, ancillary providers and hospitals.
September 99 - December 08 Aetna Health, Inc. - Dallas, Texas - Network Manager
* Responsible for the development and management of the Aetna North Texas Provid
er Network geographically located in the counties north, east, and south of the
Dallas/Ft. Worth metroplex (27 counties). Also supported the Dallas market by r
e-negotiating the Dallas Parkland Hospital agreement.
* Contracted hospitals, physicians, and various ancillary providers (26 hospital
s, approx. 1,700 physicians). Facilitated and/or assisted with claims and/or ge
neral customer service needs.
* Built and maintained good working relationships with hospital management and a
ll physician and ancillary provider offices in a continuing effort to enhance th
e relationships between providers and Aetna.
August 97 - November 98 East Texas Medical Center Regional Healthcare System -
Tyler, Texas
Executive Director - Manager Care
Executive Director - FirstChoice Provider Network
* Conducted all managed care activities for ETMC - Tyler.
* Provided managed care assistance/counsel to the administrative staff at all ot
her ETMC affiliate hospitals (13 hospitals in system) related to all managed car
e issues.
* Developed the network and marketed the FirstChoice Provider Network, an ETMC w
holly owned and managed messenger model PPO network. FirstChoice was a "start-u
p" operation.
* Contracted with approximately 1,000 physicians, 27 hospitals, and numerous anc
illary providers.

Roger W. Allison
Page 2
January 95 - August 97 NYL Care Health Plans of the Southwest, Inc. - Irving,
Texas
Network Manager, New Markets
* Developed and managed a comprehensive Provider Network in the outlying countie
s of north Texas defined by NYLCare as "expansion" areas.
* Responsible for the development and/or day to day operation of markets in such
areas as East Texas, San Angelo, Amarillo, Waco and El Paso.
April 98 - December 94 Kaiser Permanente - Dallas, Texas
Medical Offices Administrator
* Provided administrative direction for the Southwest Dallas Medical Office (15
physicians) and the Mesquite Medical Office (10 physicians).
* Responsibilities included oversight of primary care services including interna
l medicine, family Practice, pediatric, and OB/GYN as well as behavioral health,
optometry, laboratory, radiology, and pharmacy.
October 86 - November 88 John Peter Smith Hospital - Fort Worth, Texas
Director, Outpatient Services
* Responsible for the operation of all Outpatient Clinics, the Family Health Car
e Center (the training facility for the Family Practice Residency Program of the
University of Texas Southwestern Medical School in Dallas), and the Employee He
alth Clinic.
* Combined the clinics that saw approximately 145,000 patients annually.
December 75 - June 86 Parkland Memorial Hospital - Dallas, Texas
Operations Manager, Surgical Patient Care Center
Director, Parkland Blood Donor Center
Division Manager, Surgical Patient Care Center
Assistant Division Manager, Surgical Patient Care Center
Technical Coordinator, Parkland Burn Unit
Manager, GI Lab
EDUCATION, SPECIAL TRAINING LICENSES
BBA - Marketing - The University of Texas at Arlington