E.M. DUKE & ASSOCIATES, LLC

"Advanced strategies for managed care and revenue cycle management For Hospitals and Health Care professionals"   


Resume

EDWARD M. "MICKEY" DUKE


E.M. DUKE AND ASSOCIATES, LLC A national managed care and revenue cycle consulting firm, Las Vegas, Nevada, 2002 to the present

 

OASIS HEALTH SYSTEM, LLC - An alliance of acute, sub-acute and ancillary services partners, Las Vegas, Nevada, 2002 to the present

                Chief Executive Officer.  Negotiated and managed multiple HMO / PPO contracts with regional and national health plans on behalf of the alliance partners.  The alliance includes five Las Vegas, Nevada acute care hospitals of Universal Health Services, three small critical access hospitals surrounding Las Vegas, and several sub-acute and ancillary services partner providers.

 

UNIVERSAL HEALTH SERVICES, INC. - Publicly-traded national hospital and PPO company, Las Vegas, Nevada, 1994 to 2002

                Senior Director of Managed Care – Western Region   (1994 - 2002).  Nevada, Washington state and California managed care contracting for 7 hospitals in four markets, plus contracting oversight to all UHS hospitals and UHS managed care companies nation-wide.

 

SIERRA HEALTH SERVICES, INC. - Publicly-traded, west coast managed healthcare company (including HMO-Commercial and Medicare, PPO, ASO, and workerscompensation product lines), Las Vegas, Nevada, 1985-1994

                Director, New Business Development (1994) – Implemented regional expansion, joint ventures, strategic alliances, and acquisitions

    Director, Corporate Provider Services (1989-1993) – Directed the corporate provider credentialing, contracting, network policy development, communication, and servicing function of regional/ national HMO, PPO indemnity plans and administrative services; contracted provider networks in eleven states, and 52,000 providers; implemented new full-service, state-wide provider networks in 6 western and 4 southeastern states.

    Executive Director of Medical Affairs (1986-1989). – Directed corporate provider policy development; delivery system development and provider relations; managed: pharmacy services, utilization review and quality assurance programs, medical policy and benefits interpretation, and member services.


VARIOUS OTHER POSITIONS INCLUDING: Director/ Medical Delivery Systems for Health Plan of America; Executive Director for Lane County Medical Society, Executive Director for the Western Oregon Health Systems Agency.


EDUCATION

 

Masters Degree in Urban Planning/Administration, University of Oregon, Dept. of Planning, Public Policy and Management; Teaching Fellow; Eugene, Oregon

A.B. Degree in Social Sciences, San Diego State College (California State University at San Diego), Honors at Entrance, Graduation with Distinction.

 

 PROFESSIONAL MEMBERSHIPS, ACADEMIC RELATIONSHIPS, HONORS

 

Healthcare Financial Management Association

  • Regional Executive Council (National Board representing Western States Region 11, 2009-2010)
  • Lead author, 2007-08 HFMA Managed Care National Certification Exam Study Guide
  • Nevada Chapter President (2005-2006); Chapter earned five national merit awards/honors that year
  • HFMA National Managed Care Advisory Council member (1999 to 2002 term) 
  • Winner of the HFMA “Managed Care Excellence Award” – One of 4 National recipients in 2000
  • HFMA Service Award Recipient: Fulmer Bronze (2001), Reeves Silver (2003), Muncie Gold (2005), and Medal of Honor (2008)

 

Past Faculty – University of Nevada-Las Vegas, University of Oregon, and Oregon State University

  • Adjunct Faculty / Professional Staff of the University of Nevada Health Administration Program, University of Oregon and Oregon State University.

 

Additional Honors

  • Guest Speaker at multiple State and Regional HFMA Conferences and other national symposia
  • Named to “Marquis Who’s Who in the World / America / Medicine and Healthcare / Executives and Professionals” since 2004, and multiple registries and listing publications

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