Anthony J. Bugel
Profile
Tony Bugel's more than twenty-five year career includes serving as Chief Financial Officer, Chief Operating Officer and President for companies in the healthcare and health insurance industries. During his career he focused on expense reduction and control. He received a CPA certificate in the Commonwealth of Pennsylvania and earned a Masters degree in Industrial Administration from Carnegie-Mellon University.
Tartan Financial Services, LLC, Chapel Hill, North Carolina, 2010 - Present
Tartan Financial Services, LLC provides financial solutions and healthcare consulting services for businesses in North Carolina.
President
Financial solutions offered include:
Reduction of credit card interchange swipe fees incurred by merchants by insuring compliance with interchange rules and regulations.
Cost recovery strategies that enable companies to reduce operational expenses, and locate and receive money that is available through federal, state and local stimulus and incentive programs.
Healthcare consulting services offered include:
Strategy formulation, business plan development, organization structure design, new business venture development, provider contract negotiation and administration, underwriting and premium rate setting, medical and administrative expense analysis, budgeting, and regulatory compliance for payers and providers.
Tatum LLC, 2005 - 2010
$200M revenue Atlanta based executive services firm delivering strategic, financial and technology leadership through 1,000 tenured CFO’s, CIO’s and Controllers operating from 37 U.S. cities.
Partner, Healthcare Finance, where assignments included:
Interim Controller at a $700M, 283 bed hospital. Managed all accounting functions while serving as the primary point of contact with Big 4 accounting firm during the successful, timely completion of the annual audit.
Interim CFO at a $10M home healthcare company. Finalized the annual budget and acquisition plan. Evaluated proposals for the replacement of the existing $1M revolving bank line of credit and $3.5M acquisition term loan.
Interim CFO at a $23M medical clinic. Led year end audit preparation work and audit report finalization for audit year ending 18 months prior. Negotiated extension of $750,000 revolving bank line of credit. Led new audit firm selection process.
Interim CFO at a $40M multi-site 760 bed Continuing Care Retirement Community that encompassed independent living units, assisted living units, nursing care beds and dementia care beds. Maintained existing bond issue letter of credit bank and investment banker relations, while updating all parties with respect to a new bond issue needed for construction of a 106 unit independent living tower and health and wellness center.
IBM Corporation, 2002 - 2005
Associate Partner, Financial Management, Business Consulting Services for the world’s largest provider of information technology products and services where he developed a payer services offering aimed at reducing healthcare administrative expenses by utilizing new claims processing technology and outsourcing of administrative functions, led the development of Revenue Cycle assessment guidelines, and enhanced the relationship with an existing $100M healthcare strategic outsourcing client by driving the development of a successfully launched consumer-directed health product and evaluating new claims processing technology.
Mid-Atlantic Permanente Medical Group, 1999 - 2002
Vice President, Business Development and Finance for the 700-physician multi-specialty medical group providing medical services to 530,000 Kaiser Foundation Health Plan members with $250 million in annual revenue where he developed a consistent provider contract re-negotiation strategy and improved claims adjudication while serving as Interim Vice President of Contracting and Provider Relations for Kaiser Foundation Health Plan, launched a laser vision correction venture with Kaiser Foundation Health Plan that achieved first year profitability, and negotiated favorable compensation and incentive arrangements with Kaiser Foundation Health Plan.
Pyramid Health, Inc., 1997 - 1998
Vice President and Chief Financial Officer for this 100,000 member, $90 million annual revenue provider-sponsored for-profit integrated delivery system owned by five physician organizations and five hospitals where he formulated and received Board approval for a break even medical expense budget that included modifications to utilization targets, capitation arrangements, fee schedules and physician-hospital risk sharing; administered four capitated ancillary medical services contracts; and developed physician-hospital risk pool financial statements that benchmarked and evaluated medical management performance.
Blue Cross of Western Pennsylvania, 1986 - 1996
Vice President, Finance from 1995-1996 for the largest health insurer in Western Pennsylvania with 2.5 million members, $2.1 billion annual revenue where he was responsible for all general accounting, reporting, financial forecasting and analysis, cost accounting and employee group billing and settlements, and the integration of the Keystone Health Plan West financial operations into the financial operations of Blue Cross of Western Pennsylvania.
Chief Financial Officer, Keystone Health Plan West, Inc. from 1986-1994, a 165,000 member HMO with $400,000 annual revenue where he launched new HMO, recruited physican network and corporate staff, developed financial and marketing plans, negotiated provider risk contracts, developed a coordinated pricing strategy that aligned with the sales strategy while maximizing revenue, and developed physician risk sharing methodologies. HMO received State Insurance Department approval to operated, achieved financial break even in 3.5 years and growth to 150,000 commercial members within eight years.
HealthAmerica Pittsburgh, 1981 - 1985
President and Chief Executive Officer where he directed the operations of the group model HMO that grew from 18,000 members and break even profitability to 78,000 members and 9% profit margin in four years. He was promoted to Chief Executive Officer after executing the successful strategic growth plan while serving as Chief Operating Officer and Chief Financial Officer.
Additional Career Experience
Housing Mortgage Inc., Chief Financial Officer
American Shear Knife, Product Manager
Arthur Young & Company, Senior Consultant
Education
Carnegie Mellon University Master of Science – Industrial Administration
Carnegie Mellon University Bachelor of Science – Metallurgy and Materials Science
Professional Affiliations
CPA Certificate, Commonwealth of Pennsylvania (not licensed to practice in NC)
Treasurer, Board of Directors, Freedom House Recovery Center, Chapel Hill, NC (www.freedomhouserecovery.org)
