Physician executive and clinician, Board Certified Child and Adolescent Psychiatrist, former HMO Medical Director, with current academic credentials and more than ten years of management experience In a variety of settings. Strong clinical background in both primary care and behavioral health care medicine. Demonstrated strengths include leadership, communication skills, team building, entrepreneurship, innovation, utilization and quality management, managing physician performance and behavior, physician profiling, clinical guideline development and implementation, negotiation, and financial decision-making

Professional Experience

Barry K. Herman, M.D., & Associates, P.A.

Austin, Texas

October, 1999-Present President and Chief Executive Officer.

President and CEO of a Professional Association specializing in child, adolescent and adult psychiatry; forensic psychiatry; and behavioral healthcare system consultation. Private practice in Austin, TX, September 1989-April 1996.

United Healthcare of Texas, Inc.

Corpus Christi, Texas

August 1998-July 1999

Medical Director. Medical Director of an open-access, mixed model HMO with 30,000 enrolled members and approximately 1,400 physician network providers covering 22 counties in South Texas. Responsibilities included reorganization and oversight of the health services department; medical utilization and quality management; credentialing; provider contracting; clinical profiling; disease management program development; committee support; provider network management; NCQA survey preparation.

Achievements: Reorganized Health Services Department; created work plan for medical management including new work flow processes for utilization review and for case management; developed a medical expense management plan; received United Medical Excellence Award for Responsibility and Accountability in medical management in April, 1999.

Position was eliminated as part of corporate downsizing and reorganization. I did not accept an offer to relocate to the United Healthcare Houston Division

FIRSTCARE Southwest Health Alliances

Austin, Texas

April, 1996-April 1998

Vice President, Corporate and Regional Medical Director, Interim Regional Executive Director.

Corporate Medical Director (4/96-4/98) of a Texas, hospital-owned, network model HMO with over 100,000 enrolled members (9,000 Medicaid members) and over 2,000 network physician providers in four large geographic regions (greater than 100 counties).

Key Responsibilities: Liaison to plan regional medical directors; Physician profiling; Medical management policies and procedures; Medical Advisory and Medical Technology Assessment Committees; Corporate provider credentialing oversight.

Regional Medical Director of Amarillo Regional Plan (4/96-6/97) with 50,000 enrolled members and over 450 network physician providers

Key Responsibilities: Utilization Management; Credentialing; Quality Management; Physician Committee Support; Provider Network Management; NCQA Survey Preparation.

Interim Regional Executive Director of Amarillo Plan (3/1-9/1/97).

Key Responsibilities: Plan Operations; Contracting; Marketing; Public Relations.

I requested and received a retention agreement when it appeared likely that the company would be acquired by another health plan.

Capital Area PsySystems, Inc. (dba Capital Area Psych Services, Integrated Mental Health Services)

Austin, Texas

September, 1992- January 1995

Chief Executive Officer and Medical Director. Founded a staff model, multidisciplinary behavioral health care clinic with over 15 full-time equivalent practitioner employees and three practice locations. Responsible for clinical oversight and supervision of program and staff; strategic business planning; development of medical utilization policies and procedures and case management system; clinical program development; contract negotiations; marketing. First national group practice acquisition by Group Practice Affiliates, Inc. I sold my equity position to my partners in January 1995.

Charter Hospital of Austin

Austin, Texas September, 1989-June, 1991

Medical Director Medical Director of a 108-bed, full-service, freestanding psychiatric hospital. Served on all hospital committees including Quality Assurance, Pharmacy and Therapeutics, Infection Control, Credentialing, Peer Review. Took hospital through successful surveys by JCAHO and HCFA. Developed a continuing medical education program.

Greenleaf Center, Inc.

Jonesboro, Arkansas

April, 1987- July 1989

Medical Director, Child and Adolescent Services. Medical Director of a 14-bed adolescent inpatient psychiatric program. Responsible for the overall clinical supervision and development of the program.

The Children's Clinic/Child and Youth Development Center

Jonesboro, Arkansas

August, 1985- July 1989

Primary Care Medicine. National Health Service Corps Scholarship obligation. Developed a multidisciplinary, staff model outpatient child development clinic in association with a private pediatric practice. Received service commendation letter from Surgeon General C. Everett Koop.

Boyer House Foundation San Francisco, California

August, 1984- January 1993.

Chief Executive Officer.

Founder, incorporator and CEO of a California, public benefit, non-profit foundation. Responsible for supervising original feasibility study; applying for 501 (c) (3) tax-exempt status; strategic business planning; marketing; and development of treatment philosophy and clinical program. Developed a joint venture in 1990 with a licensed facility to operate a residential treatment program (Boyer Marin Lodge, 1990-93).

Education

Tulane University/School of Public Health and Tropical Medicine

M.M.M. (Masters of Medical Management Degree), 1998

Stanford University School of Medicine

Fellowship in Child and Adolescent Psychiatry, 1983-85

Herrick Hospital and Health Center

Residency in Psychiatry, 1981-83 (Chief Resident, 1982-83)

Santa Barbara Cottage Hospital

University of Southern California School of Medicine

Residency in Internal Medicine, 1980-81

Tufts University School of Medicine M.D. 1980

University of Southern California

Post-undergraduate study (Pre-Med), 1974-76

Clark University B.A. (Psychology) 1974

 

Certifications

Certified Physician Executive, The Certifying Commission in Medical Management 1998

Certificate in Medical Management, Graduate Program in Medical Management, American College of Physician Executives and Tulane University, July 1997

Diplomate in Psychiatry #27812 (1986), American Board of Psychiatry and Neurology (ABPN)

Diplomate in Child and Adolescent Psychiatry #2189 (1987), ABPN

Diplomate in Adolescent Psychiatry #181 (1993-2003), American Board of Adolescent Psychiatry

Organizations

Fellow, The American College of Physician Executives

Fellow, American Psychiatric Association

Fellow, American Academy of Child and Adolescent Psychiatry

Member, American Medical Association

Member, American College of Managed Care Medicine

Member, Texas Medical Association

Appointments

Clinical Assistant Professor, Department of Psychiatry, Texas Tech University Health Sciences Center

Clinical Faculty, Austin Psychiatric Residency Program

Examiner, American Board of Psychiatry and Neurology

Delegate to Texas Medical Association from Travis County Medical Society

Editorial Review Board, Journal of Managed Care Medicine

Texas Medical Association Medical Directors' Forum

Arkansas Youth Suicide Prevention Commission

Medical Licensure

Texas, California, Arkansas, Mississippi