SCOTT M.

MCKENNA DO, MPH, MSc

13355 North Hwy. 183 a Austin, Texas 78750
512-217-0352 a smf7c0e4@westpost.net
See Linkedin:
http://www.linkedin.com/pub/scott-mckenna-do-mph-msc/9/358/a35

SENIOR EXECUTIVE:
Quality, Regulatory Compliance, Credentialing
Diversely talented and demonstrably effective executive leader with 12+ years re
ducing costs for managed care providers and ensuring their highest possible qual
ity, complemented by 7+ years in the field conducting medical surveillance and p
roviding direct care. Highly effective at improving quality and reducing cost th
rough creative solutions that utilize information technology, improved communica
tion, and enhanced policies and procedures. Talent for gathering and analyzing h
ealth plan data and applying to achieve improved health care quality and records
accuracy. Vastly experienced in fraud detection and prevention, grant funding s
upport, and regulatory review and compliance, including authoring and revising q
uality assurance manuals. Interpersonally gifted, with unique talents for collab
oration, empathy and motivation.
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Regulatory Compliance a Quality Control & Assurance a Cost Reduction a Auditing
a Training
New Product Development a Policies & Procedures a Information Technology a Board
Relations
Privacy Protection a Continuous Process Improvement a Document Management a Accr
editation
Cradle-to-Grave Procurement a Consensus Building a Project Management a Fraud De
tection
Financial Restructuring a Business Re-engineering a Relationship Management a Ri
sk Prevention
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PROFESSIONAL EXPERIENCE
HEALTH INTEGRATED, Tampa, Florida a 2009
Provider of targeted population management services for both clinical and behavi
oral health insurance products on behalf of 13 health plans. A venture capitalis
t and call center vendor based organization incorporated in Delaware.
Sr. Vice President of Quality and Regulatory Compliance / HIPAA Privacy Officer
Supervised compliance with companywide quality initiatives. Oversaw compliance w
ith HIPAA privacy and HITEC regulatory requirements. Ensured documentation, proc
edures and best practices to maintain NCQA accreditation and URAC certification.
Fulfilled accountability reporting to the CMO.
FAMILY MEDICAL LEAVE (SABBATICAL) - 2008
FIRSTCARE HEALTH PLANS, Austin, Texas a 2001-2007
Provider of health plan insurance products including life and dental insurance t
o 160,000 members in western Texas and eastern New Mexico. Annual revenue $200 m
illion.
Vice President of Health Plan Quality and Credentialing / Fraud Compliance Offic
er /
HIPAA Privacy Officer
Supervised compliance with Healthcare Effectiveness Data and Information Set and
other companywide quality initiatives. Oversaw credentialing of health care pro
viders and compliance with HIPAA privacy and data storage requirements. Ensured
documentation, procedures and best practices to guard against fraud. Fulfilled a
ccountability reporting to board of directors and CEO.
Financial Contributions
a Reduced costs 40%, or $200,000, by improving information technology and outsou
rcing in-house services to cost-effective vendors.
SCOTT MCKENNA a Page 2 a smf7c0e4@westpost.net
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a Saved 1-3% of total revenue by creating Special Investigative Unit to address
fraud cases.
a Averted $100,000 in fines by leading company to perfect test scores on previou
sly failed Department of Insurance quality exam.
Operational Enhancements
a Reduced record-processing time by 80%, from 45 to 9 days, saving $140,000 annu
ally, and slashed credentialing errors 91%, by converting credentialing document
s to electronic images.
a Rewrote companyas policy and procedure manual, began quarterly audits, and pro
vided annual training for health plan employees to ensure federal HIPAA privacy
compliance.
a Created risk prevention programs by identifying high-risk health plan areas.
a Named 2003 Leader of the Year and February 2003 Leader of the Month.

WELLPOINT-UNICARE, Houston, Texas a 1996-2001

Provider of health care insured and managed care products, including dental, lif
e and COBRA insurance, to 350,000 members throughout Texas. Annual revenue $1 bi
llion.
Director, Medical Quality Management
Created and implemented Quality Improvement work-plan, program description and a
nnual evaluation. Ensured state and federal regulatory compliance, and fielded i
nquiries from review and auditing organizations. Developed HMO procedures for cr
edentialing, medical policy review, technology assessment, and hearing of compla
ints and grievances. Led Quality Improvement and National Credentialing committe
es.
Key Contributions
a Led establishment of HMO product line throughout Texas 5 months ahead of sched
ule and 23% under budget, saving $120,000.
a Reduced credentialing committee review time 75%, from 4 days to 1, by developi
ng prioritization process for credentialing applications.
a Recipient of Growing the Business 1998 award.
a Honored as Outstanding Employee of the Month 2000.
AETNA HEALTH PLANS OF TEXAS, INC., Houston, Texas a 1995-1996
Health care, dental and life insurance provider for 300,000 members throughout T
exas.
Director of Quality Improvement
Oversaw $1.2 million team budget to ensure health plansa compliance with state a
nd federal regulations and satisfaction of NCQA quality assurance standards. Led
Quality Improvement Committee, created all components of Quality Improvement Pr
ogram, and prepared health plan for NCQA auditing accreditation survey.
Key Contributions
a Contributed to 97% exam score and earning of national accreditation.
a Improved access and retrieval of NCQA survey documentation by creating electro
nic storage system.
a Named Employee of the Month March 1996.
CENTERS FOR DISEASE CONTROL / HEALTH AND HUMAN SERVICES COMMISSION, Houston, Tex
as a 1992-1994
Federal 3-year grant to document HTLV-III viral activity in Houston metropolitan
statistical area.

SCOTT MCKENNA a Page 3 a smf7c0e4@westpost.net

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Medical Surveillance Epidemiologist
Discovered potential HTLV-III viral exposure and documented confirmed cases, uti
lizing physician records, hospital admissions and lab results.
a Improved case confirmation 17%, and earned $75,000 in federal funding, by work
ing with labs that perform CD-4 quantitative analysis to confirm diagnosis of su
spect cases.
UNITED STATES AIR FORCE-CARSWELL AIR FORCE BASE, Fort Worth, Texas
Nationas largest active flight center for Strategic Air Command forces.
Chief of Flight Medicine Division / Flight Surgeon
Oversaw 32-person staff in providing all health care to 4,300 active flight pers
onnel and their families. Provided emergency medical response to aircraft incide
nts and accidents.
a Honored with USAF Longevity Service Award and USAF Training Ribbon.
a Named one of Outstanding Young Men in America in 1987.

EDUCATION
Master of Public Health
Harvard School of Public Health, Boston, Massachusetts
Doctor of Osteopathic Medicine
Kirksville College of Osteopathic Medicine, Kirksville, Missouri
Master of Science in Biology (Emphasis in Cellular Physiology)
Bachelor of Science in Biology
Truman State University, Kirksville, Missouri

ADDITIONAL PROFESSIONAL EXPERIENCE

Post-Graduate Internship, Doctor of Osteopathic Medicine
South Bend Osteopathic Hospital, South Bend, Indiana
Occupational and Environmental Medicine Residency
University of Texas Health Science Center, School of Public Health, Houston, Tex
as
Aerospace Medicine Residency Training
Brooks Air Force Base, U.S. Air Force, Brooks City, Texas

PROFESSIONAL DEVELOPMENT
U.S. Air Force Flight Surgeon Training (Brooks Air Force Base)
U.S. Air Force T-37 Flight Training (Randolph Air Force Base)
Medical Surveillance Epidemiologist Training (Centers for Disease Control)
NCQA Training Modules for MCO Quality and Credentialing Survey Design
Audit Training (Texas Department of Insurance)
HIPAA Privacy Officer Training
Fraud Compliance Officer Training (National Healthcare Anti-Fraud Association)

SCOTT MCKENNA a Page 4 a smf7c0e4@westpost.net

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AFFILIATIONS
American College of Medical Quality
American College of Preventive Medicine
American Health Quality Association
Health Care Compliance Association
International Society for Quality in Health Care
National Health Care Anti-Fraud Association