Brian Johnson, BHM’s President and Chief Executive Officer, has over sixteen years of executive-level experience in the healthcare field. His expansive body of knowledge includes financial analysis, budgeting, claims authorization, credentialing, and pharmacy workflows and processes. Brian has been responsible for the creation and implementation of numerous innovative data and IT systems for large healthcare organizations. This experience includes needs analysis, budget, bid requirements, selection, and implementation of enterprise-wide software solutions.
Brian’s experience also includes projects for multiple state and local governments, including the Department of Health and Mental Hygiene, the State Office of the Attorney General, the State Office of the Legislative Audits, and the Office of the Inspector General. His technical experience includes data mining and analytical services for a contract estimated at $500 million dollars. He also has implemented claims cost avoidance and Medicare eligibility reports (ASP/SWL/ACCESS) that enable internal auditors to analyze claims payment anomalies and Medicare eligibility validation.
Highly experienced in financial planning and reporting, Brian is an expert in cost-containment and ROI analysis for operational change initiatives. He also has developed of a full suite of reports and reporting metrics that enable forecasting of financials, organizational capacity, and requirements based on key population indicators.
Jean Neiner, Senior Vice President of Sales, Marketing, and Client Services with BHM, is a senior-level sales and marketing management professional with more than thirty years of healthcare expertise in strategic sales and marketing management, client services, account management, and customer service. Her experience includes selling solutions across the entire healthcare continuum of health plans, hospitals, health systems, providers, pharmaceutical companies, and retail/specialty pharmacies.
Jean is responsible for strategic planning, sales and marketing management, sales presentations, new client acquisition, sales forecasting, and achievement of described sales goals. Prior to working for BHM, Jean held sales and marketing executive positions with Avatar Solutions, Krames StayWell, and Mosby (Elsevier). At Krames StayWell, Jean was instrumental in transforming the sales team to proficiently sell software solutions to the C-Suite at health plans, hospitals and providers. She has a proven track record of achieving strategic objectives, driving double-digit sales growth, establishing key performance metrics, and retaining 95-98% of the organization’s existing client base.
Annette Ainsleigh, Director of Internal Operations with BHM, is an operations professional with over twenty years of experience. Prior to joining BHM, she worked as an executive assistant at Health Integrated, where she provided operational support to key executive staff, directors, managers, and supervisors of the company’s customer delivery team. Her expertise includes human resources, training, and optimization of all internal operations activities.
She is also skilled in heavy analysis, writing, and report preparation in support of management decision-making, and is highly adept in managing operational metrics and measures, including status reports and cost analyses. Annette’s judgment, decision-making capabilities, negotiating, and expediting skills make her a valuable member of the BHM team.
Linda Ross, a Senior Consultant with BHM, has administrative and clinical experience both in the managed care setting as well as acute hospital. She has extensive expertise with regulatory compliance for state licensures and required certifications. Linda is a subject matter expert with URAC applications for Case Management, Utilization Management, Network Operations and Specialty Pharmacy. With a proven track record of successfully instituting utilization management programs in two managed care companies and an acute care hospital case management program, Linda increased profitability while maintaining compliance with URAC standards in Pre-certification/Case Management.
Linda’s knowledge in the URAC accreditation arena, with Case Management and Specialty Pharmacy, has been integral in creating policies and procedures, patient education, quality management, and outcome reporting with performance improvement recommendations. She is a subject matter expert in the areas of Managed Care, Quality Management, Compliance, Clinical Services, Utilization Management, and Case Management. She has designed, executed and evaluated all aspects of a compliance and quality management program with a major managed care organization. Linda has expertise with application submission, policy and procedure development, on-site review, and ensuring compliance for all standards related to URAC accreditation for Health Network, Health Utilization Management, and Case Management. Linda also has experience with the New Jersey Organization Certification, Connecticut Workers Compensation Managed Care Organization Certification, and New Jersey PIP Pre-Certification Plan compliance.
IRMA MOREIRA, RN, MSN, MHSA, CPHQ
Irma Moreira, Senior Consultant with BHM, is a seasoned, licensed nurse and healthcare administrator from a myriad of healthcare field settings to include Medicare Advantage, Medicaid, and behavioral managed care organizations, psychiatric and general hospitals, outpatient services and consultation services for private organizations, and the federal government. She held the positions of Vice President of Clinical Services, Chief Clinical Officer, Chief Executive Officer, Director of Quality Improvement, and Registered Nurse.
Irma’s over 35 years of healthcare experience covers the areas of Credentialing, Accreditation Process, Managed Care, Medicare Advantage, Utilization Management, Quality Improvement, Case Management, Customer Call Center, and Disease Management. Irma has licensures and certifications as Healthcare Services Executive Licensure in Puerto Rico; Professional Nurse Licensure in NY, NJ, OK, TN, and PR; and Certified Healthcare Quality Professional. She speaks fluent English and Spanish.