1. Lane Matthew Hickey
6455 SW Parkhill Way email: lanehickey@yahoo.com
Portland Oregon 97239 phone: 503-929-8810
EDUCATION
Master of Public Health: Administration and Policy
Portland State University 1997
Bachelor of Science: Biology concentration Zoology and Physiology
Portland State University 1993
Certified Medical Compliance Officer (CMCO)
American Institute of Healthcare Compliance 2015
COMMUNITY AND CIVIC AFFILIATIONS
PNG Rotary
Medical Group Management Association
Oregon Medical Group Management Association
American Pathology Foundation
American Academy of Professional Coders
American Institute of Healthcare Compliance
EMPLOYMENT
Dermpath Specialist, LLC D.B.A CTA Lab
Founding Member/Owner April 2006 to May 2016
Created, developed and grew company from fruition to a 5 million dollar a year company
Dermpath Specialists, LLC is a slide preparation and medical billing company serving dermatologist,
dermatopathologist, oral pathologists, podiatrists, plastic surgeons and other medical providers in need of
anatomic pathology services. Founding the company, I worked in every role (courier, grossing technician,
billing services, administration, etc.) with my final role being Finance Director.
Directed administration and financial resources for present and future needs. Strategized ongoing year and
performed analytical work pertaining to the strategies of nearest competitor. Monitored and prepared financial
budget in report form for other members to support cash and risk management. Oversaw all aspects of revenue
cycle including but not limited to billing, collections, accounts payable/receivable and contract negotiation.
Maintained employee files and associated human resource material including health insurance, payroll and
retirement plans. Other duties as required by ownership.
Kaiser Permanente January 1, 2001 to February 2006
Manager, Medical Office Operations June 1, 2004 to Present
Provided leadership in medical office and region for achievement of local and regional priorities: service and
clinical quality, growth (membership and margin) In partnership with Labor and Northwest Permanente
Leaders:
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2. • Led the coordination and planning efforts related to regional service changes and implementation of new
products and new practice models/tools at regional, service area and local level
• Led and directed day-to-day delivery of all services and activities within the medical office(s) and to
provide optimal and consistent care experience for KPNW members.
• Assured successful implementation of regional initiatives and departmental programs.
• Served as single point of accountability for the customer experience associated with care within the
facility(s).
• Supported managers and physician leaders in the resolution of operational problems and in identifying
resource and system needs.
• Monitored effectiveness of ambulatory care in the facility.
• Developed improvement strategies in conjunction with service lines (ancillary, specialty, primary, etc.)
• Ensured involvement in events to represent KPNW in the community and in support of the community
benefit strategy.
• Oversaw management of expenses within budget ($10,000,000).
• Monitored and respond to patient and employee satisfaction surveys.
• Facilitated the implementation, development and monitoring of services, quality and utilization
standards, Human Resources and Labor Management Partnership practices, while continually
evaluating/improving service delivery by initiating or promoting best practice models.
• Point of Contact for Regional Service Area capital funding decisions and facilities planning (Hospital
and Specialty Medical Office Building).
• Developed and administer policies, standards, practices and procedures that assured compliance with
administrative, legal and regulatory requirements of the Health Plan Contract and
government/accrediting agencies.
• Represented Kaiser Permanente in community relation activities to enhance the image and reputation of
Kaiser
• Led Regional Medical Operations response to Internal Cash Handling Audit
• Participated and Led Revenue Cycle Billing project(s)
Committee work:
• Decision Support Systems Strategy Committee- Regional Medical Operations Representative to
Regional interdisciplinary committee
• Capital Committee- West Service Area Capital Equipment and Project Point of Contact to Regional
interdisciplinary committee
• KP HealthConnect- West Service Area Champion to new technology/business applications design,
construction and implementation
• Communication and Change Committee- West Service Area Champion for New Products
• Design and Construction- Regional Medical Operations point of contact for new hospital and specialty
medical office building design and construction
• Labor Contract Negotiations- Health Plan representative to Labor Contract Negotiations
(Kaiser Permanente cont.) Ambulatory Care Manager January 1, 2001- June 1, 2004
Under the direction of the Regional Specialty Service Manager responsible for West Primary Care Service Area
Obstetrics and Gynecology, Regional Perinatology Service, and Regional Pre Term Birth Prevention Program
planning, developing, organizing, directing, managing and evaluating clinical and other support activities to
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3. achieve optimum patient care and service delivery in a manner which supported KPNW’s mission, strategic
plan, and annual objectives. Responsible for OB/GYN Department Regional Business Services and Utilization
management. Direct supervision of all staff therein.
• Developed Regional Department Utilization Management Plan (UM) and operationalized work groups
to support UM goals (ongoing)
• Educated Physicians and Clinicians to understand their role in UM and Quality care.
• Designed model for self directed RN teams for specific disease states (model replicated)
• Facilitated development of continuity of care, guidelines and resources for RN’s delivering patient
education specific to antepartum care (ongoing)
• Facilitated development of continuity of care, health plan benefit application, criteria for case
management, resources, etc. for Infertility Program and RN’s providing patient education specific to
Infertility Program (ongoing)
• Integrated with primary care, ancillary services, affiliated hospitals and vendors to optimize service
delivery
• Improved application of benefits and collections of fees for services both internally and externally.
• Designed tool to conduct audits of contracted vendors.
• Conducted audits of contracted vendors
• Arranged ongoing continuing education for MD’s and AC’s to improve billing and coding.
• Implemented Regional Appointment Guidelines at the local level with 99.9% compliance
• Improved patient access: Moved number of referrals seen within two weeks from flat line 50% standard
to 86%; continue to hold and improve
• Improved staff attendance from 90% ill time used to less than 10% ill time used
• Improved clinician work flow to accommodate patient, staff and clinician need: more patients seen in
less time in a less hectic environment
• Improved patient satisfaction and employee work environment satisfaction: demonstrated in patient and
employee satisfaction survey.
• Planned and implemented ergonomic physical space for inpatient and outpatient services.
• Evaluated and re-designed case management delivery model for Pre Term Birth Prevention Program.
• Created demand based appointment and scheduling system (implemented Jan. 2004- evaluated monthly)
• Participated in Legacy Hospital Transition team (ceased service delivery)
• Developed, designed and implemented system to administer community benefit to Virginia Garcia
Medical Center.
• Project Manager Perinatal Patient Safety Project (National quality initiative/education project being
transferred to NW Region Report to Dr. Maureen Wright and Dr. Ron Potts)
• Mentor future leaders
• Designed OB/GYN Department Web site- www.internal.or.kp.org/obgyn
Northwest Primary Care Group, PC
Site and Utilization Manager: May 1999 through December 2000
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4. Group utilization manager responsible for case management, managed care and provider contract development,
facilitation and implementation. Operate one of three Northwest Primary Care Sites that deliver and facilitate
health care services to 30,528 individuals in the Portland Metropolitan area.
• Assessed policies, procedures, systems and utilization management operations for at-risk managed care
plans and contracted/subcontracted health care providers.
• Integrated HCFA, NCQA and other regulatory guidelines into case management model
• Developed protocols and controls to review utilization and financial results of at-risk managed care
plans.
• Established and implemented quality benchmarks
• Conducted and facilitated multiple utilization audits (referral timelines, integrator reliability, physician
reviewer reliability, year-end financial settlements) of at-risk managed care plans.
• Reported statistical and utilization information to Chief Executive Officer, Medical Director and Patient
Care Committee.
• Facilitated contracts with specialists, health plans and hospital systems
• Ensured appropriate management of at-risk managed care plans including referrals, durable medical
equipment and institutional care with respect for written protocols
• Coordinated physician credentialing and privileging with external partners
• Directed, supervised and provided clinical and administrative leadership to staff working at primary
clinic site (32 including team leaders)
• Indirect supervision of 125 staff on issues pertaining to utilization management
• Staffed site to increase efficiency of health care service delivery. This included hiring, firing,
disciplinary actions, work assignments and daily operations.
• Partnered with Chief Financial Officer to develop annual budget for site
Work Groups:
PacifiCare/Secure Horizons Case management Committee
Providence Health Plan Delegated Pool of Doctors Education Committee
Patient Care Committee/Utilization Review Committee (Facilitator)
Flu Clinic Committee
Quality Management Committee
Centralized Scheduling Committee-implemented Company wide centralized scheduling department
Coordination of Benefits/Third Party Liability Committee (Chair)
Rehabilitation Review Committee (Facilitator)
Oregon Health Sciences University
Academic Manager October 1996 through May 1999
Facilitated the Department of Dermatology’s integration with regional health care systems throughout Oregon
and Southwest Washington. Marketed, with internal and external partners, Dermatology and Dermatology
academic programs locally, nationally, and internationally.
• Coordinated Physician credentialing and privileging
• Developed marketing and public relations tools for patient and academic audiences
• Provided public relations coordination between Department of Dermatology and Media
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5. • Website completed in 1998
• Developed endowment fund through Oregon Health Sciences Foundation
• Coordinated local and national dermatology conferences complete with continuing medical education
(CME) credit
• Assisted Department Chair to create new physical and psychological workspace efficiency plan. Initial
project implementation 1996-1998
• Consulted on Equal Employment Opportunity and Affirmative Action issues
• Reviewed and advised Department Chair on confidential and controversial issues
Veterans Affairs Research Foundation/Oregon Health Sciences University
Biological/Medical Technician January 1994 through September 1996
Executed and evaluated histology laboratory procedures for compliance with research, local state and federal
guidelines and policies.
• Collected tissue specimens from human and non-human populations for histological examination
• Developed, evaluated and implemented laboratory and research policy and procedures
• Presented accreditation credentials and materials to JCAHO for the Department of Dermatological
Surgery at Oregon Health Sciences University
• Educated physicians, students and peers in theory an practice of Mohs Micrographic Surgery
• Partnered with Primary Investigators in budget forecasting to obtain/maintain funding
• Utilized X-ray and computerized imagery to quantify bone and mineral density
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6. • Website completed in 1998
• Developed endowment fund through Oregon Health Sciences Foundation
• Coordinated local and national dermatology conferences complete with continuing medical education
(CME) credit
• Assisted Department Chair to create new physical and psychological workspace efficiency plan. Initial
project implementation 1996-1998
• Consulted on Equal Employment Opportunity and Affirmative Action issues
• Reviewed and advised Department Chair on confidential and controversial issues
Veterans Affairs Research Foundation/Oregon Health Sciences University
Biological/Medical Technician January 1994 through September 1996
Executed and evaluated histology laboratory procedures for compliance with research, local state and federal
guidelines and policies.
• Collected tissue specimens from human and non-human populations for histological examination
• Developed, evaluated and implemented laboratory and research policy and procedures
• Presented accreditation credentials and materials to JCAHO for the Department of Dermatological
Surgery at Oregon Health Sciences University
• Educated physicians, students and peers in theory an practice of Mohs Micrographic Surgery
• Partnered with Primary Investigators in budget forecasting to obtain/maintain funding
• Utilized X-ray and computerized imagery to quantify bone and mineral density
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