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Francisco Mendez
Medical Groups Administration & Financial Performance Vice Presidente at Triple-S
Professional Background
Francisco Mendez has cultivated a robust professional career in the financial and healthcare sectors over the course of more than two decades. His journey commenced at KPMG LLP, where he dedicated over five years to the Audit Department. Here, he honed his expertise across several key industries including healthcare, property and casualty insurance, service, and manufacturing. His experience at KPMG cemented the foundation of his professional knowledge, allowing him to develop critical auditing skills and an understanding of comprehensive financial practices.
Francisco transitioned to a leadership role at Triple-S, Inc., a prominent player in the healthcare sector, specifically as part of the Blue Cross Blue Shield network in San Juan, Puerto Rico. He excelled as the Vice President of Medical Groups Administration and Financial Performance, assuming significant responsibilities that included the management of healthcare plans and financial performance metrics. His tenure here lasted over four years and was marked by a notable engagement in operational special projects, specifically aimed at enhancing the overall effectiveness within the organization.
Further enhancing his career, Francisco took on a managerial position at United Healthcare of Puerto Rico, where he was intricately involved in the implementation of the Puerto Rico Medicaid Healthcare Reform (Reforma de Salud). His deep understanding of healthcare financial management combined with his practical administrative skills positioned him to significantly contribute to these transformative efforts.
As a General Manager of a substantial agribusiness, Francisco displayed remarkable leadership qualities by successfully turning around operational performance, leading the company to achieve profitability. His diverse experience across different sectors emphasizes his adaptability and commitment to driving results in various environments.
In his current role within a local CPA firm, Francisco provides an extensive range of services primarily focused on healthcare, government, employment benefit plans, and commercial practices. He has been instrumental in assisting healthcare plans with financial operations and special projects, demonstrating his ongoing dedication to the industries he serves. His expertise extends to developing innovative compensation models for primary care providers (PCPs) and other healthcare practitioners within the Medicare Advantage line of business.
Moreover, Francisco has been actively engaged in implementing Sarbanes-Oxley, section 404, due diligence procedures, and Enterprise Risk Management (ERM) across various healthcare and insurance entities. His contributions have had a lasting impact on the financial integrity and accountability of the firms he collaborates with.
Education and Achievements
Francisco Mendez earned his BBA in Accounting, graduating Magna Cum Laude from the University of Puerto Rico. His academic achievements showcase a strong foundation in the principles of accounting, further enhanced by his experience studying as an exchange student at the State University of New York College at Oswego. This exposure to varied educational environments has equipped him with a comprehensive understanding of the intricacies involved in accounting and financial management.
In addition to his formal education, Francisco has pursued professional certifications that underscore his commitment to excellence in the healthcare finance field. He is recognized as a Certified Healthcare Financial Professional (FHFMA) and a Certified Financial Forensic (CFF), which are prestigious designations that exemplify his expertise and dedication to maintaining the highest standards in his profession.
Professional Involvement
Francisco is deeply engaged in the professional community and has made significant contributions as an elected member of the Healthcare Financial Management Association’s (HFMA) National Board of Directors. His term ran from June 1st, 2006 to May 31st, 2009, followed by his service on the Principles and Practices Board from June 1st, 2010 to May 31st, 2013. His leadership roles within HFMA reflect his commitment to advancing the practices and standards of healthcare financial management on a national scale.
Additionally, his expertise has led to his appointment by the Department of Justice US Trustee’s Office as an examiner in litigation support cases at the US Bankruptcy Court District of Puerto Rico. This role highlights his proficiency in addressing complex financial issues and providing invaluable insights within a legal context.
Achievements
Francisco’s career is adorned with numerous achievements that illustrate his exceptional capabilities and dedication to the field of financial management in healthcare. His instrumental role in the implementation of healthcare reform initiatives in Puerto Rico showcases his strategic thinking and operational acumen. In his previous positions across various organizations, he has driven significant improvements in financial performance, lending his expertise to enhance both operational and administrative efficiencies.
Moreover, his active approach to developing new compensation models illustrates his innovative mindset, always seeking to improve processes and outcomes for healthcare providers. His work in enterprise risk management has broad implications for enhancing organizational resilience and governance practices within the healthcare sector.
Francisco Mendez's vast experience, coupled with his prestigious educational background and active participation in professional organizations, positions him as a leading figure in healthcare financial management. He continues to contribute positively to the fields of finance and healthcare, advocating for enhanced operational performance and robust financial practices.
Continuing Legacy
With a wealth of experience and a solid record of accomplishments, Francisco Mendez remains an influential figure in the financial management landscape. His dedication to the healthcare field not only aids in improving organizational performance but also fosters better healthcare outcomes for communities. As a thought leader and innovator, Francisco is set to inspire future generations of finance professionals aiming to make a mark in the ever-evolving healthcare sector.
