Subject Matter Expert
As a founder and partner of Medical Consulting Solutions (MCS) Martin Nealon has been responsible for establishing and building Medical Consulting Solutions and is currently responsible for business strategy and development, project management, and operational oversight. He has been in this role since the inception of the company.
With over 20 years of experience within the healthcare industry, Mr. Nealon’ s career has spanned all healthcare business models including: Health Maintenance Organizations (HMO)s, Preferred Provider Organizations (PPO)s, Independent Physician Administration (IPA)s, Behavioral Health Organizations, Third Party Administrators (TPA)s, Integrated Health Delivery Networks, Medical Group Practices and Clinics, Hospitals and affiliated Provider Hospital Organizations (PHO)s and Medical Services Organizations (MSO)s.
Mr. Nealon leads MCS in the design, implementation, and operation of innovative business solutions. His diverse background and operational insight allow him to effectively and successfully manage the integration of business processes and Health Information Technology (HIT) within disparate healthcare organizations. Mr. Nealon’ s experience includes configuration and process design of HIT, as well as expertise with Revenue Cycle Management (RCM), cost containment, and business process reengineering. Working with more than 10 hospital systems and over 1,000 physicians, he has directed the development, installation and training of Electronic Practice Management (EPM) and Electronic Health Records (EHR) across multiple software applications. Mr. Nealon has extensive experience implementing a wide variety of technologies in a broad range of settings, using innovative solutions to solve complex business problems.
Prior to creating Medical Consulting Solutions, Mr. Nealon managed in several healthcare insurance operational environments as well as physician and hospital practices where he directed the development and installation of healthcare insurance process redesign and software applications. He served as Director of Operational Excellence for a publicly held organization, with over 1,000,000 covered lives. Here he directed the tracking, communication and creation of process flows between all departments to include health plan services, provider relations, claims, and contract/provider configuration. He has also provided consultative services to multiple Fortune 500 companies including NextGen Healthcare/Quality Systems Inc., Perot Systems, and McKesson.
Education
- Pennsylvania State University, State College, PA
Bachelor of Arts, International Politics (Spanish Minor)