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Talent. Health. Retirement. Investments
  • Principal & GSA Contract Officer

    Mike Priniski GSA Contract Officer

Mike Priniski


Principal & GSA Contract Officer

Mike is a Principal in the Phoenix office of Mercer Government Human Services Consulting (GHSC). Mike has served as a lead for numerous Mercer contracts to examine Medicaid and Medicare Managed Care Organizations (MCOs). In addition, he serves as a client leader for the Centers for Medicare and Medicaid Services (CMS) and has assisted states in developing and implementing financial reporting and solvency monitoring protocols. He is most proud of an administrative expense review he developed that saved a client approximately $35 million.

Experience


Prior to joining Mercer in 2000, Mike served as the chief financial officer for over two years with the Arizona Department of Health Services/Division of Behavioral Health Services (DBHS). He was responsible for directing the daily financial and encounter operations of DBHS. Mike also served as a financial consultant and claim administrator for Arizona’s Medicaid program (AHCCCS) for three years. While at AHCCCS, he evaluated the financial stability and operations of Medicaid managed care contractors and was responsible for the AHCCCS fee‑for‑service claim system.  Prior to his work at Mercer and the State, he worked as a senior auditor for two of the nation’s largest public accounting firms, PriceWaterhouseCoopers and Ernst & Young LLC for three years. Mike’s experience includes:

  • Leading several large client engagements related to the financial and operational examination of Medicaid and Medicare MCOs and providers
  • Drafting and evaluating request for proposals including scoring and performing readiness reviews of healthcare contractors
  • Assessing claims systems, financial and accounting systems, medical management systems, provider and member satisfaction systems and eligibility systemsPerforming and supervising all aspects of Mercer’s examinations, planning through report writing and finalization
  • Developing, revising and implementing reporting requirements and monitoring procedures within numerous states, including Florida, Arizona, California, New Jersey, North Carolina, New Mexico and Pennsylvania
  • Performing on-site assistance to start-up MCOs to ensure appropriate solvency and fiscal policies and procedures are in place
  • Developing review protocols to assess the “true” administration expenses and profit of MCOs through review of cost allocations and related party transactions
  • Evaluating and assessing financial solvency and risk factors associated with MCO financial reports

Education


  • Bachelor in Business Administration, University of Arizona
  • Certified Public Accountant

Affiliations/Designations


  • Member of Healthcare Financial Management Association, Arizona Chapter (former Board member)

GSA Contract

GSA Contract GS-10F-0262L

Since 2001. Email us for more information.

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Service

Service categories

Special Item Numbers. SIN 874.1 and SIN 874.6.

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GHSC

Our Contract Officer

Email Mike for details.

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Email GHSC

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Call our GHSC general number

612 642 8889

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