Tuesday, March 19th, 2024 

Health Risk Management Professionals

Risk Management Professionals Picture “... to provide our clients with the very best professional and technical expertise possible.”
Health Risk Management Services, Inc. ("HRMSI") was established in 1997 and is a network of insurance and managed care professionals and executives.

Mark S. Fischer is the President of Health Risk Management Services, Inc. He has over thirty years experience in acquiring, operating, managing and financing of insurance and healthcare entities. Mark has developed skills in strategic planning, statutory and GAAP accounting and reporting, mergers and acquisitions, financial restructuring, reinsurance, marketing and distribution, and operational consulting.

Prior to starting HRMSI, Mark was Chief Operating Officer of Pioneer Financial Services, Inc. His responsibilities included managing overall profitability of the business units, prime responsibility for the health operations, and mergers and acquisition transactions. He started his career with Ernst & Young, where he specialized in auditing and consulting services to insurance companies.

Mark holds several professional designations, including Certified Public Accountant; Fellow, Life Management Institute; Chartered Property Casualty Underwriter; Chartered Life Underwriter; Chartered Financial Consultant; Associate in Research and Planning; Registered Health Underwriter; and Registered Employee Benefit Consultant.

James Hicks is a principal and President of James Hicks & Associates, Inc. He has over thirty years of information systems and programming experience. He developed one of the first mainframe E-mail systems for IBM. His insurance experience includes developing health insurance software and databases for Conseco, Pioneer Financial Services, Inc., LifeCare Assurance Company, and various other insurance entities. His management and programming background includes database expertise: Access, ADABAS, Oracle, SQL Server, DB2; and programming language: Assembler, COBOL, RPG, SQL, Natural, Visual Basic, JAVA, C++, FrontPage, HTML, and WebSphere.

Additional areas of experience include Policy Administration, Rating/Rerating, Quoting, Claims, HIPAA Claims interface, data warehousing, and data mining.

James has a Bachelor of Science in Mathematics from Boise State University.

http://www.jhasoftware.com

Betsy M. Rychlewski, RN, BN, MBA, has over twenty-five years of experience in the managed care and insurance industry. Betsy has extensive experience in developing managed care strategies for insurance and healthcare related entities. She provides a wide range of managed care related services including medical claim reviews, PPO network development and management, utilization management, quality improvement, credentialing, and contracting physicians and providers.

Betsy's experience has been with health maintenance organizations, health plans for both insured and uninsured, and insurance companies. Her prior managed care experience includes Conseco Service, LLC-Major Medical Division, Dreyer Health Plan, HealthCare Compare, and Rush Presbyterian St. Luke's Medical Center.

http://www.healthclaimsmanagementgroup.com

HRMSI maintains close affiliations with actuarial, tax, legal, investment bankers, and other specialty consulting firms and will partner on engagements when necessary to provide our clients with the very best professional and technical expertise possible.

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