Donald Lee Fickey
A service-disabled veteran, Donald Lee Fickey is owner and CEO of Pure Defense LLC and is currently in the process of transitioning from his position as CEO of Atlas Construction Group, (retaining his ownership percentage with the company) but transferring executive duties to Holden Foxworth, formerly the Vice President of Construction, now having been promoted to Chief Financial Officer. Donald, whose father had served in the Marines during World War II, followed in the footsteps of his dad to protect the freedoms of every citizen in these great United States, by serving in the United States Marine Corps during Vietnam. After returning home from Vietnam, Donald took a position with the Western Union Corporation as a technician and within a short time span of a year and a half, became a City Supervisor; responsible for all communications for the entire Southwest region. He was promoted to Director of Computer Communications and was responsible for managing Western Union’s transition from mechanical electronic switching to a computer-based system; all while managing six data centers and 490 employees.
In 1991, AT&T purchased the communication division of Western Union and Donald was promoted to Director of Computer Operations and given the responsibility of converting five data centers into two mega-centers; managing over 500 employees. Additionally, he was responsible for transitioning all AT&T’s voice network to a VOIP (Voice or IP Network). In 1998, Donald was cleared through the NSA and given a Top-Secret SCI Intelligence Clearance in order to properly ensure the integrity of AT&T’s digital network. He retired in from AT&T in 2004.
Retirement proved to lack the challenges he was accustomed to for over forty years and the desire for a new adventure caused Donald to pursue some of the same passions he shared with his father growing up. After military service, his father had a long career with the Dravo Construction / Dravo Contracting Company; where he traveled worldwide to oversee and manage large-scale construction projects. Like his dad and benefiting from his father’s 50 years of construction knowledge, Donald Lee, began a new career in construction; partnering with his son and building a successful nationwide General Contracting firm. He has applied the same work ethic, strong values, quick adaptation to successful problem-solving skills and an extra abundance of drive in overcoming adversities.
President of Pure Defense LLC and former President of Atlas Construction Group, Brett has over 26 years of sales, management, marketing, and advertising experience, including 12 years specialization in commercial, residential, industrial, and multi-family construction sales, marketing, advertising and management. He was responsible for building a partnership with both Wyndham International and Marriott hotel organizations, helping Atlas to become an approved contractor for each organization in multiple states. He also forged an alliance and partnership with Elmington Capital Group, focusing on their assisted living division, working hand in hand with Rick Sweeney, President of Elmington Senior Living in development and renovations of assisted living facilities nationwide.
Brett currently holds certifications in both OSHA 10 and OSHA 30 training programs.
As President of Atlas, Brett coordinates with property owners, project architects, engineers, consultants, estimating, cost control and technical assistance. He is also involved and responsible towards overseeing and maintaining project management schedules, subcontractor activities, purchasing, coordinating project managers and maintaining job site relations. With diversified construction industry experience, along with his Bachelor of Business Administration degree in both Business Management and Marketing from Baylor University, has resulted in Brett’s outstanding success in ventures undertaken by Atlas Construction Group.
Brett is passionate about our military veterans and serves on the board of directors for “Operation Pure Heroes; a division of Operation Working Warriors Foundation”, a non-profit corporation that was structured to offer job training for placement in the Pure Defense LLC organization. “Operation Pure Heroes” is for all military veterans of the Armed Forces of the United States of America, with a program specialization for wounded veterans. The purpose of this specialty program is to have an impact for change and bring awareness to the cause to increase self-worth, self-esteem and sense of fulfillment with the desire to be successful in business and provide financial security for themselves and their families.
Mike Singletary – Director of Marketing
Football Coach and Former Player
Mike Singletary is perhaps most recognized as one of the Chicago Bears’ toughest middle linebackers with the ferocious eyes peering across the line into the opposing quarterback’s face. He was a member of the famed ‘85 Super Bowl team and made 10 trips to the Pro Bowl in his 12 years as a player. He also led the NFL as Defensive Player of the Year three times, and was the Bears’ team captain for ten years.
Since retiring from football in 1993, he spent ten years as a motivational speaker and corporate consultant helping companies elevate their strategies for teamwork and overall success. However in 2003, after swearing off many previous requests to coach, he answered the call and became the Linebackers coach of the Baltimore Ravens. He followed that up with a move to San Francisco, ultimately being named Head Coach for two years, and then spent the last three years with the Minnesota Vikings.
For the 2014 NFL season, he has been named Defensive Consultant to the Executive Vice President of Football Operations, with the intention of coaching again following this season. A proven teacher who values work ethic and discipline, the 49ers linebackers excelled under Singletary’s direction.
Prior to joining the 49ers, Singletary served as the inside linebackers coach for two seasons with the Baltimore Ravens. Players have flourished under his tutelage, including Ray Lewis, who earned 2003 NFL Defensive Player of the Year honors. Under Singletary, the inside linebackers at Baltimore finished first and second in tackles in each of his seasons coaching the position. He was also part of a coaching staff that directed the Ravens defense to a third overall finish in 2003 and sixth overall in 2004.
After coaching for two seasons in Baltimore, Singletary’s wisdom and commanding respect sent impressionable waves throughout the organization and team. When Baltimore’s coach took the head coaching position in San Francisco, Singletary was his first coaching hire and set the tone for the type of team he would be building. After his exit from San Francisco, he spent two years with the Minnesota Vikings, followed by two years as a consultant to the VP of Operations of the NFL League offices. He wanted to learn the inner workings of the NFL at the corporate level in order to gain a better understanding of the product on the field. In 2016, he was back on the sidelines with the Los Angeles Rams until their staff was released at the end of the season.
In 2001, Singletary won Walter Camp’s “Man of the Year Award” based on his reputation for integrity and leadership within his profession and contributions benefiting his community, country and fellow man. He also co-founded Leadership Zone, a company that provides leadership training.
Singletary was a first-ballot inductee into the Pro Football Hall of Fame in 1998 after a stellar career with the Chicago Bears from 1981-92. He boasted 1,488 career tackles (885 solo), finishing as the Bears’ first or second leading tackler each of his last 11 seasons. Singletary was named to the NFL Team of the ‘80’s after being selected to play in a team-record 10 consecutive Pro Bowls. The former Bears defensive captain was also named All-Pro eight times (1983-89; 1991) and an All-NFC selection nine consecutive times (1983-91). He also started a defensive team record 172 games for the Bears, trailing only running back Walter Payton’s 184 career starts for the all-time team lead.
Singletary has authored three books: Singletary One on One, Calling the Shots and Daddy’s Home at Last. Mike and his wife, Kim, have seven children and six grandchildren.
Mickey Moss – Business Services
Mickey works as the “Account Executive” for U.S. Leadership. With 26+ years of leadership training experience and a passion to help others, he walks with Leaders and their companies on the journey to becoming excellent. His belief and challenge in the pursuit of Excellence is to be sure to enjoy the small things, do the hard things, dream the big dreams, and pursue the right things. The ability to live and lead in this way is done with a perspective that starts with purpose! Mickey lives purposely with great intention and teaches others do the same.
With U.S. Leadership, we become “the” strategic partner with clients to implement our Business Excellence Process, which is a structured method for bringing about internal changes within organizations to position them for long-term quality growth and profitability. We walk with them through the process of building and growing their company for long-term success. We help business leaders identify strengths and weaknesses not only in their business, but also in themselves. We will help leaders find solutions to overcome challenges, real and imagined, and guide them in setting and reaching their goals. We not only offer business tips, advice, and strategies, but also help leaders strengthen their confidence while overcoming limiting beliefs. Contact me to start your proactive purposeful journey today.
Mickey is the Father of 5 and married to Sarah, his college sweetheart and the love of his life for 33 years. With a Bachelor’s degree in pre-med, and a Master’s in Education from the University of Texas, He has served in the U.S. Army 1st Lt Officer, and coached football for 30 years. Mickey finished his career in coaching as one of the winningest active football head coaches in Texas High School football. He has worked the last year in a half for U. S. Leadership. Mickey is an active volunteer in his church and community and serves regularly at Cornerstone homeless shelter food kitchen and Genesis Women’s shelter, where he is on the Board of Directors.
“Have passion in what you do, courage in what you fear, conviction in what you believe, compassion for those in need. Always give your best no matter how you feel and do what is right no matter what the cost.” – Mickey Moss
1989 Honor Graduate – Officer Basic Course U.S. Army, Company Executive Officer, Texas Football 6A Coach of the Week 11-4A Coach of the Year NFL/Dallas Cowboys Coach of the Week 11-5A Coach of the Year Texas High School Extra – “Home Team Award” 11-5A Coach of the Year Selected Head Coach of the 2004 DFW All-Star Game East Team Texas High School Extra – “Coach Who Makes A Difference” NFL/Dallas Cowboys Coach of the Week Central Texas Sportsman Award AAAA SE Coach of the Year & All-Star Coach Nominee.
Dr. Allen Okie – MD FACAI, FAAP – Chief Medical Officer
Early Adopter of Managed Care – 1976 Capitated Allergy Programs in 15 HMO’s around the country – Consulting Allergy
Joint Venture with Pharmacia – US Allergy – Consulting Allergy
MD with extensive hands-on experience in every aspect of managed health care organizations, including participation in established programs, initiation of new care-delivery packages, and start-up of a new health maintenance plan.
Co-developer, with information technology specialist, of ASP programs to integrate Internet-based technology with various aspects of e-health care.
Demonstrated ability to articulate the value of collaborative integration of physician groups with management and to incorporate innovative technologies in the medical arena.
Helped develop a new physician owned local HMO from physician discussions to a fully operational HMO of 5,000 members with an MLR of 89%.
Medical Director of a Medicare “triple option” HMO jointly owned by 7 provider groups and Tenet Health – Prototype of Medicare Advantage -People Health
Continued clinical involvement with Allergy and Immunology practice.
Medical Director of Consumer Driven Health Care benefit – Ameriplan Health
HIPAA Compliance Officer for Family Care Partners
CMO First Coast Advantage – PSN – Medicaid University of Florida. Health
Regional Medical Director Alignment Healthcare – Medicare Advantage – Value Based Payment System
Current interest and focus: 1)Pre-acute Care – Direct SNF admissions 2) Transitional Care – High Risk Patients 3) Telehealth – Telemedicine 4) Long Term Care 5) Direct Patient Care 6) Regenerative Health
7) Cannabus Treatment
8) Pain Medication Management
Medical Director – Allergy Free Labs Inc. Ancillary Allergy Services
Comprehensive cost effective allergy program for group practices and value-based payers. Discontinued
Regional Medical Director – Alignment Healthcare – Medicare Advantage – Value Based Payment System – 2015 – 2018
Quasi-staff Model HMO; Acted as “Extensivist”; Medical Management of High Risk Members; Administration of three PA’s; Followed patients from Acute Care to SNF to Home; Post Acute Care in our Facilities; Responsible for HEDIS, Stars and RAF scores; Achieved Los 4.1; Readmission rate 7.5%; Admits/1000 150;
Chief Medical Officer – First Coast Advantage – PSN with 60,000 lives 8/2012-2015 U.F. Health Medicaid Managed Care
Medical Management; Population Health; Integration of Clinical and Claims data; Incentive for HEDIS measures, Pharmacy Management, PPAs, Fair Medical Hearings, Credentialing;
Medical Director – Part Time Family Care Partners – Primary Care Physician Group 2010-2012
Medical Director – Ameriplan Health Democracy Drive Plano Texas – 2003-2006
Developed contracted network in 11 States
Consultant for the formation of a financial health care access instrument designed for the working un-insured and as a wrap around for Health Saving Accounts. Developing a national network of affiliated providers.
Allergist – Clinical Practice 2345 Park Street; Lake City Florida with a P.A. to current
Family Care Partners, Jacksonville, FL. 32227 01/2002
Allergist and Director of Clinical Research and Outcomes, HIPAA Privacy Officer
Director of Allergy program. Development and deployment of an asthma program comporting to the NHLBI guidelines. Working on a collaborative system with insurers to reward provider initiated disease and case management programs based on outcomes. Worked with a group to make the organization HIPAA compliant.
Peoples Health Choice, New Orleans, LA. 05/2001 – 01/2002
Director of all medical management and quality programs of a Medicare + Choice Plan co-owned by 7 IPAs and Tenet Hospital System.
Responsibilities; Directed all aspects of the medical management process and quality process. I worked with the boards of the IPAs, a physician advisor from each IPA and hospital administrators from 7 hospitals to effect a medical management process that brought bed days form over 2400 bed days per thousand to 1700 bed days per thousand. I implemented a hospitalist program with one IPA and a hospital. I managed a full staff of on-site in-hospital UR nurses and case managers. The total health services staff consisted of 45 professionals. I supported PCP’s with a “no hassle” program that supported their back office activities with the HMO’s administrative personnel.
Developed a three tiered formulary in conjunction with the P&T committee
Oversight and coordination of a Congestive Failure program that comported with QSMC and CMS extra payment program
Helped develop an alternative medicine benefit for Medicare HMO Plan
Aided in implementing online information systems to aid physicians in managing risk
Worked closely with provider groups to improve financial and clinical outcomes
Founder and President
CareNet, Jacksonville, Florida 1998 to 2005
Founder and co-developer of a medical application service provider, incorporating a suite of totally web-centric applications for the physician front office and interactive physician web sites.
Responsibilities: Investor relations – presentation of CareNet products to potential investors; development of investor relationships in the U.S. and Poland.
Business partner development – presentation of CareNet products to physician groups as they relate to commercial and clinical aspects of e-health care.
Workflow development – collaborated with programmer on user interfaces and data development
Regulatory development — supervision and oversight of a HIPAA compliance program.
Specialized skills: Information technology relating to the Internet, including COM+ and SQL database services, html and various scripting languages. Integrating the technical and clinical aspects of e-health care to the benefit of physicians and patients.
Learned information technology relating to the Internet such as a variety of web services including COM+ and SQL database services
Client side operations such as VB Scripting and server side Active Server Pages
HTML programming using an editor (Front Page)
Ability to supervise an enterprise HIPAA compliance program
Appreciation for the commercial and clinical aspects of e-health care
Co-developed a complete suite of web centric practice management applications that are HIPAA compliant for the time of HIPAA regulation release
Medical Director, CEO
Vantage Health Plan, Jacksonville, Florida 1995 – 1999
Responsibilities: Leader of the initiative to develop a provider-sponsored health maintenance organization in northeast Florida. Oversight of all UR/UA, credentialing, CQI and TQM activities.
Key Accomplishments: Acquisition of a Florida COA. Chief negotiator for growth of the plan from 450 lives to 4700 lives in eight months. Development of a network of 900 providers and three hospital systems. Key Accomplishments:
Contributed to the writing of the policies and procedures of the plan for the purpose of getting the COA including medical review policies, review of appeals of denials credentialing, etc. – NCQA compliant
Set up the entire credentialing process including the development of our own credentialing software program
Grew the provider network to over 900
Lead the growth of the plan from 450 to 4800 lives in an 8 month period by working closely with the local brokers and employers
Supervised a physician lead utilization review process which produced practice pattern guidelines
Developed an emergency on call program that reduced ER utilization from over 10% to under 2%
Reviewed over $800,000 worth of claims and found duplications and inappropriate charges in over half of the claims
Worked with a local Oncologist who specialized in autologous Bone Marrow Transplantation to provide a capitated product to be used for expansion of the service beyond the geographic borders of Jacksonville
Developed a program to direct 20% of the acute care admission into a skilled nursing facility reducing per diem costs from $2000 TO $300.
U.S. Allergy Corporation, Woodbury, New Jersey President, Medical Director 1984 – 1996
Responsibilities: Management of a joint venture with Pharmacia Diagnostics for a consulting allergy program to provide allergy diagnostics and treatment to patients of non-allergists. Management and supervision of 40 nurses, sales representatives and laboratory technicians.
Key Accomplishments: Development of a consulting allergy program unique in the U.S. Activities resulted in revenue growth from start-up to $1 million per year in three years.
President and CEO
ONAC, (Okie National Allergy Company) Woodbury, New Jersey 1976-1993 Responsibilities: Development and implementation of an allergy delivery program in multiple group-staff and IPA-model health maintenance organizations throughout the U.S. Contracted capitated agreements with groups including U.S. Health Care, CIGNA, HealthAmerica/MaxiCare, Blue Cross Blue Shield of Florida and Pennsylvania, Rutgers Community Health Plan/HIP.
Key Accomplishments: More than 1 million HMO members ultimately capitated into the plan; outcome benchmarks showed significantly decreased costs for care, lower rate of emergency room visits and lost workdays compared with national averages.
Applied the principles of disease and demand management to the allergy programs and provided services for 1/3 of the traditional costs
Managed Care Consultant
Schering Plough, Kenilworth, New Jersey 1989 – 1990
Responsibilities: Strategic planning for new product development and increasing activities in managed care. Instructing key personnel in the dynamics of managed care.
Private Practice Woodbury, New Jersey
1974 – 1994 Jacksonville, Florida 1990 to current
I have continued to stay clinically active and currently seeing patients 2 days per week in my office.
For the past three years I have taken direct patient care of high risk-complex patients through pre and post acute care.
Bachelor of Science, Albright College, Reading, PA 1961 – 1965
Medical Degree, Jefferson Medical College, Philadelphia, PA 1965 – 1969
Intern Straight Pediatric, St. Christopher’s Hospital for Children, Philadelphia, PA 1969 – 1970
Resident, St. Christopher’s Hospital for Children, Philadelphia, PA 1970 – 1971
Chief Resident, St. Christopher’s Hospital for Children, Philadelphia, PA 1971 – 1972
Allergy/Immunology Fellowship, Jefferson University Hospital 1972 – 1974
American College of Physician Executives PIM I, II, Finance, Informatics Three Faces of Quality 1994 – 2003
Professional Certifications and Licensure
Held active licenses in 18 states from 1977 to 1990
(List available upon request)
Current license Florida
Board Certified, Pediatrics 1974
Board Certified, Allergy and Immunology Conjointly from American Board of Internal Medicine and American Board of Pediatrics 1977 Diplomat, National Board of Medical Examiners 1972 and 1974
Member American College of Physician Executives
ACPE – PIM I, II, Informatics I, Finance I, Three Faces of Quality
Fellow, American Academy of Pediatrics
Fellow American College of Allergy and Immunology
Fellow American Association of Certified Allergists
Member Academy of Regenerative Medicine
Board of Directors Delaware Valley Clean Air Council
Clinical Trials: Ceterizine, Zileuton, Serevent, HIB Vaccine, Cost-benefit outcome studies
Editor, Monograph: Strategies for Optimal Use of Antihistamines: Achieving Effective Therapy in Contract Health Care Settings
Program Speaker: Glaxo Welcome, Pfizer
Member, Committee on Alternative Care Delivery Systems, Joint Council of Allergy and Immunology 1985
Consultant to Shering Plough’s Managed Care Division 1988-89
Patient Education Programs
ACPE – PIM I, II, Informatics I, Finance I;Three Faces of Quality
Suboxone Course HIPAA Course Tulane University
Multiple State Licensures
Required for my programs in different states – let them all expire except for Florida.
Graduate degree from an accredited school of medicine
Jefferson Medical College Philadelphia Penna. 1969
Board Certification in an approved Specialty (preferably primary care)
Boarded Pediatrics 1974
Boarded Allergy & Immunology 1977
Continued some degree of clinical practice since 1974 until the present
Managerial Experience in an HMO environment
Started with HMO Activity in 1976 at Rutgers Community Health Plan with Dr. Paul Lenz. Set up an allergy program, which included disease and demand management and provided outcomes, which were equal in quality to the traditional delivery but ½ the cost. Continued with capitated contracts all over the country with a number of HMOs including US HealthCare, Cigna, BCBS Florida, Health America, etc. Ran the company that had 1.5 million lives under capitated contracts for allergy services.
Years as Medical Director and CEO
Started and became Medical Director of a physician owned HMO in Jacksonville in 1995 (Vantage Health Plan) until 1999. Sold the lives when we couldn’t get additional capital. Plan grew to 4800 lives.
Medical Director of Medicare HMO program in New Orleans, LA.
Strong knowledge of managed care concepts
Worked as a consultant to Schering Plough in 1989 for their managed care division; On the Alternative Health Care Delivery Committee for the American College of Allergy and Immunology; Editor of “Use of Antihistamines in a Contract Care Environment”; Many lectures given on Managed Care for multiple organizations;
Demonstrated UM skills
Performed UM for Vantage for 4 years; Developed clinical guidelines with providers; Established best practice parameters; established report cards and no PPA for highest performing providers.
Proven Medical cost cutting abilities
Developed a plan to direct about 20% of our acute care hospitalizations to a SNF unit reducing per-diem charges from $4,000 to $400. (Involved the use of an Intranet and involved the PCP); VHP’s Medical loss ratio varied between 84 and 91 percent (very small population base); Set up program that reduced ER utilization to less than 2% from over 10%;
Excellent written, verbal and organizational skills
Speaker program for Glaxo , Schering Plough, Pfizer:
Editor – Strategies for Optimal Use of Antihistamines: Achieving Effective Therapy in Contract Health Care Settings
Effective problem solving and resolution abilities
Guided a provider sponsored HMO from a concept to a fully functional HMO.
Interests and Expertise – Integrated Provider Networks:
Direct Patient Care
Consumer Driven Healthcare
Telehealth – Telemedicine
Pre-Acute Care – Direct Admits to Skilled Nursing Facilities
Risk Contracting – Value Based – Risk Scoring (HCC-RAF) – HEDIS
Long Term Care
Pain Medication Management
Sub Acute Care,
Endocannibinoid therapy Certified in the State of Florida
Allen Okie MD Dipl. ABAI, FACAI, FAAP
Sean Puype – Director Business Developement
Maurice Sean Puype founded Advantage Allergy Services in 2011 in San Antonio, Texas. He attended The University of Texas at San Antonio and went on to seek graduate education in Healthcare Administration from The University of California at Los Angeles. Sean proudly served our country as a pilot in the United States Air Force for 13 years and is a current airline pilot for the last 22 years.
After leaving the military life he and his family settled in South Texas at which time he became acutely aware of the challenges individuals face that suffer from seasonal allergies and asthma. Sean made the decision in 2011 to embark on a journey incorporating his education, years of organizational and human factors training into a company founded on patient wellness.
Sean’s vision for Advantage Allergy Services embraced his passion for improving the life of the patient while partnering with likeminded healthcare providers. Sean Puype has utilized his military & airline training, management and systems development experiences into creating an efficient and effective computerized allergy services system and components. Recently Sean’s company has evolved to a full respiratory specialty company including telemedicine and patient remote diagnostics.
Sean was recently asked to join Pure Defense and use his aviation and medical services background to develop business opportunities. Sean credits his success to his family and the honor of having had the opportunity to serve our country proudly.
CFO of Pure Defense LLC and Wealth Management Advisor for Northwestern Mutual Wealth Management Company. Ralph’s involvement with Pure Defense LLC as its CFO is to ensure the company remains financially secure as immediate and rapid growth is being forecasted and expected.
As a former NFL player with the Kansas City Chiefs and a member of Baylor football and track teams, Ralph not only understands winning, focus and hard work but he also knows the value of a coach and a solid game plan.
Ralph has had previous success as a business owner and former CEO of a mortgage company, title company and a home building company, and as such has built a proven track record of success but also a discerning comprehension of the needs and challenges of a company as it takes its first steps. Ralph brings all his job experience and success as a wealth management advisor and will apply that expertise to help Pure Defense LLC strategize through risk management, asset management, tax strategies and prepare for economical sustainable growth.