Dan Fitzpatrick Email & Phone Number

Virginia Beach, Va, Us

Hampton Roads, Virginia Metropolitan Area

Norfolk, Virginia Area

Norfolk, Virginia

Manager II – Provider Data Quality• Manage a team professional business analysts responsible for daily operational activities required to maintain high quality provider data for Anthem's Government Business Division processes• Responsible for developing and maintaining accurate and CMS compliant provider data directory extracts for Medicare and Medicaid products supporting print layout and online search tools• Responsible for the creation, maintenance, and submission of provider network adequacy reports to Medicaid entities used to measure compliance with state regulations• Approve business requirement documentation used to support process and system improvements • Supervise the receiving, mapping, and consuming of provider data network enrollment reports from Medicaid agencies• Develop reconciliation processes to ensure State agency reports are consistent with Anthem's provider database and incorporate automated system updates where appropriate• Lead and participate in leadership meetings with Health Plans, State agencies, and stakeholders• Prioritize change management project goals, evaluate required resources, and sercure funding• Assess team member performances, set team goals, and remove roadblocks to success

Norfolk, Virginia

• Responsible for overseeing provider data quality for Anthem’s Medicare markets• Maintain high quality data extracts for printed provider directories and online search tools • Create detailed quality reports and analyze data sets within those reports looking for trends and anomalies• Create business requirement documents and coordinate with IT counterparts to implement configuration changes • Present findings and project status updates to Anthem's Medicare leadership, network contracting, national sales, and various other business stakeholders• Update provider data discrepancies within Anthem’s claims processing system• Reconcile data in various enterprise level provider data source systems to the database creating Anthem’s Medicare provider directory• Work with teams responsible for updating changes in multiple upstream systems and tools• Responsible for business activities related to the implementation of new markets and products• Lead a team of consultants in daily activities in order to maximize ROI

Virginia Beach, Va

Health Care Analytics; Encounter Data Management

Norfolk, Virginia

• Liaison between the department Associate Vice President and a team of five business analysts• Led departmental training sessions and discussions related to market challenges and process improvements• Represented the Encounters department and its business objectives when meeting with corporate and state partners• Trained and mentored new hires on departmental processes and procedures• Wrote detailed SQL queries used to analyze multiple databases (MDE, Facets and ODW) for issue resolution and ad hoc reporting • Developed reports that allow for data driven decisions to be made by management• Creation and maintenance of documentation related to business scope objectives, configuration analysis requirements and translate requests into system requirement specifications

Norfolk, Virginia

Norfolk, Virginia Area

Norfolk, Virginia Area