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C. Daniel Koon is listed as Managing Consultant at DanCor Technology, based in Dallas-Fort Worth Metroplex, United States, United States. AeroLeads shows a work email signal at thegodbeygroup.com and a matched LinkedIn profile for C. Daniel Koon.
C. Daniel Koon previously worked as Senior Consultant at Htms, An Emdeon Company and Managing Director at Godbey Group. C. Daniel Koon holds Dng, Computer Technology from Indiana University Indianapolis.
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Senior Healthcare Executive with over 27 years experience in managed care, consulting and hospital PHO leadership. I have a proven track record in strategic planning and execution, health plan operations and provider network management. I am results oriented and focused on goals and achievement. I have had full P&L responsibility for health plans with documented successful results.Expertise includes:Leadership and communicationManaged care operations and delivery systemsNetwork development and network management - In-depth knowledge of Managed Care contractingProvider reimbursement strategiesIn-depth knowledge of commercial, Medicare, Medicaid and ACA products MA plan development and creationDevelopment of detailed project plans and executionSpecialties: HMO Executive Management, HMO Operations, Network Development and Contracting
Listed skills include Managed Care, Medicare, Healthcare, Healthcare Information Technology, and 27 others.
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Irving, TX
Network Strategy & Operations focused healthcare consulting. Engagements:- CMS compliant network development for a California Medi-Cal plan developing Medicare D-SNP plan for 2026- Network Payor network development - Telehealth start-up - California- Network development - Adequacy, Reimbursement for a Medicare Advantage start-up plan - Chicago, IL.
Indianapolis, Indiana Area
Senior consultant with HTMS. Focus on health plan operations, provider network management and development and project management. Various clients across the US with engagements ranging from project management, operations to network management strategy and creation. Experienced in all health plan products including Commercial, Medicare, Medicaid and ACA.
Irving, TX
Represent client hospitals and providers in contractual language and reimbursement negotiations with all major payors.Develop managed care strategies for clients.Perform Clinical Integration readiness analysis for client organizationsDevelopment team member for The Godbey Report, an analysis tool to allow hospital various reimbursement measurements against.
Joplin, Missouri Area
CEO of HealthFirstResponsible for PHO contracting for St; 13 independent hospitals and 400 independent providers in the SW Missouri, SE Kansas and NE Oklahoma areaIncreased facility payments from managed care over 10% in 18 monthsIncreased physician reimbursement from managed care contractsResponsible for PHO Sales, Marketing, Account Management for.
Oakland, CA
Provider Contracting Identified contracting methodology to save Kaiser Permanente $40m annuallyResponsible for all national health care delivery contracts for the Kaiser Permanente Point of Service, Preferred Provider Organization and Out of Area productsResponsible for Visiting Member Out of Network secondary physician & facility contracts covering all.
Houston, Texas Area
Assisted in 25% growth of new physicians for a Houston Primary Care Physician Network. Managed a diagnostic imaging company in the development of capitated HMO and individual contracts.Review of Sutter Health Plan's project plan for Data Center relocation
Dallas/Fort Worth Area
Managed the State and Federal regulatory approval and integration of the 350,000-member Harris Methodist Health Plan with full P&L responsibility into PacifiCare Texas with a budget of $13.3 million, on schedule and favorable to budget by $1.5 million. Spokesperson for monthly PacifiCare of Texas Town Hall meetings for 200,000 Secure Horizons Medicare.
Summit, NJ
Responsible for establishing a startup Medicare HMO in New Jersey with full P&L responsibility. Developed final budgets and a 3-year business plan and worked with state regulators and the Securities and Exchange Commission to obtain the necessary regulatory approvals for this new venture.
Tamuning, Guam
Management, with full P&L responsibility, of all HMO group model functional areas including the operation of 5 Clinics for medical/dental delivery with a clinical and support staff of 275 and HMO administration staff of 75.
Responsible for all HMO functions for Commercial, Medicaid, and Medicare products.
Coral Gables, FL
Represent client hospitals and providers in contractual language and reimbursement negotiations with all major payors.Develop managed care strategies for clients.Perform Clinical Integration readiness analysis for client organizationsDevelopment team member for The Godbey Report, an analysis tool to allow hospital various reimbursement measurements against.
Indianapolis, Indiana Area
Assisted clients with strategy in Health Care Operations and Technology.
Activities and Societies: Cross Country & History ClubHistory buff, Cross Country
Quick answers generated from the profile data available on this page.
C. Daniel Koon works for DanCor Technology.
C. Daniel Koon is listed as Managing Consultant at DanCor Technology.
AeroLeads has found 1 work email signal at @thegodbeygroup.com for C. Daniel Koon at DanCor Technology.
C. Daniel Koon is based in Dallas-Fort Worth Metroplex, United States, United States while working with DanCor Technology.
C. Daniel Koon has worked for Dancor Technology, Htms, An Emdeon Company, Godbey Group, Healthfirst - St. John'S Regional Medical Center, and Kaiser Permanente Insurance Company & Kaiser Foundation Health Plan.
You can use AeroLeads to view verified contact signals for C. Daniel Koon at DanCor Technology, including work email, phone, and LinkedIn data when available.
C. Daniel Koon holds Dng, Computer Technology from Indiana University Indianapolis.
C. Daniel Koon is listed with skills including Managed Care, Medicare, Healthcare, Healthcare Information Technology, Healthcare Management, Health Insurance, Medicaid, and Strategic Planning.
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