Dan Shivers Email & Phone Number

Oklahoma City, Oklahoma Area

Consult with managed care organizations and government services contractors. Provide subject matter expertise; write and edit operationally-focused proposal sections under tight deadlines. Identify capture strategies and internal operational improvements to enhance efficiency and effectiveness.Served as interim Vice-President for Performance Improvement and Operational Excellence for a New Mexico Medicaid MCO. Led team of 200+ clinical and administrative staff in care coordination and… Show more Consult with managed care organizations and government services contractors. Provide subject matter expertise; write and edit operationally-focused proposal sections under tight deadlines. Identify capture strategies and internal operational improvements to enhance efficiency and effectiveness.Served as interim Vice-President for Performance Improvement and Operational Excellence for a New Mexico Medicaid MCO. Led team of 200+ clinical and administrative staff in care coordination and utilization management activities. Successfully performed plan de-commissioning activities with minimal disruption to beneficiaries and successful transitions to new MCOs.Served as interim Vice-President for Strategic Growth and Business Development for a healthcare-focused ride-hailing service. Prepared organization to bid on Oklahoma (OK) Medicaid’s non-emergent transportation contract. Developed leads for additional healthcare clients in Texas, Missouri, Kansas, Oklahoma and Illinois. Solved operational challenges through staff recruitment, business intelligence gathering, and client outreach. Show less

Led operations for technology-focused NEMT company. Oversaw operations. Recruited key staff to build quality assurance and data analytics functions, new capabilities for the organization. Built flexible, supportive culture to ensure successful operations.

Oklahoma City, Oklahoma Area

Served as operational subject matter expert for Mississippi (MS) proposal & presented operational section at final oral presentation, helping to win Molina’s first all-new Medicaid business since 2013; projected 166,000 members & $765 million annual revenue. Built & enhanced Molina’s relationships with MS Division of Medicaid, MS providers & other stakeholders.• Led project to re-focus Molina Healthcare of New Mexico’s behavioral health program toward a recovery-oriented systems… Show more Served as operational subject matter expert for Mississippi (MS) proposal & presented operational section at final oral presentation, helping to win Molina’s first all-new Medicaid business since 2013; projected 166,000 members & $765 million annual revenue. Built & enhanced Molina’s relationships with MS Division of Medicaid, MS providers & other stakeholders.• Led project to re-focus Molina Healthcare of New Mexico’s behavioral health program toward a recovery-oriented systems of care model.• Successfully built, enhanced, & maintained Molina’s relationships with Oklahoma (OK) providers & stakeholders, identifying strategic partnerships to serve OK citizens; providers included hospital systems, primary care networks, ADvantage case management entities & HCBS providers including Area Agencies on Aging & Centers for Independent Living.• Served as interim COO for Molina Healthcare of Wisconsin, identifying & implementing appeals & grievances process improvements to enhance the provider experience. Supervised team of 40 employees. Show less

Oklahoma City, Oklahoma Area

Provided management and consulting services to clients.Performed project management duties for a large managed behavioral health organization to ensure compliance with the Mental Health Parity and Addiction Equity Act and to ready the client to market EAP services on a private insurance exchange. • Consulted with a microbrewery regarding operations management, product placement, and marketing.

Led operational team charged with implementing new business and clinical operations for public sector clients. Served as Executive Director until local hires were finalized; hired all operational and clinical staff necessary to support the contract. Responsible for contract and relationship management with multiple clients simultaneously. • Implemented behavioral health utilization management operational contracts for state Medicaid agencies in Kansas, Ohio, and Idaho worth a combined… Show more Led operational team charged with implementing new business and clinical operations for public sector clients. Served as Executive Director until local hires were finalized; hired all operational and clinical staff necessary to support the contract. Responsible for contract and relationship management with multiple clients simultaneously. • Implemented behavioral health utilization management operational contracts for state Medicaid agencies in Kansas, Ohio, and Idaho worth a combined $120 million annual revenue. Show less

Oklahoma City, Oklahoma Area

Led behavioral health quality improvement organization.• Managed a $19 million operations contract with Oklahoma Medicaid agency. • Led team of 18 clinical and administrative staff in the performance of inpatient and outpatient prior authorization activities and facility inspections of care.

Served as the Executive Director’s de facto Chief Operating Officer for an External Quality Review Organization and managed behavioral health program contracted with Oklahoma Medicaid, as well as a set of medical utilization management, case management, and disease management clients across the country. Oversaw projects and accounts portfolio related to operations, client relationships, reporting and business development opportunities. • Secured contract renewals and program up-sells.•… Show more Served as the Executive Director’s de facto Chief Operating Officer for an External Quality Review Organization and managed behavioral health program contracted with Oklahoma Medicaid, as well as a set of medical utilization management, case management, and disease management clients across the country. Oversaw projects and accounts portfolio related to operations, client relationships, reporting and business development opportunities. • Secured contract renewals and program up-sells.• Oversaw the implementation of a project designed to leverage Federal Medicaid dollars for Oklahoma, allowing for the more judicious use of state behavioral health funds.• Implemented a performance measurement system for all contracts to ensure efficient and effective performance for each client; tied all metrics to organization's strategic initiatives. Show less

Served as the Executive Director’s de facto Chief Operating Officer for an External Quality Review Organization and managed behavioral health program contracted with Oklahoma Medicaid, as well as a set of medical utilization management, case management, and disease management clients across the country. Oversaw projects and accounts portfolio related to operations, client relationships, reporting and business development opportunities. • Implemented and provided account management of a $9.7… Show more Served as the Executive Director’s de facto Chief Operating Officer for an External Quality Review Organization and managed behavioral health program contracted with Oklahoma Medicaid, as well as a set of medical utilization management, case management, and disease management clients across the country. Oversaw projects and accounts portfolio related to operations, client relationships, reporting and business development opportunities. • Implemented and provided account management of a $9.7 million medical management contract for a state agency. • Transitioned $1.4 million of contract responsibilities to the Oklahoma office.• Managed the timely preparation and delivery of a set of health informatics studies and surveys to the Oklahoma Medicaid program. Show less

Provided management and consulting services to clients of the firm. Served as contract Clinic Administrator and interim Executive Director of a rural, not-for-profit primary care clinic. • Built and maintained strategic relationships, supervised all clinic staff, implemented board policy, and managed daily clinic activities. • Positioned the clinic to obtain Federally Qualified Health Center Look-Alike status. • Devised data reporting mechanisms, streamlined operations, and… Show more Provided management and consulting services to clients of the firm. Served as contract Clinic Administrator and interim Executive Director of a rural, not-for-profit primary care clinic. • Built and maintained strategic relationships, supervised all clinic staff, implemented board policy, and managed daily clinic activities. • Positioned the clinic to obtain Federally Qualified Health Center Look-Alike status. • Devised data reporting mechanisms, streamlined operations, and assisted the Executive Director in strategy implementation and project development for Oklahoma Medicaid’s External Quality Review Organization and behavioral health utilization management program. Show less

Provided project management and strategic planning services to clients throughout the healthcare system. • Designed and implemented a structured strategic planning methodology, with the Chief Operating Officer.• Introduced a project management system to implement over 20 strategic initiatives and associated projects. • Oversaw project implementations that resulted in over $110 million in benefit. • Provided expertise to resolve operational challenges, including improvement… Show more Provided project management and strategic planning services to clients throughout the healthcare system. • Designed and implemented a structured strategic planning methodology, with the Chief Operating Officer.• Introduced a project management system to implement over 20 strategic initiatives and associated projects. • Oversaw project implementations that resulted in over $110 million in benefit. • Provided expertise to resolve operational challenges, including improvement efforts in Material Services, Nursing Administration and Ambulatory Services. • Performed a comprehensive evaluation of Dallas County residents’ health status and the community assets available for health status improvement, a tool purchased and used by 17 Dallas County hospitals.• Co-authored a proposal to integrate municipal and county public health functions with Parkland, laying the groundwork for a countywide integrated public health system. Show less

Performed ad-hoc decision support activities, analysis and planning projects for the Chief Executive Officer and executive team. • Performed an analysis of primary care network physician compensation, resulting in an overhauled compensation system. • Developed a study highlighting the benefits of a centralized decision support department, resulting in its implementation. Led preparation efforts for a Joint Commission survey on an interim basis. • Developed a business case for… Show more Performed ad-hoc decision support activities, analysis and planning projects for the Chief Executive Officer and executive team. • Performed an analysis of primary care network physician compensation, resulting in an overhauled compensation system. • Developed a study highlighting the benefits of a centralized decision support department, resulting in its implementation. Led preparation efforts for a Joint Commission survey on an interim basis. • Developed a business case for enhancing the oncology service line, resulting in equipment acquisition and facilities re-design. Developed physician partnership strategies in the context of the health system’s philosophy, legal realities and marketplace trends. Show less

Bs, Management

Mha, Health Administration And Policy

Activities and Societies: Alpha Epsilon Lambda graduate and professional students honor society