Daniel Klemis Email & Phone Number

Boca Raton, Florida, Us

Responsible for the development and retention of key clients utilizing medical peer review services. Manage client recruitment, account onboarding, and ongoing client service. Reliable Review Services (RRS) provides a variety of medical peer review services for auto liability, workers’ compensation, group health, life, disability and FMLA claims.

Saint Louis, Mo, Us

Envolve Dental, Tempe, AZ; Account Manager• Managing contract compliance, performance measures, and client relations in the Medicare, Medicaid, and commercial health markets• Dental Plan participant in Joint Vendor Oversight Committee meetings and key interface for operational performance, issue resolution, and EDI for Provider, Member, and Claim files • Manage client audits and support data collection for client external audits• Designed and developed Access database for manage, tract, and report on the Account Management process

 Subject matter expert in program and process support for web-based Physical Medicine Provider Network Management software Provided technical assistance for sales/bid process, lead physician trainer, ongoing client support and systems improvement Performed data analytics to measure utilization and quality of care performance for Pay-for-Performance reimbursement and remedial quality improvement process

 Product development of Physical Medicine network utilization management and automated clinical claims data analytics including design, process algorithms, and implementation with resulting 17% reduction in costs and improved quality of care in year one Managed development of two web-based software solutions for provider network management including design, scope, development oversight, and stakeholder management, with on time and within budget delivery Managed healthcare IT system design and development for peer medical review process management and report automation resulting in 50% reduction in process time and 40% reduction in cost Process design for a Physical Medicine outcome metric and quality assurance methodology including patient classification and severity rating resulting in more accurate allocation of care

Doctor Of Chiropractic, Chiropractic

Pre-Chiropractic Studies