Daniel Yu Email & Phone Number

Cerritos, Ca, Us

Long Beach, California, Us

Us

- Ensure that healthcare contracts are priced accurately and fairly for all involved- Be responsible for national/regional hospitals and medical groups - Support and validate provider network contracting and unit cost management- Conduct financial and network pricing modeling, analysis and reporting- Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies- Manage unit cost budgets, target setting, performance reporting and associated financial models

Long Beach, California, Us

-Develop Chronic Kidney Disease and End-Stage Renal Disease (CKD&ESRD) project by providing member and provider identification, total cost of care, cost analysis, utilization analysis, correlation analysis, and financial impact of saving plans-Lead transplant project by querying QNXT & MedInsight database and generate robust reports used by health plans in 13 states-Perform annual financial reconciliation for top national hospitals and find million dollar variance in multiple states by remodeling one year experience of claims with logic that estimates impact by contract term-Present analytical results and findings for top hospital systems to executives of 3 states (MI, SC, and OH) on a quarterly basis; quantify performance of acute hospitals and consult the financial impact of Medicaid reimbursement changes using SQL programming, Excel, PowerPivot, Business Intelligence tools (Medinsight, PowerBI), and Executive dashboard-Perform quality assurance and make sure claims are paid in alignment with provider contracts -Conduct financial modeling and analysis by utilizing NetworX Modeler, Optum Rate Manager, and ETL systems to support negotiating strategies, modeling current and future contract rate proposals

Gardena, Ca, Us