Daniel Payne Email & Phone Number

Franklin, TN, US

I'm a passionate entrepreneur leading a high-performing team at PMG Digital Acquisition, a full-service marketing and SaaS agency. We leverage innovative marketing strategies, exceptional creative execution, and cutting-edge SaaS solutions to help businesses achieve their growth goals.**My expertise includes:*** Developing and implementing data-driven.

Real Estate Investor | Helping You Build Wealth through Strategic Property Investments 🏘️💰With over 10 years of experience in the real estate industry, I am a seasoned Real Estate Investor dedicated to helping individuals and businesses achieve their financial goals through strategic property investments. My expertise lies in identifying lucrative.

Nashville, Tennessee, US

• Collaborate with the project team to establish a project plan that accelerates adoption and delivers both short and long-term benefits.
• Garner experience working with myAvatar, CarePOV Clinician and various other modules; demonstrate knowledge of assigned areas of expertise including integrated software, including designing workflows in conjunction.
• Create a strategy for data migration and federation while understanding the integration points of the solution, including data stewardship.
• Interpret technical requirements and business needs into innovative solutions to meet business need while working within the constraints and budgets.
• Identify and lead the mitigation of any technical gaps or risks.
• Represent IT at client governance meetings to review technical aspects of projects and offer recommendations to boost the efficiency and progress of the solution.

• Compiled all necessary business requirements for various projects while simultaneously producing technical documentation for IT Operations, training, workflow and analysis, and ensuring full HIPAA compliance.
• Ensured all systems and clinical applications were operating at optimal performance levels.
• Served as a key contributor in identifying and designing solutions and improvements for numerous clinical systems and applications, offering User Acceptance Testing (UAT) to ensure products were efficiently released.
• Functioned as Business Analyst/Tester during the updating of Windows Server 2012 and QNXT Application from version 5.2 to 5.2.2 working in conjunction with a Developer.
• Worked as a collaborative team member regarding the configuration of Benefits, Enrollment, Utilization Management, Authorizations, Provider Contracts, Claim Test Pro (CTP), and Medical Claim Processing.
• Performed data mapping of interfaces for dental, pharmacy, vision benefits, nurse triage, and electronic membership files while monitoring configuration of QNXT relating to provider demographics.

Eden Prairie, MN, US

• Conducted routine research and updated information needed to verify Medicare eligibility utilizing Web based applications, client systems, and/or internal systems applying Rules of Coordination of Benefits (COB) for.
• Partnered with business units to streamline the process of identifying, reviewing, and analyzing claims and overpayments
• Reviewed and verified overpayment, which included Duplicate Payments, Contract Compliance, Authorizations, Eligibility, Coordination of Benefits, and Medical Reviews.
• Prioritized, assigned, and managed queries and action plans while reviewing members on the VDSSA/MIR files.
• Mentored and educated new COB Analyst/Validation Analysts on understanding the complete process for multiple clients while providing all necessary documentation for projects on hand.
• Designed and deployed modified queries that enabled increased growth and revenue by an additional 15% to 20% each quarter.

London, England, GB

• Communicated with clients to effectively analyze initiatives, build business cases, provide cost/benefit analysis, devise project measurement objectives, and identify business-staffing requirements for IT projects and.
• Utilized project management methodologies, such as SCRUM and Waterfall, to coordinate all involved parties and techniques while initiating change requests from the business to ensure timely and accurate depositions and.
• Oversaw the entire project lifecycle, including investigation, design, testing, and implementation, to ensure business requirements were successfully implemented. Served as a liaison between end users.
• Managed the daily operational activities of the Oracle and SQL Server Database Administrator resources.