Dan Price Email & Phone Number

Houston, Texas Area

Provide advisory services related to evaluating claims adjudication process and all related processes.Identify opportunities for improvement on both manual and automated processes

Houston, Texas Area

• Managed $150M healthcare contract and negotiated renewal with the Department of Defense in 2013.
• Oversaw eight direct reports and owned accountability for all operational activities of health plan, including finance, claims, network management, eligibility, and information systems.
• Transitioned office from Houston to Dallas and recruited, interviewed, and hired the team for new Dallas office; the transition required retooling the processes to allow incorporating multiple products.
• Cut claims turnaround time to 3-5 days while tripling the network size and maintaining URAC accreditation.
• Stabilized medical costs and system issues and implemented controls to provide enhanced communications with internal and external customers.
• Achieved and maintained a 99% provider satisfaction score and a 99% associate satisfaction score.

Houston, Texas Area

• Directed daily operations for multiple physician network organizations; oversaw budgeting, determination of financial reserves, physician recruitment, utilization management, and contract negotiation.
• Managed a cross-functional, inter-departmental team in leveraging core competencies of individuals to implement operational strategy within the networks.
• Mentored physician leaders and fostered the support and cooperation of network providers.

Houston, Texas Area

• Directed strategy and operations for the startup of a newly reorganized organization; led a team of 40 managed care professionals in producing $28M in revenues.
• Provided oversight for one independent practice association, four Medicare Medical Savings Accounts, and five major contracts with 200+ providers.
• Developed and implemented contracting strategies and industry acceptable procedures.
• Managed business activities and maintained profitability throughout the entire organization.
• Cultivated positive business relationships with all entities in the Houston Methodist Hospital system.

Houston, Texas Area

• Led contract negotiations for 18 local hospitals and 5 surgery centers, providing direction and counsel to individually employed managed care directors.
• Created and implemented a unified approach to payer contracting and relations, for a diverse system of independent hospitals and surgery centers.
• Merged contracting relationships into one point of contact.
• Reduced accounts receivable days outstanding by 40%.* Career Note: Prior roles include Regional VP of Operations, State of Texas for North American Medical Management, Inc. and multiple roles at Aetna Health Plans.