Dave Dutton

Dave Dutton Email and Phone Number

Advisory Consultant at Deloitte @ Deloitte
new york, new york, united states
Dave Dutton's Location
Louisville, Kentucky, United States, United States
Dave Dutton's Contact Details
About Dave Dutton

Innovative and results driven business professional with more than 20 years diverse experience in all aspects of business management in the healthcare and financial services industries. Strong leader with a successful track record in even the most challenging assignments. Drives revenue through building and maintaining client relationships. Creative and dynamic auditor with proven expertise in consistently penetrating new concept areas to ensure sustainable revenue growth. Works effectively to achieve goals as a leader, cross-functional team member or individual contributor as the situation requires. Possess technical expertise, business acumen and an ability to exceed expectations of both internal and external customers. Strengths in organizational, analytical, and communication skills. Bright, capable problem solver with proven ability to lead effectively, motivate teams, manage change, and exceed expectations.

Dave Dutton's Current Company Details
Deloitte

Deloitte

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Advisory Consultant at Deloitte
new york, new york, united states
Website:
deloitte.com
Employees:
295722
Dave Dutton Work Experience Details
  • Deloitte
    Advisory Consultant
    Deloitte Jun 2021 - Present
    Louisville, Kentucky, United States
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  • Deloitte
    Solution Delivery Associate
    Deloitte Jun 2019 - Jun 2021
    Louisville, Kentucky, United States
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  • Cotiviti
    Senior Auditor, Unit Lead
    Cotiviti Jan 2015 - Jan 2019
    Louisville, Kentucky Area
     Unit Lead for Government Inpatient Team of 16 associates (Auditors, Junior Auditors) generating $18M in annual revenue. Developed Government Inpatient training material and successfully trained 10+ Junior Auditors Developed Quality Control Process leading to team accuracy rate of 97% Subject Matter Expert for 6 Medicare inpatient concepts and 3 state Medicaid programs. Developed 2 new inpatient auditing concepts leading to $5M in added revenue for a national health plan.
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  • Cotiviti
    Auditor
    Cotiviti Mar 2010 - Jan 2015
    Louisville, Kentucky Area
     Performed audits on paid healthcare claims identifying $2M per year in overpayments on behalf of a national health plan. Consistently met daily production goal of a minimum of 200 claims per day. Made recommendations to Team Lead/Audit Management regarding report revisions and enhancements. Responded to client inquiries regarding overpayments written.
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  • The Rawlings Company
    Director Of Operations, Pharmacy Division
    The Rawlings Company Nov 2005 - Jun 2009
    Louisville, Kentucky Area
     Interfaced directly with 6 health plan clients on inbound call activity. Resolved member discrepancies. Managed the operations of a $22M Pharmacy Division of 30 associates (Team Managers, Recovery - Billing Analysists) generating $1.8M in monthly revenue on behalf of health plan clients. Implemented and executed a quality review process resulting in a staff QC accuracy rating of 98%. Implemented and executed a new recovery methodology resulting in more efficient and thorough collection of $5M in overpaid pharmacy claims.
  • Spectracare, Inc
    Vice President, Receivables Management
    Spectracare, Inc Sep 2002 - Sep 2005
    Louisville, Kentucky Area
     Managed the centralized corporate reimbursement operations with 45 associates (Team Leads, Recovery- Billing Specialists). Performed detailed analysis of accounts receivables resulting in significant changes in front end insurance verification processes. Analyzed department work flow and reorganized into functional job responsibilities, creating a 10% increase in monthly department productivity. Designed reimbursement department training and streamlined processes.
  • Accessmed
    Reimbursement Manager
    Accessmed Mar 1999 - Jun 2002
    Overland Park, Kansas Area
     Managed daily operations of 3 pharmaceutical Oncology reimbursement programs for Bristol Myers Squibb Oncology. Provided reimbursement consulting services to private and community based oncology practices nationwide educating them on heath plans’ billing procedures for new oncology drugs. Designed and implemented AccessMed’s reimbursement hotline and patient assistance program for Celgene Corporation’s drug Thalomid.  Presented pharmacy manufacturer’s support assistance programs for low income oncology patients at 3 state medical society meetings.
  • National Medical Care
    Region Reimbursement Manager
    National Medical Care Apr 1990 - Feb 1999
    Overland Park, Kansas Area
     Managed accounts receivable and reimbursement issues in the region, which consisted of 8 branch locations in 6 states. Performed on site quality assurance reviews making evaluations and recommendations on staffing levels and performance improvement. Developed reimbursement training materials for the region. Successfully converted 8 branch office receivables to the Medical Manager billing A/R system.

Dave Dutton Skills

Medicaid Healthcare Auditing Medicare Managed Care Analysis Healthcare Information Technology Process Improvement Strategic Planning

Dave Dutton Education Details

Frequently Asked Questions about Dave Dutton

What company does Dave Dutton work for?

Dave Dutton works for Deloitte

What is Dave Dutton's role at the current company?

Dave Dutton's current role is Advisory Consultant at Deloitte.

What is Dave Dutton's email address?

Dave Dutton's email address is dw****@****uth.net

What is Dave Dutton's direct phone number?

Dave Dutton's direct phone number is +150249*****

What schools did Dave Dutton attend?

Dave Dutton attended Wichita State University.

What are some of Dave Dutton's interests?

Dave Dutton has interest in Football, Exercise, Sweepstakes, Home Improvement, Collecting Art, Reading, Gourmet Cooking, Sports, Watching Basketball, Golf.

What skills is Dave Dutton known for?

Dave Dutton has skills like Medicaid, Healthcare, Auditing, Medicare, Managed Care, Analysis, Healthcare Information Technology, Process Improvement, Strategic Planning.

Who are Dave Dutton's colleagues?

Dave Dutton's colleagues are Hari Prasad, Ashley Sui, Samantha Garner, Ritam Bakshi, Pamela Silva, Rahul Jaiswal, Fernando Pocino Pasías.

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