Dave Most Email & Phone Number

• Responsible for supporting and launching new programs in the Emerging Strategies team.• Responsible for creating and customizing network value story content to retain current clients and secure new business opportunities.• Prepared and presented program updates to senior leadership to discuss business opportunities and strategies for new and existing programs.• Lead the development and expansion of the orthopedic and cardiac center of excellence programs.• Acted as liaison to… Show more • Responsible for supporting and launching new programs in the Emerging Strategies team.• Responsible for creating and customizing network value story content to retain current clients and secure new business opportunities.• Prepared and presented program updates to senior leadership to discuss business opportunities and strategies for new and existing programs.• Lead the development and expansion of the orthopedic and cardiac center of excellence programs.• Acted as liaison to advisory and consulting organizations to review UHC’s network strategy and receive feedback from large employers and state government representatives.• Acted as SME to support client RFP/RFI material. Show less

• Managed the strategy and implementation of HEDIS (Healthcare Effectiveness Data and Information Set) improvement projects.• Prepared and presented project updates to senior leadership.• Worked with senior leadership and business segment management to shape strategies for quality focused projects.• Lead coordination across different business segments to improve efficiency of quality projects and programs.• Developed program materials, training documents, and reporting to… Show more • Managed the strategy and implementation of HEDIS (Healthcare Effectiveness Data and Information Set) improvement projects.• Prepared and presented project updates to senior leadership.• Worked with senior leadership and business segment management to shape strategies for quality focused projects.• Lead coordination across different business segments to improve efficiency of quality projects and programs.• Developed program materials, training documents, and reporting to support UnitedHealthcare Networks outreach activities.• Created process to generate reports to support Star Ratings improvement initiative.• 2013 Innovation Award winner – Patient Care Opportunity Report Program Show less

• Managed the successful setup, testing, and implementation of the new Aetna Workers Compensation Pharmacy product.• Lead overview and project initiation discussions with clients for multiple products.• Mitigated risks to ensure projects were completed on time and met clients’ satisfaction.• Developed testing implementation strategy for ANSI 5010 client migrations.• Managed the implementation of several Aetna Workers Compensation Access projects.• Developed scripts to… Show more • Managed the successful setup, testing, and implementation of the new Aetna Workers Compensation Pharmacy product.• Lead overview and project initiation discussions with clients for multiple products.• Mitigated risks to ensure projects were completed on time and met clients’ satisfaction.• Developed testing implementation strategy for ANSI 5010 client migrations.• Managed the implementation of several Aetna Workers Compensation Access projects.• Developed scripts to generate reports to improve the efficiency of claims testing and customer contracting setup changes.• Lead subject matter expert for system enhancements and expansion.• Acted as liaison to AWCA clients for provider penetration testing. Show less

• Managed project to research and implement a new solution for core business product.• Managed project to integrate the National Provider Identifier (NPI) into internal data integration application, main data store, and vending applications.• Managed project to enhance the accuracy and attributes of main product.• Managed the successful maintenance release of several infrastructure and vending applications.• Maintained project charter, project plan, and project schedule to… Show more • Managed project to research and implement a new solution for core business product.• Managed project to integrate the National Provider Identifier (NPI) into internal data integration application, main data store, and vending applications.• Managed project to enhance the accuracy and attributes of main product.• Managed the successful maintenance release of several infrastructure and vending applications.• Maintained project charter, project plan, and project schedule to ensure projects were delivered on time and within budget.• Identified and mitigated risks and issues in each project• Helped design requirements documentation and project process for developers and quality assurance. Show less

• Lead analyst (subject matter expert) for Aetna Workers Compensation Access and Aetna Signature Administrators implementations.• Designed and implemented HIPAA Audit and Reporting system which generated reports for senior management and trend analysis. • Liaison for external software vendor to incorporate custom application changes to Foresight’s HIPAA Validator. • Core team member participating in the full project life cycle for all assigned projects.• Team leader for… Show more • Lead analyst (subject matter expert) for Aetna Workers Compensation Access and Aetna Signature Administrators implementations.• Designed and implemented HIPAA Audit and Reporting system which generated reports for senior management and trend analysis. • Liaison for external software vendor to incorporate custom application changes to Foresight’s HIPAA Validator. • Core team member participating in the full project life cycle for all assigned projects.• Team leader for Rational’s Clearquest implementation. Attended formal instructor training and conducted 4 training sessions encompassing 100+ professional staff. Show less