David Bilbrey Email & Phone Number

Saint Louis, Mo, Us

Saint Louis, Mo, Us

Detroit, Mi, Us

• Assists Chief Compliance Officer in providing overall direction and guidance to the department and interfacing with market and shared service departments.• Directs compliance strategy for market health plan, including Medicaid, MMP, MAP, HIX, and PBM programs, leveraging subject matter expertise to ensure compliance across numerous lines of business.• Led the post-acquisition merger of Meridian’s Compliance Department into WellCare’s Compliance structure, employing leadership capabilities to maintain strategic alignment across all processes, procedures, and practices for all lines of business.• Oversees staff of over a dozen employees in completing annual compliance risk profile and fashioning an annual compliance workplan, sustaining operational alignment with federal, state, and contract requirements.• Leverages subject matter expertise to instruct personnel on HIPAA, compliance laws, and disaster recovery best practices, effectively disseminating knowledge of standard operating procedures. • Manages compliance across different business units, issuing, developing, and tracking corrective actions to resolve the root cause of complications and ensure compliance by remediation dates.

Detroit, Mi, Us

• Assisted Chief Administrative Officer with long-term strategic goals, business efficiencies, security, and project management, safeguarding alignment with overall organizational objectives.• Overhauled training department by revising materials for compliance standards and executing extensive, interactive development programs for employee onboarding, continuing leadership, emerging leadership, and internships; cultivated employee satisfaction and development.• Directed significant corporate administration budget, including five-year forecasting on staffing, tuition reimbursement, and donations, ascertaining potential organizational needs to manage expenses.• Oversaw Project Management Office and Continuous Process Improvement teams, leveraging experience in lean processes to implement streamlined procedures and bolster efficiency.• Refurbished communication library for State and Federal materials compliance, using automated version control to track documentation dates for submission and approval while enhancing timeline awareness.• Developed new disaster recovery and business continuity plan, partnering with Director of IT Infrastructure to expand a document into a comprehensive blueprint covering all risks from weather emergencies to civil unrest, including annual drill exercise

Detroit, Mi, Us

• Spearheaded onboarding program, supervising the coordination of leadership courses and conducting presentations to develop new leaders, promoting job satisfaction and earning Meridian Health placement on national “Best and Brightest” list as employer to work for.• Bolstered internal Learning Management System, Meridian University, instructing on methods to report learning management and development, supporting requirements of rapid executive growth. • Managed development programs, including emerging leader, continuing leadership, and internship curricula, cultivating employee growth across all departments and levels of the organization.• Launched the Culture program which included athletic and volunteer programs, empowering employees to conduct community outreach, enhancing brand awareness and public recognition

Detroit, Mi, Us

• Spearheaded launch of new markets for health plan, providing ongoing operational training—both virtual and onsite—for Iowa, New Hampshire, and Illinois offices to ensure facility, operational, and staff readiness. • Initiated pilot program in Illinois to promote health plan, winning RFP bid for major populations such as Medicaid, MMP, and MLTSS to maintain the program and exponentially expand provider network.• Oversaw continuous growth, demonstrating leadership, organization, and communication capabilities in nurturing care plan; enabled the organization to become the largest in Illinois with hundreds of thousands of members.• Liaised with Illinois state agencies, including HSAG and NORC, on enrollment and payment issues, ensuring regulatory compliance with reporting requirements, and administrative audits.• Collaborated with department directors to develop and implement strategic goals and plans, facilitating process improvements and minimizing duplication across the organization.• Interfaced with shared services departments including claims, customer experience, finance, human resources, and legal, guaranteeing strong lines of communication.

Detroit, Mi, Us

• Assisted COO by creating documentation, data analysis, and reporting for the state of Michigan, aiding cross-functional meetings with different business unit leaders and offering recommendations to bolster efficiency.

Managed day to day relationships, and accounts, with existing technology partners including training implementation and reseller support for various software products.