David Crockett work email
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David Crockett personal email
David Crockett was elected to the Rancho Santiago Community College District (RSCCD) Board of Trustees in November 2020. He has extensive experience in managing relationships within the healthcare sphere, serving as an intermediary between healthcare providers, regulatory agencies and insurance companies. Crockett serves Area 5, representing the communities of Garden Grove and Santa Ana, California.Residing in the city of Santa Ana, he attended Southern West Virginia Community College and earned his Bachelor of Arts in English from West Virginia University. He is a healthcare professional and has managed various programs that range from provider relations, training and development, staff management, and more. He currently works as a Practice Transformation Coach for WellCare where he conducts bi-monthly performance meetings with Independent Physicians Association and Management Services Operation.Crockett is a staunch advocate for community colleges. He believes they play a critical role in addressing issues with inequality and injustice, strengthening ties with local businesses to partner on vocational training programs and internships, and providing affordable and high-quality education.His wealth of knowledge and experience in these areas bring a unique perspective to the RSCCD Board of Trustees and is a valuable asset for the two colleges he represents. Crockett’s goal is to provide excellent communication and services to the students at Santa Ana College and Santiago Canyon College.
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Program ManagerClever Care Health PlanUnited States -
Account ManagerAstrana Health Oct 2024 - Present -
Practice Transfomation CoachCollaborative Health Systems Nov 2022 - Oct 2024Develop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievements towards improved financial, process and clinical outcomes. -
Practice Transformation CoachWellcare Health Plans Mar 2021 - Nov 2022Cypress, California, United StatesDevelop, recommend and implement interventions at the practice and membership level to improve clinical quality and operational efficiency. Collaborate with practices to facilitate redesign efforts, support care teams, introduce population health management and support achievement towards improved financial, process and clinical outcomes. -
Network Performance AdvisorWellcare Health Plans Of California Inc 2017 - Feb 2021CaliforniaKey market performance advisor for Well Care-CA contracted Independent Physicians Association (IPA) and Management Services Organization (MSO). Deliverables include:Conduct IPA bi-monthly and MSO Joint Operating Meetings (JOM)Communicating, delivering and monitoring adherence to CMS/Plan deliverables including HEDIS/STAR performance, growth, risk adjustment data validation/chart audits, pay for quality incentive programand authorizations/census & attestation, delegation and audit adherenceProvider Relations visits to primary care physicians to improve HEDIS/STAR/Hierarchical ConditionCategory (HCC ) performance. Present and deliver finding to IPA/MSO staff and to influence behaviorand increase performanceSupport case management, claims and customer services inquiries regarding PCP/member experiences,Division of Financial Responsibility (DOFR) clarification, Letter of Agreements and PCP updates -
Senior Provider Relations SpecialistWellcare Health Plans Of California Inc/Easy Choice 2016 - 2017Cypress, California, United StatesMarket performance advisor for Easy Choice Health plan contracted IPA and MSO.WellCare Health Plans of California Inc
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Provider Relations Account SpecialistL.A. Care Health Plan 2015 - 2016Los Angeles, California, United StatesResponsibilities include primary point of contact for L.A. Care’s provider network including hospital and ancillary providers.Establish strong, solid relationships with assigned accounts at all levels from front-line to executive level personnelProvide education, oversight and interaction with assigned provider accounts to ensure provider understands and complies with contract, policy and regulatory requirementsOn-board, communicate and provide on-going training and technical supportIdentification and resolution of provider concerns via reoccurring and onsite meetings -
Network Development SpecialistBeacon Health Strategies 2013 - 2015Cypress, California, United StatesManaged and developed provider networks to ensure member access for the Autism Services Group (ASG) and Medi-Cal Expansion.Ongoing development and maintenance of provider networks to include ASG California/Washington and out-patient mental health benefits for The Central California Alliance for HealthManagement and implementation of new contracts with providers and groups including ratenegotiations, single case agreements and letters of intentExecuted bi-monthly network status reports and executive summaries -
Senior Provider Relations RepresentativeMaryland Physicians Care 2010 - 2013Baltimore, Maryland, United StatesAnalyzed and grew provider networks to assure appropriate network composition.Developed and maintained cooperative working relationships with medical providers to includehospitals, physicians, and local health departments through personal visits, written correspondence and telephone follow-upEducated contracted providers staff, including assessing needs; developed training and educationalmaterialsTrained appropriate audiences/customers (e.g., contractual requirements, policies and procedures, etc.)Evaluated training success and modify educational components as neededProvided issue resolution and complex trouble shooting for providersConducted and managed ongoing audits of provider compliance with contractual obligations and plan standards; partnered with quality management in identifying and reporting trends
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Hedis CoordinatorMaryland Physicians Care 2006 - 2010Baltimore, Maryland, United StatesManaged the daily activities of the HEDIS outreach staff to include, call campaigns and dedicated clinic sessions.Responsible for generating Executive Summary monthly gap to goal HEDIS reportsDeveloped and delivered HEDIS provider presentationsPrepared provider specific HEDIS missed reportsFacilitated HEDIS Interdisciplinary team meetingsIncreased HEDIS audit results from disincentive to incentive payment
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Quality Assurance AnalystMaryland Physicians Care 2006 - 2007Performed workflow analysis to establish quality standards for employees.Ensured that standards are maintained and communicated throughout the organizationContinuously audited quality levels of employees’ work against standards using appropriate qualityassurance toolsIdentified and communicated opportunities for improvement of employees’ work to appropriatemanagersWorked closely with managers and training specialist to develop and implement training interventionsthat will result in improvementAssisted trainer with appropriate employee initiatives to include quality standards trainingEvaluated results of training interventionsAssisted management and training specialist with special projects and/or assignmentsNamed Project Lead for HEDIS activities
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TeacherJob Corp 2005 - 2006Harpers Ferry, West Virginia, United States
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Job Coach/SupervisorKra Corporation 2003 - 2004Philadelphia, Pennsylvania, United States -
Continuous Quality Improvement Senior Business System AnalystIndependence Blue Cross 2002 - 2003Philadelphia, Pennsylvania, United States -
Quality Assurance SupervisorIndependence Blue Cross 2000 - 2002Philadelphia, Pennsylvania, United States
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Enrollment Services Senior TrainerIndependence Blue Cross 1998 - 2000Philadelphia, Pennsylvania, United States
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Organization Learning And Change Management Resources Training OfficerCorestates Financial Corporation 1996 - 1998Philadelphia, Pennsylvania, United States -
Customer Service Training SpecialistThe Bank Of New York 1995 - 1996Newark, Delaware, United States
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Customer Service InstructorAmerican Express Centurion Services Corp 1988 - 1992Newark, Delaware, United States
David Crockett Education Details
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English Major With A Minor In Business
Frequently Asked Questions about David Crockett
What company does David Crockett work for?
David Crockett works for Clever Care Health Plan
What is David Crockett's role at the current company?
David Crockett's current role is Program Manager.
What is David Crockett's email address?
David Crockett's email address is da****@****are.com
What schools did David Crockett attend?
David Crockett attended West Virginia University.
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David Crockett
Chicago, Il4gmail.com, moore.sc, moore.sc.edu, sc.edu3 +180377XXXXX
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David Crockett
Thorndale, Tx -
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David Crockett
Oakley, Ut3healthcatalyst.com, cognizant.com, aruplab.com4 +180156XXXXX
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