David Harrell

David Harrell Email and Phone Number

Healthcare | Operations Management | Process Improvement | Account Management | Project Management | EDI/Claims | Strategic Planning | Teambuilding | SaaS | KPI Development | Contract Negotiation | Call Center Management @ Alliance Health
David Harrell's Location
Metro Jacksonville, United States, United States
David Harrell's Contact Details

David Harrell personal email

n/a
About David Harrell

Tenured professional with vast experience from both a Health Insurance Company and Healthcare Vendor perspective. Have successfully created and or led areas ranging from Project Management, Claims Administration, Member & Provider Call Center Operations, BlueCard, Marketing, Strategic Account/Alliance Management, Business Development, Technical Implementations, and Deployment of Internet Applications throughout numerous states.Specialties: In-depth knowledge of EDI claims creation, submittal, routing and adjudication as well as being one of a team of nine that established a real-time health information exchange that grew from a Florida focused organization to the third largest EDI and Real-time health information exchanges in the country within a five year period.Specific product line knowledge includes; Commercial insurance, Medicaid, Medicare, Healthy Kids, Long Term Care, and Child Welfare.Operations Management | Process Improvement | Account Management | Project Management | EDI/Claims Adjudication | Strategic Planning | Teambuilding | Sales | Budgeting | KPI Development | Contract Negotiation

David Harrell's Current Company Details
Alliance Health

Alliance Health

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Healthcare | Operations Management | Process Improvement | Account Management | Project Management | EDI/Claims | Strategic Planning | Teambuilding | SaaS | KPI Development | Contract Negotiation | Call Center Management
David Harrell Work Experience Details
  • Alliance Health
    Senior Vice President Claims And Enrollment
    Alliance Health Nov 2024 - Present
    Durham, Nc, Us
  • Self-Employed
    Healthcare Consultant
    Self-Employed Mar 2023 - Dec 2024
    Work with start-ups, established businesses and other consulting organizations to provide insight and guidance relating to Healthcare Payer processes, procedures and use of technology for call centers, claims operations and other HIPAA related transactions.
  • Change Healthcare
    Vice President Strategic Clients
    Change Healthcare Sep 2021 - Mar 2023
    Nashville, Tennessee, Us
    Establish, maintain, and expand relationships with strategic health plan partners in order to expand the utilization of product and services that mutually benefit both organizations. Relationships range from the C-Suite to line level managers and analysts.
  • Availity Llc
    Division Vice President Of Alliance Management
    Availity Llc Mar 2015 - Oct 2021
  • Sunshine State Health Plan
    Vp Operations
    Sunshine State Health Plan Apr 2013 - Oct 2014
    Lead and manage Provider Data Management, Credentialing, Member & Provider Services, Claims, Encounters and Provider Relations. Scaled Operations from an organization that could support 200K members and 11K providers to one that now provides services to over 425K members and 18.5K providers. Lines of business supported include Managed Medical Assistance (aka Medicaid MMA), Child Welfare, Healthy Kids, Long Term Care, Medicare and Commercial.
  • Bluecross & Blueshield Of Florida
    Sr Director
    Bluecross & Blueshield Of Florida Sep 2007 - Apr 2013
    Jacksonville, Florida, Us
    Accountabilities included day to day direction for highest revenue generating Operations area (BlueCard) at BCBSF. BlueCard Claims & Contact consisted of approximately 500 employees focused on ensuring BCBSF's performance ranks among the highest in the country, as measured by the BCBS Association. National ranking has increased from 54th in the country in third quarter of 2007 to 11th as of the fourth quarter of 2008.
  • Blue Cross Blue Shield Of Florida
    Sr Director Bluecard Claims & Contact
    Blue Cross Blue Shield Of Florida 2007 - 2013
  • Availity, Llc
    Sr Director, Marketing & Alliance Management
    Availity, Llc Nov 2001 - Aug 2007
    Jacksonville, Fl, Us

David Harrell Skills

Healthcare Process Improvement Medicare Business Analysis Project Management Business Development Hipaa Management Vendor Management Account Management Business Process Improvement Leadership Edi Health Insurance Team Building Healthcare Information Technology Cross Functional Team Leadership Marketing Managed Care Claim Medicaid Sdlc Insurance Visio U.s. Health Insurance Portability And Accountability Act Leadership Development Healthcare Information Technology Call Centers Provider Relations Data Analysis Software Development Life Cycle

David Harrell Education Details

  • Jacksonville University
    Jacksonville University
    General
  • Jacksonville University
    Jacksonville University
    Master Of Business Administration - Mba
  • Nova Southeastern University
    Nova Southeastern University
    Professional Management
  • Nova Southeastern University
    Nova Southeastern University
    General

Frequently Asked Questions about David Harrell

What company does David Harrell work for?

David Harrell works for Alliance Health

What is David Harrell's role at the current company?

David Harrell's current role is Healthcare | Operations Management | Process Improvement | Account Management | Project Management | EDI/Claims | Strategic Planning | Teambuilding | SaaS | KPI Development | Contract Negotiation | Call Center Management.

What is David Harrell's email address?

David Harrell's email address is da****@****ity.com

What schools did David Harrell attend?

David Harrell attended Jacksonville University, Jacksonville University, Nova Southeastern University, Nova Southeastern University.

What are some of David Harrell's interests?

David Harrell has interest in Children, Civil Rights And Social Action, Politics, Environment, Education, Animal Welfare, Health.

What skills is David Harrell known for?

David Harrell has skills like Healthcare, Process Improvement, Medicare, Business Analysis, Project Management, Business Development, Hipaa, Management, Vendor Management, Account Management, Business Process Improvement, Leadership.

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