David Nance

David Nance Email and Phone Number

Sr. Director | Affordability at eviCore healthcare @ eviCore healthcare
bluffton, south carolina, united states
David Nance's Location
Brentwood, Tennessee, United States, United States
David Nance's Contact Details
About David Nance

David Nance is a Sr. Director | Affordability at eviCore healthcare at eviCore healthcare. He possess expertise in leadership, healthcare, analysis, management, account management and 15 more skills.

David Nance's Current Company Details
eviCore healthcare

Evicore Healthcare

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Sr. Director | Affordability at eviCore healthcare
bluffton, south carolina, united states
Website:
evicore.com
Employees:
2180
David Nance Work Experience Details
  • Evicore Healthcare
    Sr. Director | Affordability
    Evicore Healthcare Jan 2020 - Present
    Franklin, Tn
  • Evicore Healthcare
    Director Of Healthcare Economics
    Evicore Healthcare May 2015 - Present
    Franklin, Tn
    Primary responsibility is to participate in healthcare economics activities including providing support and guidance to Sales, Product Development, Network Management and Account Management to facilitate network development, new sales and revenue growth.-Build, lead and manage a highly competent healthcare economics team.-Work with IT and data warehousing counterparts to develop and design deliverables to support the healthcare economics team and customer reporting needs.-Conduct baseline and trend analyses for targeted medical cost categories, geographies and segments.-Apply actuarial concepts and tools to enhance understanding of utilization and cost trends across networks, products and geography. -Validate findings against established benchmarks.-Create and deliver results in an accurate and timely manner to both internal and external customers.-Effectively communicate results to key stakeholders and policy makers. Communication of results includes clean and well-organized presentations to reflect analytic methods utilized, key decision points with sufficient detail to support comprehension and replication of the analysis.-Provide additional analyses that support sales and product development by being able to manipulate and analyze claims data to perform IBNR calculations, provider network overlap, fee schedule pricing, trend mitigation and population mix-shifts. -Relate analytic findings to business questions and objectives. This includes learning to integrate information from multiple sources, discern implications for future analysis and identify opportunities for enhancing the integrity of data results.-Work with prospective client claims data and establish metrics and trends.
  • Medsolutions
    Manager Of Healthcare Economics
    Medsolutions May 2012 - Present
    Primary responsibility is to participate in healthcare economics activities including providing support and guidance to Sales, Product Development, Network Management and Account Management to facilitate network development, new sales and revenue growth.-Build, lead and manage a highly competent healthcare economics team.-Work with IT and data warehousing counterparts to develop and design deliverables to support the healthcare economics team and customer reporting needs.-Conduct baseline and trend analyses for targeted medical cost categories, geographies and segments.-Apply actuarial concepts and tools to enhance understanding of utilization and cost trends across networks, products and geography. -Validate findings against established benchmarks.-Create and deliver results in an accurate and timely manner to both internal and external customers.-Effectively communicate results to key stakeholders and policy makers. Communication of results includes clean and well-organized presentations to reflect analytic methods utilized, key decision points with sufficient detail to support comprehension and replication of the analysis.-Provide additional analyses that support sales and product development by being able to manipulate and analyze claims data to perform IBNR calculations, provider network overlap, fee schedule pricing, trend mitigation and population mix-shifts. -Relate analytic findings to business questions and objectives. This includes learning to integrate information from multiple sources, discern implications for future analysis and identify opportunities for enhancing the integrity of data results.-Work with prospective client claims data and establish metrics and trends.
  • Healthways
    Sr. Account Manager
    Healthways Jan 2011 - Dec 2011
    Franklin, Tn
    -Develop overall business relationships with assigned accounts-Establish and improve positive strategic relationships with client executives and respective consultants-Resolve customer-facing issues including resolution of technical or customer service problems-Conduct formal periodic review meetings to assess performance, identify opportunities or threats and discuss new ideas and solutions-Develop and communicate strategic plans for assigned accounts to ensure retention and satisfaction-Analyze and interpret contract data-Review, analyze and present data and reports needed to satisfy the customer-Lead implementation efforts to ensure consistency and success of implementations
  • Healthways
    Director Of Outcomes And Reporting
    Healthways Jan 2009 - Dec 2010
    -Manage a team of healthcare analysts supporting the western region of the healthplan market-Serve as subject matter expert for account teams in analyzing and interpreting data and reports-Work with healthcare analysts and their account teams to balance workload while ensuring accurate and timely delivery of reports-Create forums for sharing of best practices in an effort to drive new levels of efficiency and consistency across the market-Develop and communicate knowledge of evolving measurement methodologies
  • Healthways
    Finance Director
    Healthways Jun 2005 - Jan 2009
    -Participated on account team managing $24 million in revenue for healthplan and employer group accounts-Coordinate internal and external colleagues and processes necessary to provide financial, utilization, clinical and other reporting according to the terms of the contract-Lead the process of producing and analyzing reports with an end result of presenting findings to the customer-Work with the account team and operations in identifying and producing reports helpful in increasing effectiveness in our programs-Manage monthly revenue close process to ensure appropriate revenue recognition
  • Healthways
    Healthcare Analyst
    Healthways Feb 2003 - Jun 2005
    -Produce financial, clinical and utilization outcomes for assigned accounts according to contractual requirements using appropriate tools-Partner with account team members to analyze, validate and report outcomes-Support account team by participating in customer meetings where outcomes are presented and operational issues are discussed-Establish effective working relationships with Healthways and customer colleagues to ensure the accuracy and timeliness of outcomes
  • Cigna Healthcare
    Provider Services
    Cigna Healthcare Mar 1998 - Feb 2003
    -Compile the monthly network statistics for the healthplan-Produce a variety of reports for Provider Services, Provider Data Management, Contracting and Sales using Access, SQL and Excel -Coordinate the production of member and provider directories for a four-state region of CIGNA Healthcare-Manage matrix partners to ensure timeliness and accuracy of both printed directories and the online directory

David Nance Skills

Leadership Healthcare Analysis Management Account Management Program Management Strategic Planning Process Improvement Analytics Healthcare Information Technology Hipaa Cross Functional Team Leadership Sales Healthcare Industry Data Analysis Sql Managed Care Finance Healthcare Finance Healthcare Reporting

David Nance Education Details

Frequently Asked Questions about David Nance

What company does David Nance work for?

David Nance works for Evicore Healthcare

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

David Nance's current role is Sr. Director | Affordability at eviCore healthcare.

What is David Nance's email address?

David Nance's email address is da****@****ons.com

What is David Nance's direct phone number?

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What schools did David Nance attend?

David Nance attended Lipscomb University.

What skills is David Nance known for?

David Nance has skills like Leadership, Healthcare, Analysis, Management, Account Management, Program Management, Strategic Planning, Process Improvement, Analytics, Healthcare Information Technology, Hipaa, Cross Functional Team Leadership.

Who are David Nance's colleagues?

David Nance's colleagues are Christy Clayton, Samyukta Shetty , Mha, Amanda Lee-Zehr, Latoya Young, Tanisha Riley, Susie Lee, Shirley Hargrove.

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