David Nelson

David Nelson Email and Phone Number

Entrepreneur, Strategist, CEO, Innovator, & Healthcare Executive, with Start-ups and Growing Healthcare Companies @ HealthScape Advisors
David Nelson's Location
Westerly, Rhode Island, United States, United States
David Nelson's Contact Details
About David Nelson

I'm an Entrepreneurial Healthcare Executive with 25+ years of experience starting and growing enterprises in the provider/payer market; proficient in joint ventures, mergers and acquisitions, and C-suite recruitment; secures venture capital, leverages negotiation, and builds strategic relationships; a trusted advisor, mentors external entities and internal stakeholders.I also develop effective and efficient healthcare operation systems, including corporate office, staffing, infrastructure, strategic planning, performance management, and budget and finance; smoothly glides among government, non-profit and for-profit sectors; raises funds and secures venture capital; thrives in multiple regional markets configuring systems and services accordingly; harnesses the power of successful human capital and engages the team in strategic plan accomplishing desired outcomes.Strategic Planning • Innovation • Joint Ventures • Start-Up and GrowthMergers and Acquisitions • Due Diligence • Negotiation • Data AnalyticsRegional Markets • Provider/Payer Market • Government, Non-Profit, and For-Profit Sectors Fundraising and Venture Capital • C-Suite Recruitment • Value-Based Models • Customer LoyaltyStrategic Relationship Building • Influencer • Trusted Advisor • Mentor Operations Systems • Finance and Budgeting • Human Capital Development • Performance Management Master of Arts, Hospital and Health Administration, The University of Iowa, Iowa City, IABachelor of Science, Hospital and Health Services Administration, Quinnipiac University, Hamden, CTBoard of Trustees, Quinnipiac University, Hamden, CT, 2003 – 2021 Assistant Team Member, University of Iowa Alumni Association, 2000 – PresentErnst & Young Entrepreneur of the Year, Healthcare/Life Science, MarylandUnited States National Defense Service MedalUnited States Navy Commendation MedalUnited States Navy Achievement Medal

David Nelson's Current Company Details
HealthScape Advisors

Healthscape Advisors

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Entrepreneur, Strategist, CEO, Innovator, & Healthcare Executive, with Start-ups and Growing Healthcare Companies
David Nelson Work Experience Details
  • Healthscape Advisors
    Partner
    Healthscape Advisors Nov 2021 - Present
    Chicago, Il, Us
    Serve as Partner with industry-leading advisory group leading consulting teams on projects focused on growth initiatives, Government procurements, Medicare Advantage product design, provider and payer transformation and implementation and evaluation of value-based models of care.
  • Veterans Accountable Care Group
    Founder, President, Ceo
    Veterans Accountable Care Group Feb 2016 - Nov 2021
    Scottsdale, Arizona
    Scope: Provides strategic consulting to operational entities and advisory firms on formation alternatives, regulations, patient experience, reimbursement, and market dynamics influencing new care coordination and value-based models.▪ Joint Ventures: Created and funded joint ventures with strategic investors representing national brands delivering high-quality clinical and administrative services▪ Advisory: Advised national clients in Commercial, Medicare, Medicaid, DoD, and VA programs, providing insight and expertise, improving healthcare delivery systems▪ Merger and Acquisitions: Provided target identification and due diligence team leadership for merger and acquisition activities▪ Healthcare Subject Matter Expert: Expert on latest marketplace dynamics and strategies enhancing the provider/payer value proposition, and extend care through virtual delivery systems in rural areas▪ C-Suite Recruiting: Sourced, selected, recommended experienced, seasoned, healthcare management teams▪ Integrated Care Models: Successfully operationalized multi-state regional integrated care models
  • Inovacus, Llc
    Founder, Chairman, Ceo
    Inovacus, Llc Apr 2015 - Nov 2021
    Scope: Operational and strategic advisor for leading provider and payer organizations, national consulting practices, and private equity firms. ▪ Crisis Management: Applied real-world, proven crisis management skills exhibited in healthcare delivery environments in both domestic and international settings▪ Patience Experience: Designed and implemented Patient Experience reforms improving customer satisfaction and experience measurements▪ Service Delivery Design: Expertly designed and implemented new provider and payer value-based service delivery models▪ Business Development: Supported business development and fundraising for healthcare services and clinical care businesses in post-acute care, ambulatory surgery, rehabilitation, and analytic support sectors▪ Healthcare Delivery: Designed and lead the formation of health care delivery strategic partnerships and joint ventures for significant federal and state government contracting initiatives
  • Optum
    Chief Healthcare Strategist
    Optum Sep 2014 - Feb 2016
    Eden Prairie , Mn, Us
    Scope: Independent consultant to United Health Group (UHG) and Optum – UHG operating subsidiary.▪ Assessment Tools: Developed market assessment tools for Medicaid, Long Term Services and Supports (LTSS), and Medicare Advantage increasing functionality and effectiveness of services▪ Merger and Acquisitions: Identification of target companies for UHG Merger and Acquisition group▪ Advisory: Led strategic study; recommended specific formation options to OPTUM leadership team which led to current OPTUM SERVE subsidiary▪ Request for Proposal (RFP): Led creation and drafting of various federal government Request for Proposal efforts
  • Xg Health Solutions
    Co-Founder, Coo
    Xg Health Solutions Oct 2012 - Jan 2014
    Columbia, Md, Us
    Scope: Led formation and execution of Geisinger Health System (GHS) spin-out, xG Health Solutions, Inc. ▪ Organizational Structure Creation: Drafted and executed initial human capital plan; conducted facility site selection; negotiated lease and build-out; structured finance/accounting and human capital departments; creating initial service delivery plan▪ Solution Products: Led collaborative solution productization formed from GHS Intellectual Property (IP)▪ Fund Raising: Raised initial funds, with 2 other Founders and GHS leadership team, securing an initial $40 MM investment from leading healthcare technology private equity investment firm▪ Human Capital Plan: Led execution of human capital plan from first 4 employees to 100+ highly talented consultants, information technology (IT), data analytics, and population health professionals▪ Performance and Data (HRIS) Management: Evaluated and selected human capital IT infrastructure; created and implemented Performance Review Program, Incentive Compensation Plan, and automated Applicant Tracking System (ATS) supporting accelerated hiring plan▪ Client Management and Customer Loyalty: Designed and implemented Client Management function ensuring high client satisfaction scores and identification of upselling opportunities for Advisory Services, Data Analytics, and Population Health/Care Management business units▪ Knowledge and Learning Management: Selected and Implemented enterprise Knowledge Management (KM) program; conducted broad requirements identification of Learning Management System (LMS) and productization of learning and educational content
  • Optum
    Vice President, Federal Market
    Optum Sep 2011 - Sep 2012
    Eden Prairie , Mn, Us
    Scope: Led development of initial federal sector strategic plan and leadership of business development unit for external business development executive relationship and internal business solution leader.▪ Operational Solutions: Identified operational solutions in partnership with business unit experts from multiple product/service lines for complex government procurements▪ Relationship Building: Coordinated external support resources and activities in Washington, D.C. and other mission-critical locations/regions enhancing customer and political relationships▪ Market Review and Assessment: Identified needs, garnered organizational support, and led the strategic federal market review and external/internal environmental assessment; presented results to OPTUM senior leadership in sales, executive, and strategic decision-making forums▪ Bid Response Win: Co-designed response, bid, and secured US Military Entrance Processing Station (MEPCOM) solicitation resulting in $55.6MM contract award to OPTUM affiliate
  • Calvert Health Partners, Llc
    Chairman, Ceo, President
    Calvert Health Partners, Llc Jan 2005 - Aug 2011
    Baltimore, Us
    Scope: Led start-up of health care provider services organization, including strategic communications, organization structuring, by-law development, fundraising activities, and investor presentations. ▪ Senior Team Migration: Facilitated migration of 8-member senior management team from industry-leading Department of Defense health plan to private equity designated, executive management team▪ Acquisitions: Successfully identified, purchased, and integrated 4 initial home care acquisitions▪ Business Process Standardization: Standardized business processes and technology integration resulting in identifying and selling operations to strategic consolidator in 2010▪ Fundraising: Raised over $8MM from investor groups and lender funding start-up operations and acquisitions▪ Business Model Presentation: Presented compelling business model to leading financial sponsor groups throughout North America▪ Negotiation: Negotiated and executed an asset purchase agreement with Sierra Health Services, Inc. for a state-of-the-art enterprise technology platform▪ Leverage Buyout Models: Developed complete leveraged buyout (LBO) models on targets, including product expansion and acquisition growth projections▪ Due Diligence: Led joint, private equity, investment banker, and Calvert Health due diligence teams on 4 specific transactions; as a result of initial persuasive sales meeting with current leadership/CEO’s and investment banking representative
  • Unitedhealth Group, Sierra Military Health Services, Inc.
    President
    Unitedhealth Group, Sierra Military Health Services, Inc. Nov 1997 - Jan 2005
    Us
    Scope: Directed organization-wide operations of Sierra Military Health Services, Inc. (SMHS), a managed care contractor for TRICARE, the DoD’s military health care program, in 13 states throughout the Northeast and Mid-Atlantic regions.▪ Healthcare delivery System: Refined a multi-state health care delivery system with $485MM annual revenues for over 1M active duty military personnel, retirees, and dependents in all Uniformed Services branches▪ Start-Up and Growth: Implemented successful start-up inception to 600+ employee operations in 8 months, in 13-state region, i.e. corporate office, staffing, infrastructure, strategic planning, performance management, and budget processes▪ Negotiation: Led multi-disciplinary contract extension team in bilateral negotiation process resulting in multi-year $1.7B contract agreement▪ Government Representation: Represented SMHS to DoD, federal, state and local executive and legislative reps, and federal and state economic development groups▪ Relationships Building: Managed all contractual activities and subcontractor relationships▪ Corporate Mission: Implemented corporate citizenship programs and aligned SMHS with appropriate community and business partnerships to fulfill corporate mission▪ Bid Award: Led proposal team in bid and subsequent award of Region 1 Managed Care Support Contract▪ Partnership and Communication: Forged multi-level partnerships with DoD in mobile environment; instituted outreach efforts enhancing communications with congressional leaders and professional committee staff▪ Program Redesign: Redesigned Medical Management and Health Services departments using state-of-the-art technology; improved healthcare utilization efforts and achieved higher levels of patient satisfaction with business-clinical operational linkages▪ Contract Performance: Led enterprise during 16-month run-out of contract and ensured all contract performance standards achieved with less than 2% voluntary turnover rate

David Nelson Skills

Managed Care Medicaid Medicare Healthcare Healthcare Consulting Healthcare Information Technology Strategic Planning Health Policy Healthcare Industry Start Ups Hipaa Healthcare Management Provider Relations Physician Relations Cross Functional Team Leadership Executive Management Health Insurance Ehr Clinical Research Hospitals Physicians Disease Management Revenue Cycle Case Management Medicine Quality Improvement Hmo Performance Improvement Network Development Informatics Long Term Care Home Care Nursing Electronic Medical Record Practice Management Health Information Exchange Utilization Management

David Nelson Education Details

  • The Wharton School
    The Wharton School
    Mergers And Acquisitions
  • University Of Iowa
    University Of Iowa
    Hospital And Health Administration
  • Mit Sloan School Of Management
    Mit Sloan School Of Management
    Ai In Healthcare
  • Quinnipiac University
    Quinnipiac University
    Hospital And Health Services Administration

Frequently Asked Questions about David Nelson

What company does David Nelson work for?

David Nelson works for Healthscape Advisors

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

David Nelson's current role is Entrepreneur, Strategist, CEO, Innovator, & Healthcare Executive, with Start-ups and Growing Healthcare Companies.

What is David Nelson's email address?

David Nelson's email address is dn****@****dms.com

What is David Nelson's direct phone number?

David Nelson's direct phone number is +141044*****

What schools did David Nelson attend?

David Nelson attended The Wharton School, University Of Iowa, Mit Sloan School Of Management, Quinnipiac University.

What are some of David Nelson's interests?

David Nelson has interest in Science And Technology, Education, Health.

What skills is David Nelson known for?

David Nelson has skills like Managed Care, Medicaid, Medicare, Healthcare, Healthcare Consulting, Healthcare Information Technology, Strategic Planning, Health Policy, Healthcare Industry, Start Ups, Hipaa, Healthcare Management.

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