David Nelson Email & Phone Number

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.

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.
• 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

• 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

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

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.
• 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.

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.
• 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

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

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.
• 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.
• 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

Executive Study Program, Mergers And Acquisitions

Master Of Arts - Ma, Hospital And Health Administration

Executive Education, Ai In Healthcare

Bachelor Of Science - Bs, Hospital And Health Services Administration