David Cook Email & Phone Number

Denver, CO, US

Indianapolis, Indiana, US

Leading strategy and innovation efforts for value-based care platforms, including a team of business consultants and project managers focused on specialty risk financial operations.

Indianapolis, Indiana, US

Worldwide, OO

• Led the business analyst team to harvest requirements for a strategically important finance transformation program at a large national health plan with the goal to automate both intercompany and external financial.
• Partnered with the technology subsidiary of a national health plan to lead requirements gathering, scoping, and project planning for the deployment of a remote patient monitoring solution for providers.
• Led the Care Management and reporting workstreams of a care and utilization management platform assessment to develop a detailed roadmap of 13 technology and process improvement initiatives for a regional health plan.
• Advised the Medicare Advantage division of a national health plan on solutions for the data transformation workstream of a core administration and care management platform replacement project to resolve roadblocks and.
• Led workshops and developed detailed impact assessments for Care Management, Utilization Management, and Finance reporting to prioritize, refine scope, define critical path, and provide solution recommendations.

• Case and Disease Management (CM/DM) software domain lead for multiple projects including a highly complex, long term client engagement with a healthcare payer serving over 3 million members.
• Led teams configuration analysts, including both onshore and offshore staff.
• Provided subject matter expertise and best practice guidance for CM/DM implementation, process improvement, and ongoing support activities on the CareAdvance Enterprise (CAE) care management software platform.
• Led sessions to gather client business requirements and perform gap analysis for software implementation, process improvement initiatives, and new programs.
• Developed, documented, and socialized end user workflows while educating client on application capabilities with effective presentation skills.
• Designed holistic solutions with an eye to efficiently leveraging product functionality and lowering total cost of ownership.

• Managed the operational relationship for hosted Facets, QNXT, CareAdvance, Elements - TriZetto Medicare Suite, and TriZetto Communication System payer clients exceeding $2.5 million annual hosted services recurring.
• Led Application Management Services to ensure delivery was on budget, exceeded contractual service level agreements, and drove client satisfaction.
• Governance across all areas of hosted services including service, incident, and change management, as well as continual service improvement.
• Managed all environments including updates, major/minor core code release, infrastructure changes, batch schedules and custom code.
• Collaborated with markets, delivery, product, and consulting leadership to develop and implement strategic client business and technical roadmaps, planning and scoping new work efforts.
• Developed positive business relationships through regular communication with client representatives from end users up to CIO.

• Worked as CareAdvance Enterprise, TriZetto Communications System, and QNXT product consultant on implementation, upgrade, and optimization projects.
• Configuration Lead for multiple implementation and upgrade projects, planned and managed activity for a pooled resource team.
• Collaborated with business and technical teams to gather business requirements from client and configure system specifications by go-live date.
• Developed and executed detailed testing plans to support software implementation.
• Achieved the highest client satisfaction survey result of the year for a client implementation project checkpoint.
• Awarded three TriZetto Power Star awards and a Quality Excellence Award for outstanding client delivery efforts.