David Hancock Email & Phone Number

Durham, North Carolina, United States

Serve as strategic advisor with responsibility for setting direction of organization, overseeing management and providing leadership to executive teams. Execute high-level decisions on company policy, vision and strategic direction. Provide oversight and direction of financial team and financial performance. Set and approve budgets and key contracts. Helped CEO and corporate secretary develop agendas to identify top priorities, facilitate board meetings and empower board members. Coordinate CEOs annual performance evaluation to drive business performance and growth. Served as spokesperson at corporate events. Coordination with leadership at primary client - North Carolina Department of Health and Human Services.• Helped lead transformation from a behavioral health plan to a comprehensive tailored plan serving those with severe mental illness (SMI).• Lead the onboarding of North Carolina’s largest county (Mecklenburg) to the Alliance Health Plan.• Oversaw growth from $450M to $2.2B health plan

Raleigh-Durham, North Carolina Area

Provided strategic guidance for healthcare business development for large scale data warehouse, analytics, and decision-making. Focus on solution based selling by building successful relationships with prospects, clients, and partners to enable the creation or identification of business opportunities. Leverage this network to communicate with C-level and senior executives on the advantages and capabilities of SAS data management, analytics and visualization tools. Increase SAS market share by developing strategies that enhance SAS position within the marketplace.Organize and direct SAS initiative based teams in pursuit of healthcare opportunities by combining technical knowledge with domain expertise as well as legal and financial frameworks to grow client base and revenue. Develop process for the creation or enhancement of SAS healthcare product offerings that achieve client objectives. • Deliver leadership and insight to internal and external stakeholders in development of analytics that use healthcare data to improve outcomes, enhance patient care while controlling costs as well as reduce fraud, waste and abuse.• Create SAS strategic plans that establish objectives, assignments and actions to target specific markets, potential customers and business partners that will grow SAS revenue and profit margin• Build and present market specific messaging that demonstrates SAS experience and leadership through published articles, white papers, videos and presentations at both internal and external industry events.

Lead the State Health Solutions division of Telligen consisting of over 15 contracts with State Medicaid agencies, Public Health Departments and Managed Care Organizations (MCO). Responsible for unit P&L with revenue of $40 Million. Lead growth in sales and client development through expansion of service offerings to new States and Medicaid Managed Care Organizations. Enhanced products to include Population Health Management (PHM), Care Management (CM), Opioid & Addition Risk Management, Core Standardized Assessments (CSA), Utilization Management (UM), Quality Improvement, External Quality Review (EQR), predictive modeling and healthcare transformation consulting. Managed broad based distributed team of over 250 resources including client managers, physicians, nurses, social workers, case managers, health coaches with data analysts and programmers. Created strategic approach that planned and executed all aspects of Division performance while measuring performance through account and operational metrics. Lead proposal creation, pricing strategies and business plans for all new work. • Developed marketing and sales strategy that consolidated projects into service continuum enabling rapid expansion within payer community including private and public healthcare organizations • Expanded client base by 50% through opening of new states and entry into Medicaid Managed Care marketplace• Increased revenue by 43% and profit by 154% through client expansion and project cost control review

Raleigh-Durham, North Carolina Area

Accountable executive for 21 contracts with Health and Human Service agencies as well as State Health Plans in 12 states throughout the south, totaling $350 Million in collections and over $1.2 Billion in savings that produces $68 million in annual revenue • Responsible for P&L, sales and client management of service offerings, including third-party liability billing and recovery, cost avoidance, subrogation, estate recovery, Medicare identification, credit balance auditing, pharmacy auditing, long term care auditing, clinical complex reviews, utilization review and program integrity services. • Management of account staff (15) and matrix management of operations (120+) including oversight of all work and quality control review for centralized staff • Strategic planning and direction of Medicaid market expansion for cost containment, recovery and consulting services • Implemented government relations strategic agenda in multiple states, resulting in passage of beneficial legislation • Established operational metrics for the quantification of service delivery to ensure client satisfaction • Developed proposal content, cost models, and pricing strategies for new business initiatives

Raleigh-Durham, North Carolina Area

Led program integrity and coordination of benefit contracts for six States in southern region achieving 60% revenue growth over 3 years achieving.• Developed and implemented coordination of benefits, cost savings, program integrity and recovery initiatives • Designed operational plans, recruited, trained and developed new leaders for contract expansion and client satisfaction • Set and achieved government relation goals through strategic partnerships with lobbyists and key legislators• Identified methods to improving processes within HMS payment integrity reviews, billing and cost avoidance processes, enhancing recoveries and developing cost saving initiatives.

Raleigh-Durham, North Carolina Area

Assisted in the establishment of a Program Integrity practice through the purchase and integration of a clinical review firm as well as the creation and enhancement of fraud, waste and abuse algorithms • Implemented Diagnosis Related Group (DRG) project that identified claims for overpayment, performed medical records review and sought recovery from providers when applicable generating $14 Million in collections • Spearheaded the design and development of case management tracking system for identification and collection of client overpayments while adhering to HIPAA privacy and security regulations • Developed algorithms for pricing Medicare crossover claims to minimize expenditures resulting in $54 Million in client collections and $240 Million in client savings. • Identified $9 Million in fraudulent billing practices originating from the administration of dialysis services

Raleigh-Durham-Chapel Hill Area

Continuation of role during earn-out period following purchase of Public Consulting Group (PCG) Benefit Solutions Practice Area (BSPA) by Health Management Systems (HMS)

Raleigh-Durham, North Carolina Area

Built and managed client portfolio consisting of ten contracts across seven states achieving $25+ Million annual revenue. Consulting practice included federal revenue maximization, program integrity, commercial insurance identification, coordination of benefit, provider audits, estates review, subrogation, Medicare crossover analysis, Medicaid Buy-In and commercial insurance premium management. Organized and directed all aspects of firm response to request for proposals (RFP).

Raleigh-Durham, North Carolina Area

Opened, staffed and oversaw 58-person office consisting of consultant staff and business analysts and operational resources providing services to five Medicaid agencies. Developed and implemented web application and processes for the management of Medicare Part A/B premiums yielding savings over $200 Million while generating annual revenue of $2.4 Million. Created audit methodology and led review of Institutions for Mental Disease (IMD).

Charlotte, North Carolina Area

Responsible for administration of coordination of benefit and federal revenue maximization contracts for two Medicaid agencies. Implemented correct coding initiative (CCI) program that achieved recoveries exceeding $4 Million. Oversaw call center of 40+ resources that generated $300 Million in savings and $11.4 Million in annual revenue.

Greater Atlanta Area

Led call center unit that identified, validated and uploaded health insurance information. Utilized Access, SQL Server, and Visual Basic to develop programs that streamlined identification and validation processes. Conducted on-site financial audits of hospital accounts to identify and recover overpayments. Developed quality assurance activities for premium subsidy case management initiative.

Lenoir, North Carolina

Operations lead in a three store retail furniture company. Implemented in-home delivery for east coast orders generating new line of business. Instituted enterprise wide cost cutting measures creating 68% reduction in monthly expenses while increasing margin from 11% to 23%.

Washington D.C. Metro Area

Assisted with organizing twenty town-hall forums as well as providing advance onsite setup of three national town-hall meetings leading to the development, writing and publishing of “Issues for Candidates 1994”.

Lenoir, North Carolina

Tokyo, Japan

Bachelor'S Degree, International Relations

Master'S Of Public And International Affairs (Mpia), Public Policy

Curriculum: Public Policy and Economics

Master Of Business Administration (M.B.A.), Finance

Curriculum: Finance