David Hoene, Msod Email and Phone Number
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David Hoene, Msod phone numbers
I am a results-driven customer success and account management leader with over 20 years of experience in the managed care and insurance sectors. Throughout my career, I have excelled in executing client-oriented business strategies, streamlining account management processes, and building long-term partnerships to transform customer experiences and drive revenue growth.My expertise lies in providing strategic direction and change management leadership for multi-year programs aimed at developing and optimizing global customer success and account management functions. I have successfully led omnichannel technology deployments, process improvements, operational playbook development, and team training/enablement initiatives. I am skilled in advising executive leadership on customer success strategy, customer experience modeling, customer journey mapping, account management, and sales engineering, enabling organizations to transform their customer support functions across all stages of the customer/account lifecycle.Career Highlights:★ Responsible for an annual quota of $5.6M at Welltok by driving customer retention efforts and cross-selling and up-selling multi-channel member engagement outreach communication and wellness campaigns.★ Drove sales of US network solutions to global insurance carriers, TPAs, and PBMs at AXA Partners, resulting in $650K+ in revenue while delivering $4M in savings to clientele. ★ Exceeded revenue targets by 116% in 2014 and 104% in 2015 at Cotiviti Healthcare while leading a Medicaid & Medicare managed care claims audit team of 17 auditors. ★ Developed and introduced the “Determine Core Plan” at Accenture, which enabled core mapping of customer service operational systems to consolidate 5 large insurance organizations onto 1 operations platform.★ Managed a large book of business comprised of $200M+ in premiums for large market commercial clients (1K+ employees), 31K+ contracts, and 75K members within the local, national, labor, and retiree markets while at Independence Blue Cross.★ Attained a 95% success rate with RFPs for retained accounts at Independence Blue Cross, resulting in increased client cost efficiency and account profitability.
Conduent
View- Website:
- conduent.com
- Employees:
- 36634
- Company phone:
- (949)743-1200
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Senior Client Management: Government Health ServicesConduentBuford, Ga, Us
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Senior Manager, Client Management: Government Health ServicesConduent Aug 2023 - PresentFlorham Park, New Jersey, Us
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Director, Strategic AccountsVirgin Pulse Jul 2021 - Feb 2023Providence, Ri, Us★ Played a key role in driving the retention and growth of one of the largest multinational-managed healthcare insurance companies in the US, utilizing a SaaS platform.★ Oversaw and nurtured vendor and procurement relationships for contract processing and customer service issues, including achieving set KPIs while collaborating with Business Operations, Implementation, Marketing Legal, Products, and Underwriting to deliver results. -
Healthcare Consultant - Medicare Advantage & Affordable Healthcare ActPrivate Practice Aug 2012 - Dec 2022★ Consulted and advised small business owners on the Patient Protection and Affordable Healthcare Act, sold MAPDs, PDPs, and SNPs, and developed/executed Centers of Influence (COIs) to build new revenue channels.★ Created client differentiation and marketing presentations, which examined types of plans and their networks, cost-sharing fees, annual open enrollment periods, life events, formularies, metallic tiers, and premiums.★ Advised clients on essential health benefits, preventative services, minimum essential coverage, minimum value, out-of-network, and out-of-pocket costs, Health Insurance Marketplace vs. Chamber of Commerce, tax credit/subsidy, and exchange triggered penalties.
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Director, Strategic AccountsWelltok, A Virgin Pulse Company Jul 2021 - Dec 2021Denver, Co, UsWelltok, acquired by Virgin Pulse in November 2021. -
Director Of Strategic SolutionsAxa Partners Dec 2018 - Mar 2021Malakoff, Fr★ Sold US network solutions to global insurance carriers, TPAs, PBMs, hospital systems, brokers, and other potential partners and payers to deliver value to their overall vision via network cost savings, network optimization, and other ancillary insurance services.★ Forecasted and examined current and future health insurance trends to develop and execute annual sales plans within targeted markets while overseeing the effective implementation of RFP, RFI, and RFQ sales proposals from beginning to end.★ Identified and secured business opportunities with new/existing clients and distribution channels to consistently grow revenue and profits while leveraging in-depth expertise and working closely with TPAs to process national/international clientele claims. ★ Led the end-to-end sales process and delivered value propositions to all internal and external stakeholders while ensuring the timely reporting and communication of all closed and pending sales opportunities to all appropriate levels of the organization. ★ Supported the creation of sales collateral, including PowerPoint presentations, marketing slicks, and other ancillary sales materials, while monitoring key metrics to identify operational strengths, weaknesses, and opportunities for growth. -
Manager Advisory Services, Performance ImprovementEy Jun 2016 - Aug 2017London, Gb★ Oversaw high-dollar claims assessment at a large insurance organization, which identified, managed, and successfully mitigated risks and control concerns for claims of $100K+.★ Supported the planning/creation of Value-Based Payment & Care Methodology offerings and battle cards for federal-sponsored health sales initiatives, securing several RFP invitations at one of the largest self-funded governmental benefits administrators in the US.★ Served as a Subject Matter Resource (SMR) advising national insurers’ internal audit team on potential risks confronting payment integrity functions, audit approach, operations leading practices, and proposed recommendations to reduce identified risks. -
Manager, Audit OperationsCotiviti Jul 2014 - Feb 2016South Jordan, Ut, Us★ Directed and guided a team of 17 Auditors and oversaw duties relating to productivity, budget development/integration, invoicing, collections, and workforce requirements.★ Facilitated and led monthly client stakeholder meetings to deliver comprehensive productivity updates and ensure high customer satisfaction with a long-term strategic view of the account relationship. -
ConsultantAccenture Jun 2010 - Aug 2012Dublin 2, Ie★ Offered management consulting for the CMS-HEDIS (STARs) improvement program at a large insurance carrier while identifying operational and go-to-market activities to increase the rating by 4%.★ Grew operational efficiency by 2% for large Retail/Pharmacy Benefits Managers and Managed Care Organizations via data analysis, use-case boundary analysis, and process optimization initiatives. -
Strategic Account ManagerIndependence Blue Cross May 2003 - Jan 2009Philadelphia, Pa, Us★ Retained, serviced, and cross-sold employer-sponsored and voluntary benefit products to existing clients within a book of business comprised of fully insured and self-funded accounts with customized benefits.★ Grew enrollment in value-added programs (such as ‘Healthy Lifestyles’) by 15%+ in one year by implementing multiple marketing and educational promotions for a large strategic client (10K+ lives).★ Presented, engaged with, guided, and negotiated at all client levels (manager, director, C-suite, and board level) while cultivating and nurturing robust relationships with customers, brokers, and consultants -
Plan Performance AuditorIndependence Blue Cross Nov 1998 - May 2003Philadelphia, Pa, Us★ Supervised, mentored and trained five audit staff members in operational audit procedures for HMO and Federal Government programs.★ Audited and validated quarterly & annual claims, customer service, contracts and enrollment reports for the BCBS Association for HMO, PPO, PHO, POS, Traditional and Federal Government programs★ Analyzed, created, reported and presented written compliance findings to Commercial In-house Operations executives
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Provider Service RepresentativeIndependence Blue Cross Sep 1997 - Nov 1998Philadelphia, Pa, Us
David Hoene, Msod Skills
David Hoene, Msod Education Details
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Philadelphia College Of Osteopathic MedicineOrganizational Development And Leadership -
Arcadia University (Formerly Beaver College)/ Glenside/PennsylvaniaHealth Administration
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Onondaga Community College /Syracuse /New YorkBusiness Administration
Frequently Asked Questions about David Hoene, Msod
What company does David Hoene, Msod work for?
David Hoene, Msod works for Conduent
What is David Hoene, Msod's role at the current company?
David Hoene, Msod's current role is Senior Client Management: Government Health Services.
What is David Hoene, Msod's email address?
David Hoene, Msod's email address is da****@****tok.com
What is David Hoene, Msod's direct phone number?
David Hoene, Msod's direct phone number is +126729*****
What schools did David Hoene, Msod attend?
David Hoene, Msod attended Philadelphia College Of Osteopathic Medicine, Arcadia University (Formerly Beaver College)/ Glenside/pennsylvania, Onondaga Community College /syracuse /new York.
What are some of David Hoene, Msod's interests?
David Hoene, Msod has interest in Career, Cooking, Exercise, Electronics, Investing, Home Improvement, Reading, Crafts, Gourmet Cooking, Music.
What skills is David Hoene, Msod known for?
David Hoene, Msod has skills like Employee Benefits, Health Insurance, Insurance, Management, Managed Care, Healthcare, Customer Retention, Medicare, Leadership, Employee Relations, Key Account Management, Strategic Planning.
Who are David Hoene, Msod's colleagues?
David Hoene, Msod's colleagues are Piyushkumar Gajera, Sid M. Pegram Jr, Narendra Reddy, Eric Ralston, Jorge Arias, Destany Hutchison, Magindra Ganeson.
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