David L. Chartrand

David L. Chartrand Email and Phone Number

Provider Network & Operations | Healthcare Transformation | Health Solutions Architect | Value Based Care Design | Alternative Payment Model Administration @ Guidehouse
Omaha, NE, US
David L. Chartrand's Location
Omaha, Nebraska, United States, United States
David L. Chartrand's Contact Details

David L. Chartrand work email

David L. Chartrand personal email

About David L. Chartrand

Accomplished healthcare executive with over 17 years in leadership roles focused on all aspects of health plan operations, payer & provider contracting strategies and stakeholder relationship management. Leader with diverse industry and functional expertise and a record for delivering innovative performance strategies, operational enhancements, technology enabled solutions, and revenue optimization opportunities to bring organizations to their optimal level of success. B.S. in Business Administration (University of Nebraska at Omaha). Core competencies:• Leadership • Organizational Structure Development • Cost Containment • Rate Modeling • Member Access Analysis • Implementation Management• Provider Payment Models• Market Analysis• Unit Cost Analysis/Budget• Value-Based Models • Provider Payment Models• Operational Analysis • Project Management

David L. Chartrand's Current Company Details
Guidehouse

Guidehouse

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Provider Network & Operations | Healthcare Transformation | Health Solutions Architect | Value Based Care Design | Alternative Payment Model Administration
Omaha, NE, US
Website:
guidehouse.se
Employees:
14935
David L. Chartrand Work Experience Details
  • Guidehouse
    Guidehouse
    Omaha, Ne, Us
  • Guidehouse
    Associate Director
    Guidehouse Oct 2022 - Present
    Mclean, Virginia, Us
    Serves as a subject matter expert in the focus areas of value-based care and Medicaid operations.• Responsible for the design, development, and implementation of a suite of value based care models for the U.S. Department of Veteran’s Affairs (“VA”) to incorporate into their Community Care Network.• Serving as a Special Advisor to the CMO of Integrated Veteran Care teaching the benefits of value-based care to an array of VA program offices, and regularly collaborating with CMS.• Led a go/no-go assessment and a readiness review team to ensure quality and compliance of Medicaid MCO collateral on behalf of the State of Oklahoma (SoonerCare).
  • Vim
    Senior Strategic Account Manager
    Vim Apr 2022 - Sep 2022
    New York, New York, Us
    Responsible for the management, performance and growth of one of Vim’s largest Payer customers – Elevance Health. This position was pivotal to the success of both Vim and Elevance in meeting customer cost reduction goals through provider adoption of a novel, workflow-based EHR technology. Leveraged direct engagement with Elevance’s Value-Based Solutions team to improve ROI through new product offerings.
  • Anthem, Inc.
    State Operations Director
    Anthem, Inc. Feb 2021 - Apr 2022
    Indianapolis, Indiana, Us
    Directed functional market leadership to optimize the relationship with the MCO’s customer, the State of Nebraska.
  • Anthem, Inc.
    Director, Network Management & Provider Relations
    Anthem, Inc. Jan 2020 - Feb 2021
    Indianapolis, Indiana, Us
    Accountable for the management, performance and growth of a Nebraska Medicaid provider network. Directed the Network Management team in managing provider contracting and network development. Directed the Provider Relations team whom manages provider relationships and related operations.
  • Wellcare Health Plans
    Sr. Director, Network Management & Provider Relations
    Wellcare Health Plans Aug 2019 - Jan 2020
    Tampa, Florida, Us
    *WellCare of Nebraska was acquired by Anthem in January 2020. The WellCare of Nebraska market was renamed Healthy Blue Nebraska. Accountable for the management, performance and growth of a Nebraska Medicaid provider network. Directs the Network Management team in managing provider contracting and network development. Directs the Provider Relations team which manages provider relationships and related operations.
  • Carecentrix
    Director, Network Management
    Carecentrix Feb 2017 - Jul 2019
    Hartford, Connecticut, Us
    Responsible for the management of the Network Management Shared Services team, which drives all aspects of internal and operational support for the Network Management department. The Shared Services team, comprised of Internal Coordination and Communication Managers, acts as subject matter experts for both provider contracting and Network Management processes.
  • Carecentrix
    Manager, Network Management (Western Region)
    Carecentrix Aug 2015 - Feb 2017
    Hartford, Connecticut, Us
    Responsible for the management, performance and growth of the Home Health, Home Infusion, and Home Medical Equipment provider network for the Western region of the U.S. (16 states). Functioning as a P&L leader, this position has direct responsibility over the gross margin of approximately $100M in revenue.
  • Century Pacific Medical, Inc.
    Patient Care Coordination & Network Manager
    Century Pacific Medical, Inc. Apr 2007 - Jul 2015
    Responsible for the management, performance and growth of the Home Health, Infusion, and Oral Medication departments for a workers’ compensation ancillary services company.
  • Argent Mortgage Company
    Business Analyst / Team Lead, Internal Controls
    Argent Mortgage Company Aug 2003 - Mar 2007
    Responsible for the management of a team of analysts in the Department of Loan Resolution, whose focus was the investigation and resolution of problem loan files involving identity theft, customer service disputes, lawsuits, and state regulatory issues.
  • Baker'S Supermarkets / Kroger
    Assistant Store Manager
    Baker'S Supermarkets / Kroger Jan 2001 - Jul 2003
    Responsible for the evening operations of a retail grocery store. The position required the management of 60+ employees per shift on a cross-departmental basis.

David L. Chartrand Skills

Workers Compensation Management Healthcare Management Account Management Customer Service Leadership Provider Relations Risk Management Microsoft Office Medicare Strategic Planning Claims Management Medical Billing Operations Management Contract Negotiation Business Analysis Claim Network Administration Case Managment Claims Handling Medical Records Medical Coding Workers' Compensation Claims Medical Terminology Case Management Problem Solving Contract Management Performance Measurement Performance Improvement Managing Database Growth Strategies Communication Skills Corporate Communications Data Analysis Creative Problem Solving Outstanding Time Management Skills Cross Functional Team Leadership Work Ethic Business Letters Visio

David L. Chartrand Education Details

  • University Of Nebraska At Omaha
    University Of Nebraska At Omaha
    General

Frequently Asked Questions about David L. Chartrand

What company does David L. Chartrand work for?

David L. Chartrand works for Guidehouse

What is David L. Chartrand's role at the current company?

David L. Chartrand's current role is Provider Network & Operations | Healthcare Transformation | Health Solutions Architect | Value Based Care Design | Alternative Payment Model Administration.

What is David L. Chartrand's email address?

David L. Chartrand's email address is da****@****hem.com

What is David L. Chartrand's direct phone number?

David L. Chartrand's direct phone number is +186052*****

What schools did David L. Chartrand attend?

David L. Chartrand attended University Of Nebraska At Omaha.

What skills is David L. Chartrand known for?

David L. Chartrand has skills like Workers Compensation, Management, Healthcare Management, Account Management, Customer Service, Leadership, Provider Relations, Risk Management, Microsoft Office, Medicare, Strategic Planning, Claims Management.

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