Dave Rearick, Do,Mba,Cpe

Dave Rearick, Do,Mba,Cpe Email and Phone Number

Medical Director @ Her Hope Pregnancy Center
Morganton, GA, US
Dave Rearick, Do,Mba,Cpe's Location
Morganton, Georgia, United States, United States
Dave Rearick, Do,Mba,Cpe's Contact Details

Dave Rearick, Do,Mba,Cpe work email

Dave Rearick, Do,Mba,Cpe personal email

About Dave Rearick, Do,Mba,Cpe

Physician executive with extensive experience as clinician, managed care medical director, and CMO of national cost containment company and benefit consultant. Skills include health claim analysis, predictive modeling, implementation of wellness/DM/CM programs, strategic planning, business development, negotiation, claim review, knowledge of multiple cost containment solutions for healthcare, and quality/cost issues facing employers today. Currently credentialed by TeleDoc for telemedicine.Specialties: As a benefit consultant and physician, I analyze employer's medical and pharmacy claims identifying cost saving medical interventions and implementing risk mitigation programs. This is done using predictive modeling software and best-of-breed DM and wellness programs integrating these programs into the benefit plan design. Cost control can only be achieved by insuring the patient gets the right diagnosis, is seen by the right provider, for the right price and highest quality.As a Family Physician I see patients ranging from 2 years to 100 via telemedicine with the whole range of medical problems.

Dave Rearick, Do,Mba,Cpe's Current Company Details
Her Hope Pregnancy Center

Her Hope Pregnancy Center

View
Medical Director
Morganton, GA, US
Website:
yofima.com
Employees:
3
Dave Rearick, Do,Mba,Cpe Work Experience Details
  • Her Hope Pregnancy Center
    Medical Director
    Her Hope Pregnancy Center
    Morganton, Ga, Us
  • Yofima
    Medical Director
    Yofima Jan 2014 - Present
    Los Angeles, California
  • Onecare, Llc
    Chief Medical Officer
    Onecare, Llc Apr 2018 - Jan 2020
    Marietta, Ga
    OneCare (www.onecare.me) Is a technology platform tracking patient’s adherence to treatment guidelines using Bluetooth monitoring devices and engaging the family in helping to mange the patient’s chronic illness and change the member’s environment. Users include any entity engaged in health improvement: providers, DM companies, insurance carriers, VNA’s, government insurance plans, wellness firms, etc.
  • Marsh & Mclennan Companies, Inc.
    Chief Medical Officer, Marsh & Mclennan Agency, Mid-Atlantic
    Marsh & Mclennan Companies, Inc. Dec 2010 - Apr 2018
    Southeast
    The Marsh & McLennan Agency is Marsh's mid-market based benefit cosultancy working with employers under 10,000 lives. As Chief Medical Officer my role was helping our employer clients control their health plan cost by analyzing their claim data and making risk mitigation strategy recommendations. This frequently included implementing wellness programs, care management programs, disease management, pharmacy benefit design, centers of excellence and unique contracting and benefit designs.
  • Marsh Mclennan Agency
    Chief Medical Officer
    Marsh Mclennan Agency Oct 2010 - Apr 2018
    Atlanta, Georgia, United States
    CMO, in charge of data analytics and population health
  • Benefit Advisors Network
    Medical Director
    Benefit Advisors Network Jan 2006 - Jan 2011
    Provided medical director services to 30+ benefit consultancies in the Benefit Advisors Network, a consortium of benefit broker/consultants located throughout the United States. Medical/Rx claim analysis, implementation of on-site employer clinics, PBM contracting and consulting, medical claim appeal and grievances, value based benefit design recommendations, and implementation of health and wellness programs.
  • Medical Director Interventions
    Medical Director
    Medical Director Interventions Dec 2003 - Jan 2011
    Health claim review for appropriateness, cost savings potential, and quality issues. We negotiate out-of-network bills, identify patients that need case management preventing them from becoming high cost cases. We average 30-35% savings on claims we identify and intervene on. Our charges are a percent of savings.
  • Medical Director Interventions
    President
    Medical Director Interventions Dec 2003 - Apr 2010
    Roswell, Georgia
    Medical Director for hire! Acted as a medical director for self-funeded corporations interested in managing their medical loss ratio, using data, benefit design and strategies to improve the health and welfare of their organizations.
  • Wellfit Advantage, Llc
    Founder
    Wellfit Advantage, Llc Jan 2009 - Dec 2010
    Atlanta
    WellFit Advantage, is a innovative offering mandating member engagement in health enhancement activities providing employers with a long term strategy to manage health insurance costs and improve worker productivity. Purchased by Marsh & McLennan in 2010 www.wellfitadvantage.com.
  • Coalition America
    Chief Medical Director
    Coalition America Nov 2000 - Dec 2003
    In charge of new business development, manager of out-of-network claim negotiation department managing $174 million, chairman of firm's operating committee
  • Aetna
    Medical Director
    Aetna Aug 1997 - Sep 2000
    Network medical director for Southeast, credentialling 7,000 providers, NCQA accreditation, monitoring network quality and assisting with implementation of multiple programs to reduce the region's medical loss ratio.

Dave Rearick, Do,Mba,Cpe Skills

Managed Care Health Insurance Healthcare Leadership Healthcare Management Medicine Healthcare Information Technology Medicare Strategic Planning Employee Benefits Management Disease Management Health Policy Hospitals Strategy Hipaa Wellness Employee Wellness Healthcare Consulting Medicaid Emr Health Education Provider Relations Program Management Healthcare Industry Physicians Clinical Research Informatics Long Term Care Practice Management Public Health Physician Relations Ehr Case Managment Insurance Business Development Public Speaking Data Analytics Mentoring Cost Management Benefits Design Clinical Data Management Good Clinical Practice

Dave Rearick, Do,Mba,Cpe Education Details

Frequently Asked Questions about Dave Rearick, Do,Mba,Cpe

What company does Dave Rearick, Do,Mba,Cpe work for?

Dave Rearick, Do,Mba,Cpe works for Her Hope Pregnancy Center

What is Dave Rearick, Do,Mba,Cpe's role at the current company?

Dave Rearick, Do,Mba,Cpe's current role is Medical Director.

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What schools did Dave Rearick, Do,Mba,Cpe attend?

Dave Rearick, Do,Mba,Cpe attended Emory University - Goizueta Business School, Midwestern University, Baldwin Wallace University.

What skills is Dave Rearick, Do,Mba,Cpe known for?

Dave Rearick, Do,Mba,Cpe has skills like Managed Care, Health Insurance, Healthcare, Leadership, Healthcare Management, Medicine, Healthcare Information Technology, Medicare, Strategic Planning, Employee Benefits, Management, Disease Management.

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