David Stratton

David Stratton Email and Phone Number

Director Focused Claims Product @
David Stratton's Location
Rochdale, Massachusetts, United States, United States
David Stratton's Contact Details

David Stratton work email

David Stratton personal email

About David Stratton

Highly accomplished, out-going, executive with experience in establishing and managing complex operations, creating and presenting analytical reporting, and working with senior executive staff. Special expertise as a change agent and innovator that drives efficiency through cross functional systems improvements (technology workflow and human culture) to establish concurrent cost reduction and improved service models. Acknowledged by fellow senior executives as a highly adaptable manager who converts business intelligence into actionable plans. • Cost Containment• Thought Leadership• Troubleshooting & Problem Solving Executive Management • Strategic Planning & Orchestration• Business & Technology Infrastructure • Workflow Analysis & Design• Entrepreneurial Growth StrategiesManaged implementation of IT systems creating a 24% reduction in workforce and a 50% improvement in case management speed while VP of IT as Care to CareClosed 2yr $1.5M contract with New York’s largest managed long term care plan as Exec. Dir. of Alliance Care Management Co-Authored application and obtained state licensing from the New York State Department of Financial Services within 1 year of LLC creation as Executive Director of Alliance Care Management IPARestructured Key Account management methodology resulting in a 15% retention rate improvement as VP of Sales & Marketing Operations at Atlantis Health Plan (est. $4M annual P&L improvement) Expanded operations to accommodate growth from 30,000 to 1.1million members in 2 years as VP Operations at Care to CareSpecialties: Licensed Life and Health Insurance Agent, team management, operations implementation, information technology, marketing, communications, metric creation and analysis, graphic design, non-profit management.

David Stratton's Current Company Details
OPTUM HEALTH & TECHNOLOGY (US), LLC

Optum Health & Technology (Us), Llc

Director Focused Claims Product
David Stratton Work Experience Details
  • Optum Health & Technology (Us), Llc
    Director Focused Claims Product
    Optum Health & Technology (Us), Llc Nov 2014 - Present
    Connecticut, United States
    Manage key contract standards and service level agreements relative to applicable Client(s)Development of "Client Relationship Roadmap" to include:o Meeting with and establishing proactive relationships with key stakeholders onboth the Client-side and internal staffo Develop a comprehensive understanding of current components, workflows,processes, reporting and communication of each program provided toCliento Identifying key issues, risks and opportunities in… Show more Manage key contract standards and service level agreements relative to applicable Client(s)Development of "Client Relationship Roadmap" to include:o Meeting with and establishing proactive relationships with key stakeholders onboth the Client-side and internal staffo Develop a comprehensive understanding of current components, workflows,processes, reporting and communication of each program provided toCliento Identifying key issues, risks and opportunities in operations, communication,reporting, performance and overall Client relationshipo Successfully complete program implementations/projects on time, withinestablished financial and/or time budgetso Development of Client Relationship Satisfaction Survey(s)• Oversee communications logistics between client and OrthoNet; effectively researching& resolving client issues in an efficient manner:o Manage and track all key Client requests, ensuring Client needs are met in timelymanner• Establishment of reporting metrics that measure efficiency of deliverables; meetestablished reporting metrics Show less
  • Horizon Blue Cross Blue Shield Of New Jersey
    Director, Benefit Management
    Horizon Blue Cross Blue Shield Of New Jersey May 2014 - Nov 2014
    Newark, Nj
    The Director, Benefits Management ensures the systems and interfaces required for the data integrity of benefits are implemented from an end to end perspective. This includes portal, Central Product Library (CPL), Benefact, claims systems, and EDI. This position is responsible for directing the overall effectiveness of data and systems related to claims payment and Inquiry accuracy. Responsible for core benefit system implementations for CPL, Benefact. Benefit Coding Initiatives, Product… Show more The Director, Benefits Management ensures the systems and interfaces required for the data integrity of benefits are implemented from an end to end perspective. This includes portal, Central Product Library (CPL), Benefact, claims systems, and EDI. This position is responsible for directing the overall effectiveness of data and systems related to claims payment and Inquiry accuracy. Responsible for core benefit system implementations for CPL, Benefact. Benefit Coding Initiatives, Product Machine upgrades, portal and associated interfaces. Leverages key internal and external relationships to access the information, products and resources (technology, training, staff, etc.) necessary to build the necessary system and product workflows to successfully support the core activities of customer service, member and provider inquiries and claims processing. Show less
  • Meridian Benefits Consulting
    Executive Vice President Of Operations
    Meridian Benefits Consulting Nov 2013 - Apr 2014
    Armonk, Ny
    Meridian was looking for someone to take their already sterling service model and turn it into a growth mechanism. I was hired to streamline and improve their business model to handle their increasing book of business while being able to maintain a minimum increase in operating expenses. I was tapped for my long term marketing experience and ability to use product support as the central tent pole upon which to differentiate Meridian from competitors.Responsibilities include:•… Show more Meridian was looking for someone to take their already sterling service model and turn it into a growth mechanism. I was hired to streamline and improve their business model to handle their increasing book of business while being able to maintain a minimum increase in operating expenses. I was tapped for my long term marketing experience and ability to use product support as the central tent pole upon which to differentiate Meridian from competitors.Responsibilities include:• Increased leveraging of the core CRM applications • Overhaul and upgrade of the current technological platform• Formalization of internal workflows, processes, and client reporting• Completed a data validation project for entire book of business• Steerage and expansion of current marketing initiatives• Expansion of current service model in increased touch-point frequency and deeper performance analysis• Established daily account activity and staff accountability reporting to quantify workload and track deadline goal success rates. Show less
  • Care To Care Llc
    Vp It Operations/Client Services
    Care To Care Llc Dec 2010 - Nov 2013
    Greater New York City Area
    Oversee the daily operations of Information Technology, Marketing, Provider Relations, Human Resources, and Business Development. Orchestrate strategies developed by senior executive management. Advise and report to C-Level Staff regarding on going company operations. Oversee the implementation of new business accounts from an interdepartmental viewpoint. Establish and improve company-wide workflow. Oversee marketing strategies and business development.KEY PROJECTS AND SELECTED… Show more Oversee the daily operations of Information Technology, Marketing, Provider Relations, Human Resources, and Business Development. Orchestrate strategies developed by senior executive management. Advise and report to C-Level Staff regarding on going company operations. Oversee the implementation of new business accounts from an interdepartmental viewpoint. Establish and improve company-wide workflow. Oversee marketing strategies and business development.KEY PROJECTS AND SELECTED ACHIEVEMENTS:•Implemented full replacement telephony call center solution and integrated an automated cloud faxing solution into proprietary care management system resulting in a 24% reduction in workforce and a 7% reduction in vendor AP•Lead strategic planning and upgraded IT support systems including Claims Systems implementation and Decision Support Software development, Cloud Fax integration, Telephony integration•Project lead on product development team implementing Emergency Department Claims Review and Staff Integration projects •Created and chaired Software Design Committee and formalized project implementation processes•Reduced version release of case management systems from average 6 month span to a 6 week turn around•Created a market data driven Potential Savings Tool for business development team using more than 1 million claims datapoints.•Project Manager for $4.6M client implementation completed in 90 days Show less
  • Alliance Care Management Ipa
    Executive Director
    Alliance Care Management Ipa Nov 2010 - Feb 2013
    Greater New York City Area
    Responsible for building the infrastructure and managing entire organization. Oversaw business strategies and product development. Developed and maintained C-Level relationships with clients and negotiation of contracts.KEY PROJECTS AND SELECTED ACHIEVEMENTS:• Principle executive in creation of company and directly responsible for the future P&L • Authored 5 years of Financial Projections • Originated 46 regulatory compliant Policies &Procedures • Establish Utilization… Show more Responsible for building the infrastructure and managing entire organization. Oversaw business strategies and product development. Developed and maintained C-Level relationships with clients and negotiation of contracts.KEY PROJECTS AND SELECTED ACHIEVEMENTS:• Principle executive in creation of company and directly responsible for the future P&L • Authored 5 years of Financial Projections • Originated 46 regulatory compliant Policies &Procedures • Establish Utilization Authorization Management and Claim Payment Infrastructure• Implemented Claims Systems, Decision Support Software, and Visit Verification Systems• Wrote Strategic Business Plan and Applications for EB-5 Investment Funding Show less
  • Atlantis Health Plan
    Vp Of Sales And Marketing
    Atlantis Health Plan Jan 2008 - Nov 2010
    Greater New York City Area
    Charged with Managing the 120 member inside sales staff. Managed the Sales Support, Account Management and Marketing/PR departments. Developed and presented all sales and marketing reports for C-Level Staff. Managed relationships with Key Accounts, large Brokerage Houses, and General Agencies producing 50M+ in annual revenue. Was responsible for the training and monitoring of direct in-house sales force of 100+ agents. Responsible for P&L reporting to C-Level Staff and Board of Directors… Show more Charged with Managing the 120 member inside sales staff. Managed the Sales Support, Account Management and Marketing/PR departments. Developed and presented all sales and marketing reports for C-Level Staff. Managed relationships with Key Accounts, large Brokerage Houses, and General Agencies producing 50M+ in annual revenue. Was responsible for the training and monitoring of direct in-house sales force of 100+ agents. Responsible for P&L reporting to C-Level Staff and Board of Directors. Managed Policies and Procedures, Quality Improvements, and Retention Initiatives.KEY PROJECTS AND SELECTED ACHIEVEMENTS:• Lead 300% growth in key account membership with a concurrent 25% reduction in account management staff• Reduced new account installation time by 40% through workflow analysis and improvements• Shortened RFP to quote turnaround time by 3 days (50% reduction) through streamlining and automating quoting processes• Co-created new 10 member Broker Sales Unit in conjunction with SVP of Broker Sales • Increased overall retention by 6% in 2009 and 10% in 2010 through tactical realignment of member services training and problems solving methodology• Chaired Rebranding Steerage Committee and developed 23 collateral marketing pieces as part of $1M rebranding campaign• Developed and taught monthly training courses for 120+ member direct sales and account management units.• Managed key accounts valued in excess of $30 M in annual premium• Programmed, hosted, and presented 6 broker events attended by 200+ brokers Show less
  • Atlantis Health Plan
    Senior Receivables Coordinator
    Atlantis Health Plan Jan 2007 - Jan 2008
    Established Receivables Department and designed systems and procedures for entire department. Processed billing trends. Crunched cash flow numbers and create executive level reports. Work with clients and accounts that have billing issues. Trouble shoot any hurdles in the collections system and negotiate payment schedules with accounts in arrears.
  • Atlantis Health Plan
    Account Executive
    Atlantis Health Plan Aug 2006 - Jan 2007
    Outside sales and account management. Marketing to New York consumers and small businesses health insurance products. Scheduling meeting and sales calls. Convert self generated leads into closed sales. Commission based pay.
  • Cba Pharma , Inc.
    Director Of Technology
    Cba Pharma , Inc. Mar 2000 - Jul 2006
    Create and develop technology strategies. Manage IT Department in a pharmaceutical and research environment. Project manage all IT implementation. Develop and design web strategies. Manage corporate communications and publications. Assist with investor relations.
  • Hirsch Design Studios
    Web Designer
    Hirsch Design Studios Nov 1998 - Mar 2000
    Web Designer for advertising firm. In charge of project development, art direction, graphic design and website development. Designed for various electronic media including internet, presentation platforms, video,a flash media.
  • How Now! Inc.
    Chairman Of The Boardpresident
    How Now! Inc. Jun 1994 - Mar 2000
    Greater Omaha Area
    Chair of a non-profit arts education organization speciallizing in school programs and public arts festivals. Established an annual festival in Titchfield England attended by 10,000 people.
  • Joslyn Art Museum
    Web Master
    Joslyn Art Museum May 1992 - Nov 1998
    Developed and constructed on-line educational programs for primary and secondary education. Created online marketing strategies for art museum exhibits/events.
  • Backstage Pass Magazine
    Head Writer
    Backstage Pass Magazine Jun 1994 - Sep 1996
    Backstage Pass is an music, arts, and culture weekly magazine. I was in charge of story assigments, copy editing, scheduling, staff management and, of course, my own stories, both feature and editorial articles.

David Stratton Skills

Leadership Strategic Planning Strategy Management Health Insurance Account Management Insurance Healthcare Business Development Process Improvement Marketing Employee Benefits Team Building Medicare Sales Executive Management Sales Management Program Management Business Analysis Managed Care Contract Negotiation Training New Business Development Customer Service Public Speaking Provider Relations Operations Management Negotiation Marketing Strategy Healthcare Information Technology Network Development Project Management Call Centers Analysis Project Planning Hipaa Medicaid Sales Presentations Web Design Enterprise Software Human Resources Healthcare Industry Budgets Group Presentations Health Policy Selling Hmo Team Management Business Process Improvement Experienced Change Agent

David Stratton Education Details

Frequently Asked Questions about David Stratton

What company does David Stratton work for?

David Stratton works for Optum Health & Technology (Us), Llc

What is David Stratton's role at the current company?

David Stratton's current role is Director Focused Claims Product.

What is David Stratton's email address?

David Stratton's email address is da****@****ail.com

What is David Stratton's direct phone number?

David Stratton's direct phone number is +191428*****

What schools did David Stratton attend?

David Stratton attended University Of Kentucky - Gatton School Of Business, Creighton University, The University Of Kansas, Savior Of The World, Maur Hill Prep.

What are some of David Stratton's interests?

David Stratton has interest in Politics, Business Analysis, Education, Cognitive Processes And Decision Making, Environment, Cycling, Computer Technology, Philosophy/world Religions, Strategic Planning, Interactive/new Media.

What skills is David Stratton known for?

David Stratton has skills like Leadership, Strategic Planning, Strategy, Management, Health Insurance, Account Management, Insurance, Healthcare, Business Development, Process Improvement, Marketing, Employee Benefits.

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