Dede Davis Email & Phone Number

Miami/Fort Lauderdale Area

Initially hired to lead the development of a comprehensive suite of medical and risk management cloud based technology products. Responsibilities expanded mid-2011 to also include development and implementation of a base Medicare claims product and managing client operations and the relationship for one of ikaSystems’ largest accounts, Blue Cross and Blue Shield of Michigan (BCBSM). Key Achievements• Led multiple development teams to build an “off the shelf” Medicare claims product, preconfigured to process claims exactly like fee for service Medicare. Product includes Medicare pricing, benefits and clinical editing rules. BCBSM went live with this product January 1st of 2012 for three pilot groups and subsequently with full membership (currently 300,000) on January 1st 2013. Key results for this implementation:o 94% Auto Adjudication Rateo 97% Financial and Procedural Accuracyo Achieved every Financial Goal established for ikaSystems within contract, generating millions in revenue above monthly PMPM fees • Successfully designed and drove development of robust case and disease management products, compliant with NCQA, URAC and CMS requirements. The products were designed to be best in class across the County and are fully integrated with all other ikaSystems technology. • Led design teams for prospective HEDIS tools and pay for performance technology that has assisted one of our largest clients in improving their Medicare STAR rating measures and achieving a top 10 national ranking for their Medicaid business.

Vice President, Health Plan Operations, July 2010 - PresentVice President, Provider Contracting and Operations, July 2007 – June 2010Associate Vice President Quality Improvement and Operations, April 2006 – June 2007Director Quality Improvement, January 2004 – March 2006Manager Quality Improvement, September 1998 – December 2003Successfully led Passport Health Plan a Medicaid Managed Care Organization under contract with the Commonwealth of Kentucky and Passport Advantage, a Medicare Special Needs Plan under contract with the Centers for Medicare and Medicaid. The Plan’s have 170,000 lives and 9,600 lives respectively and account for a total of $850 million in revenue under management. Key Achievements• Achieved six consecutive annual Plan rankings as one of the top 25 Medicaid Health Plans in the Nation based upon Quality, Satisfaction and Accreditation Results.• Developed and implemented a robust pay for performance program resulting in statistically significant improvement in women and children’s health outcomes and recognized at the 2009 Healthcare IT Summit as Best Case Study, Insurer.• Successfully transitioned claims and enrollment platform for Medicaid line of business from CSC to Facets.• Successfully transitioned Medicare line of business to ikaSystems platform for claims, enrollment and medical management in record six weeks. Zero defects at go live. • Led the Medicaid Plan to three Consecutive NCQA Excellent Accreditations, earning perfect score on all standards.• Achieved 100 Percent of financially incented goals under assignment.• Achieved 32 Percent Reduction in Claims Rework.• Increased Claims Auto Adjudication Rate by 10 percent.• Decreased Interest Payments for Untimely Claims Payment by 87 percent.• Increased Practitioner Satisfaction by Over 50 Percent in Claims Operations.• Developed and Implemented Project Management Office.• Reduced Staff by Five Percent through Effective Use of Data to Drive Improvement Decisions.

Louisville, Kentucky Area

Accountable for implementing efficiencies in medical management, operations and quality via various project management assignments among three lines of business.Key Achievements• Facilitated QI initiatives moving Alternative Health, Inc. from a one to three-year accreditation status with NCQA.• Accountable for provider file clean up project resulting in rework reduction.• Assisted in development of first full service operations team within National Accounts Division. • Recognized for ongoing excellence in operations and project management earning seven promotions in seven years.

Active Duty, September 1986 – September 1990Reserves, September 1990 – September 1997Accountable for administration of the Executive Offices Naval Air Station, Corpus Christi, Texas, Naval Reserve Intelligence Area Twelve, Columbus, Ohio, and Combined Air Operations Command, Vicenza, Italy. Key Achievements• Selected first female Director of Administration for the Combined Air Operations Command, NATO Operations supporting Operation Deny Flight and Operation Provide Promise. These operations protected the Bosnia no-fly zone. • Awarded Joint Services Commendation Medal for Contributions towards the Planning and Execution of Operational and Humanitarian Missions in the Former Republic of Yugoslavia, 1995.• Selected as Sailor of the Year for Naval Reserve Intelligence Area Twelve and Ranked Third Nationally among all Sailors, 1992.• Awarded Three Navy Achievement Medals for Outstanding Leadership, Service and Dedication to Duty, 1990 – 1995.• Recognized Top of the Class for Career Information and Counseling School.• Facilitated Training Program and Implemented Total Quality Management Practices within Naval Reserve Intelligence Program, Region Twelve.• Served as Editor and Chief for Naval Reserve News, published across seven states.