David Hochheiser

David Hochheiser Email and Phone Number

VP of Payer Strategy and Contracting @ Franciscan Missionaries of Our Lady Health System
Baton Rouge, LA, US
David Hochheiser's Location
Baton Rouge Metropolitan Area, United States, United States
David Hochheiser's Contact Details
About David Hochheiser

Top notch leader with almost 20 years’ experience in healthcare analytics and strategy.Strong background including technical expertise and healthcare experience to facilitate the communication between disparate areas, form strategic direction and identify functional synergies.Dynamic team builder; able to identify, mobilize and motivate teams for high performance.Outstanding presentation skills, facilitating education and understanding for both employees and clients about complex systems.Extensive knowledge of healthcare ecosystem including systems, data infrastructure, analytic methodologies, reimbursement methodologies, and both health plan and provider operations.

David Hochheiser's Current Company Details
Franciscan Missionaries of Our Lady Health System

Franciscan Missionaries Of Our Lady Health System

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VP of Payer Strategy and Contracting
Baton Rouge, LA, US
David Hochheiser Work Experience Details
  • Franciscan Missionaries Of Our Lady Health System
    Vp Of Payer Strategy And Contracting
    Franciscan Missionaries Of Our Lady Health System
    Baton Rouge, La, Us
  • Franciscan Missionaries Of Our Lady Health System
    Vp Of Payer Strategy And Contracting
    Franciscan Missionaries Of Our Lady Health System Apr 2021 - Present
    Baton Rouge, La, Us
  • Bcbs La
    Svp Of Provider Networks And Value Based Contracting
    Bcbs La Jun 2015 - Apr 2021
    Executive in charge of provider reimbursement methodology and strategy including alternative payment models.Recognized as an executor and innovation leader identifying over $50M in medical savings opportunity for the plan.Responsibility for Electronic Data Interchange, Provider Portal, Clinical Data Acquisition Strategy, and overpayment identification.Key role in organization efforts for product enhancements, ASO engagement, analytic transformation and plan-provider and plan-member engagement transformation.
  • Trover Solutions
    Svp Payment Integrity
    Trover Solutions Dec 2013 - Feb 2015
    Louisville, Kentucky, Us
    Lead to grow startup Payment Integrity Division. Responsible for strategy, merger and acquisition targeting, new client expansion, and existing client retention and growth.Vendor selection and liaison for multiple systems including HIM coding, BPM/workflow, letter generation, and member eligibility and benefit identification.Responsible for build, design and guidance of major overhaul of data infrastructure and reporting backbone for business.Worked to define new analytic solutions increasing overall efficiency and effectiveness of existing overpayment identifications.
  • Accenture
    Senior Manager Healthcare Analytics
    Accenture Apr 2013 - Dec 2013
    Dublin 2, Ie
    Leading go-to market strategy around new claims analytic innovation for predicting overpayments and claims rework, bringing together Healthcare and Analytic insights to two disparate teams.Identified over $100M of new opportunities both in US and internationally within first two months of employment.Analytics account lead for major accounts including Aetna, HCSC, Humana and Cigna providing healthcare analytic road maps to executives within these organizations.
  • Ingenix
    Vice President Payment Cycle Managment
    Ingenix Jan 2011 - Nov 2012
    Us
    Provided leadership and business direction for $80M business including product placement and strategy, vendor partner management, client engagement and sales.Drove 12% top line growth for each of the years managing the business. Turned around profitability of $13M product line from a $2M loss to a $1.4M profit in first 18 months through a repositioning of the product solution and sound fiscal management.Led teams in launch of multiple new solutions for market place.
  • Ingenix
    Vice President Hospital Solutions Business Unit
    Ingenix Jan 2009 - Dec 2010
    Us
    Provided leadership and business direction for $47M business including product placement and strategy, vendor partner management, client issue resolution.Key part of team developing and implementing strategy for growth of Revenue Cycle Division including targeting and evaluation of potential acquisitions. Secured more than $15M total contract value worth of new business in first quarter of 2010 and renewal rates of greater than 95% over 2009 and 2012.
  • Ingenix
    Vice President Data Analytic Product Solutions
    Ingenix Jan 2005 - Jan 2009
    Us
    Managed turn around in productivity and profitability of $2.5M data analytic products group.Established a corporate wide identity for the data analytic product solutions as the place to go for answers regarding payment analysis and questions.Consulted with Executives for Hospitals, Major Health Plans to provide healthcare and technical knowledge for products both internal and external to business unit.
  • Hss, Inc
    Director Analytic Product Solutions
    Hss, Inc Jan 2001 - Jan 2005
    Denver, Colorado, Us
    Managed data products group which supported consultants, internal products and external clients directly using large claim level databases. Became knowledge expert in Prospective Payment Systems (PPS) reimbursement (DRGs, APCs).Revamped and automated rate file development for all HSS pricing methodologies.
  • Monterey Bay Group/Ehealthfirst
    Director Of Research & Application Development
    Monterey Bay Group/Ehealthfirst Jan 1999 - Jan 2001
    Leveraged data mining techniques on healthcare data for care patterns and trends as well as detection of fraud waste and abuse.Managed design and build of web based client server healthcare applications.Worked alongside healthcare professionals and clients to build requirements and specification for interactive web based application and analytical reports.
  • Health Process Management, Inc
    Director
    Health Process Management, Inc Jan 1997 - Jan 1999
    Responsible for analysis, data mining, modeling, and SQL coding for healthcare claims data reporting. Explored data for clinical, coding, and outcomes based information. Wrote data access layer code for application development.

David Hochheiser Skills

Informatics Crm Leadership Strategy Analytics Partnerships Management Data Mining New Business Development Healthcare Cross Functional Team Leadership Healthcare Information Technology Strategic Planning Management Consulting Business Development Business Strategy Revenue Cycle Mergers And Acquisitions Enterprise Software Analysis Team Building

David Hochheiser Education Details

  • University Of Arizona
    University Of Arizona
    Applied Mathematics
  • University Of Vermont
    University Of Vermont
    Science Mathematics
  • University Of Vermont
    University Of Vermont
    Computer Science
  • University Of Vermont
    University Of Vermont
    Mathematics

Frequently Asked Questions about David Hochheiser

What company does David Hochheiser work for?

David Hochheiser works for Franciscan Missionaries Of Our Lady Health System

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

David Hochheiser's current role is VP of Payer Strategy and Contracting.

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What schools did David Hochheiser attend?

David Hochheiser attended University Of Arizona, University Of Vermont, University Of Vermont, University Of Vermont.

What are some of David Hochheiser's interests?

David Hochheiser has interest in Children, Civil Rights And Social Action, Politics, Environment, Science And Technology, Disaster And Humanitarian Relief, Human Rights, Animal Welfare, Arts And Culture, Health.

What skills is David Hochheiser known for?

David Hochheiser has skills like Informatics, Crm, Leadership, Strategy, Analytics, Partnerships, Management, Data Mining, New Business Development, Healthcare, Cross Functional Team Leadership, Healthcare Information Technology.

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