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David P. is listed as Value Based Care-certified, Product Owner, Quality, Program Integrity, Health System Regulatory, Value Creation, Azure DevOps, Agile, SQL, Python at Humana, based in San Diego, California, United States. AeroLeads shows a matched LinkedIn profile for David P..
David P. previously worked as Compliance Lead, Program Integrity at Humana and Program Management Advisor, Care Solutions Command Center at Cigna. David P. holds Master Of Business Administration - Mba from Chadron State College.
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MBA with value-based care certification and strong technology, data science, and portfolio management skillsets. Substantial healthcare quality, regulatory, and program integrity leadership experience across Medicare, Medicaid, TRICARE, and commercial programs. Multi-Product Owner in an Agile environment, utilizing Azure DevOps to organization business and development roadmap needs. SQL and Python experience. Limited Kando and jQuery experience.
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Louisville, Kentucky, Us
-Payment Integrity multi-Product Owner-Program Integrity and Autism Care Demonstration audit leader-Led design and implementation of custom Autism Care Demonstration audit software-Tableau, PowerBI, SQL reporting lead
Bloomfield, Ct, Us
-Led Clinical Solutions programs supporting value-based care-Developing and enabling new consumer facing products-Led an enterprise-wide technology center of excellence pillar-Voting member of Clinical Solutions Core Team committee
Minnetonka, Mn, Us
-Responsible for exceeding annual regional affordability targets (>$100M)-Worked closely with health plan leaders and medical directors on affordability initiatives targeting high-utilizer support, place of service, network efficiency, product and sales lifecycles, pharmacy trend, rebates, and preferred drug list, fraud investigations, member digital engagement, and community support programs.
Rochester, Minnesota, Us
-Led Mayo Clinic in Arizona’s Joint Commission, Arizona Department of Health Services, and specialty program certification activities, including licensing of all patient treatment space.
Phoenix, Az, Us
-Led TRICARE West Region quality program-Potential Quality Issue (PQI) investigation-Quality studies-DRG coding review
Milwaukee, Wi, Us
-Senior operations executive of a Medicare-contracted Quality Improvement Organization
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David P. works for Humana.
David P. is listed as Value Based Care-certified, Product Owner, Quality, Program Integrity, Health System Regulatory, Value Creation, Azure DevOps, Agile, SQL, Python at Humana.
David P. is based in San Diego, California, United States while working with Humana.
David P. has worked for Humana, Cigna, Unitedhealthcare, Mayo Clinic, and Triwest Healthcare Alliance.
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David P. holds Master Of Business Administration - Mba from Chadron State College.
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