David Gentile

David Gentile Email and Phone Number

Healthcare Quality Leader @ ChenMed
miami gardens, florida, united states
David Gentile's Location
United States, United States
David Gentile's Contact Details

David Gentile personal email

n/a

David Gentile phone numbers

About David Gentile

I love to lead highly complex initiatives including Quality programs and other strategic initiatives. I create, scale and optimize programs and portfolios that lead to great success. To accomplish this, I focus on outcomes and construct amazing “A” teams. Throughout my career, I’ve held many executive positions in Program Management, Strategy, Product Development and Quality.My journey has taught the following about myself:• I can successfully scale up revenue enhancing initiatives from $10M to $500M in revenue • I put internal and/or external customers at the center of everything we do• I excel at designing strategies and execute on big ideas• I have an acute intuition, however leverage data and facts for my decisionsI continuously evaluate my skills and contributions to be a better person.• I have a huge appetite for reading self-help books • I strive for strong health and wellbeing• I remain steady and calm through adverse times• I don’t settle until I have high-quality, well-thought-out decisionsMy professional skills include quality programs | strategic roadmaps | business process improvement | product and vendor management | strategic planning | business and product development, portfolio strategy and managementMy domain knowledge includes Medicare and Medicaid Quality programs | healthcare analytics, IT development lifecycle | care management and population health

David Gentile's Current Company Details
ChenMed

Chenmed

View
Healthcare Quality Leader
miami gardens, florida, united states
Website:
chenmed.com
Employees:
1194
David Gentile Work Experience Details
  • Chenmed
    Senior Director, Quality Performance
    Chenmed Mar 2023 - Present
    Miami-Fort Lauderdale Area
    Provide strategic oversight and operational leadership supporting provider Stars and Risk Adjustment programs• Oversee Stars and Risk Adjustment enterprise strategies for priority setting to ensure achieving goals and targets with emphasis on contractual goals exceeding $60M (Stars upside/downside risk)• Established business case leading to $5M investment in Stars improvement including large expansion of a highly talented Stars team and investment in various tech-based and analytics initiatives• Responsible for goal/KPI setting (annual/monthly) and ramp plans for enterprise Stars and Risk Adjustment• Create market-based plans leading to achieving $20M to $60M 3-year annual revenue objectives for Stars program• Worked jointly with clinical leadership team to develop a comprehensive playbook for Stars, Risk Adjustment and Coding Accuracy • Represent organization to internal/external stakeholders as accountable owner of Stars and Risk Adjustment programs• Partner with executive stakeholders to develop seasonal quality improvement initiatives, task forces and roadmap
  • Advise Insurance
    Vice President, Strategy And Operations
    Advise Insurance May 2021 - Mar 2023
    Bloomington, Indiana, United States
    Provided strategic operational leadership of payor member onboarding and engagement programs• Tasked with leading a suite of innovative products connecting Medicare Advantage beneficiaries to early access to care including programs & initiatives associated with Risk Adjustment and Stars • Established clear strategic vision with 3-year product roadmap that led to a successful launch of a new clinical data driven platform leveraging interoperability between high quality providers and health plans• Platform provides early insight into new patient clinical conditions, risk adjustment and quality measures• Created “Operations Excellence” playbook to ensure program goals and outcomes are exceeded • Augmented and aligned program solutions with vendors who provide speed to market/ongoing efficiencies • Executive contributor to sales and contracting support areas to accommodate forecasted sales growth• Rolled-out Program Management Office (PMO) to service the organization at enterprise shared service level
  • Centene Corporation
    Senior Director, Quality Strategic Initiatives
    Centene Corporation Oct 2015 - May 2021
    Tampa/St. Petersburg, Florida Area
    Provided strategic oversight and operational leadership of Stars quality activities and outcomes• Led corporate quality strategy, program execution, Stars governance, and oversight• Established clear strategic vision, which includes specific 3-year quality goals and targets for the enterprise• Developed Stars Playbook and annual work plan that perpetuated the Stars program towards additional $500M in annual revenue over the past three years• Examples of sizeable turn-around and improvement include HEDIS and health plan operations measures, Appeals/Grievances, Complaint/CTMs, Health Risk Appraisal and TTY/LEP • Oversaw $60M Quality budget and implemented $50M investment in internal and external programs, campaigns and initiatives leading to increased member and provider engagement and satisfaction • Includes serving 400k+ members who are “dual eligible for Medicare and Medicaid• Partnered with departments and teams leading to a high performing quality driven culture • Key partner with Network Team developing strategy and execution plans driving high performing networks• Worked jointly with Product and Finance designing health plan’s benefit strategies that led to increased Stars performance• Provided SME guidance and direction towards CMS and NCQA proposed changes and partnered with government advocacy and advisory groups
  • Connecticare
    Director, Portfolio Lead, Corporate Project Management
    Connecticare 2013 - Oct 2015
    In partnership with senior leadership, identify, review, analyze and prioritize proposed projects to ensure consistency with corporate strategies and objectives. Primary liaison to senior management and project sponsor community. Continuously upgraded the tools, templates, artifacts and processes, as department increased from three to fifteen project managers in a year. Successfully led business and project teams through a large client implementation. Its success has led to a significant additional business development opportunity.
  • Connecticare
    Director, Project Lead, Corporate Project Management
    Connecticare 2007 - 2013
    Through strong vendor management, continued to integrate IT vendor solutions within business areas augmenting their various processes and systems. Implemented Home Health Assessment service which continues to provide annual revenue enhancement for Medicare population by increasing accurate coding assignment and reducing risk of expiring HCC scores.
  • United Health Group - Optum Health
    Business Intelligence Solutions Lead
    United Health Group - Optum Health 1996 - 2007
    Managed budgeting, administration, facilities management, application development, workflow planning, and staff development. Led two $3-$4 million custom reengineering and data warehousing projects both of which led to increased client commitments for long-term projects. Led large and complex projects from customer ideation through design, construction and deployment. Established client-focused partnerships, sharing equally in the achievement of customer expectations.Director of Operations (1996-2005)Oversaw data warehousing activities for 100+ Fortune 500 clients. Established an offshore delivery model, which shaved millions of annual dollars in development expenses. By year three, directed resources toward a 20% growth in new client projects resulting in $10 million in increased annual sales revenue over predecessor, thereafter bringing in double-digit annual revenue growth for 11 of the 12 years.Directed major ($4M) reengineering project which included the design, development and overall deployment of a large scaled data quality and ETL application. Reduced manually-intensive processes. New product was awarded a patent with personal credit as one of the four inventors.

David Gentile Skills

Process Improvement Vendor Management Health Insurance Insurance Business Analysis Managed Care Medicare Project Management Sdlc Leadership Business Process Improvement Hipaa Risk Management Healthcare Program Management Cross Functional Team Leadership Healthcare Information Technology Software Documentation

David Gentile Education Details

Frequently Asked Questions about David Gentile

What company does David Gentile work for?

David Gentile works for Chenmed

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

David Gentile's current role is Healthcare Quality Leader.

What is David Gentile's email address?

David Gentile's email address is dg****@****are.com

What is David Gentile's direct phone number?

David Gentile's direct phone number is (800) 251*****

What schools did David Gentile attend?

David Gentile attended Post University.

What skills is David Gentile known for?

David Gentile has skills like Process Improvement, Vendor Management, Health Insurance, Insurance, Business Analysis, Managed Care, Medicare, Project Management, Sdlc, Leadership, Business Process Improvement, Hipaa.

Who are David Gentile's colleagues?

David Gentile's colleagues are Alexis Oliver, Sheetal Gambhir, Andrea Norman, Angelia Mitchell, Rockwell Dedicated Senior Medical Center, Ben Massaro, Steven Trujillo.

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