David Hill Email & Phone Number

United States

US

Princeton, New Jersey, US

• As a member of the executive team, responsible for the RCM, market access, analytics, and client management operations for the company.
• Manage the operational activities of the revenue cycle management, reporting and analytics, client implementation, and account management teams.
• Responsible for RCM client sales, onboarding, and client operations.
• Identify and maintain national and international vendor relationships.
• Provide consulting services to hospital systems, laboratories, ASCs, utilization management vendors, fertility clinics, provider networks, and payers.
• Responsible for client experience and retention.

• Provided consulting services on the overall or specific components of the managed care sales process.
• Launched a consulting company focused on payer engagement and sales, including strategy development, agreement review, negotiation strategies, affiliation tactics, fee schedule analysis and rate benchmarking, and the.
• Created forecasts to determine projected return on closed contracts, including estimates of market potential by service and geographic area.
• Clients included laboratories, addiction treatment centers, ASCs, fertility providers, and laboratory utilization management vendors.

Nashville, TN, US

• Led national market activities and developed relationships with payers that promoted profitable lab agreements.
• Implemented a sales strategy that communicated the company’s economic and medical value.
• Recognized opportunities for differentiation and innovation that strengthened payer relationships.
• Built an infrastructure to execute a sales strategy including recruiting a team to achieve growth targets.
• Coordinated contract language and pricing negotiations and revenue reconciliation.
• Established a partnership culture with payers by developing and maintaining key relationships.

• The primary objective was to create and execute a payer sales and contracting strategy resulting in a significant commercial payer base, expanded access to patients, and favorable reimbursement.
• Lead a targeted sales approach to contracting with national health plans.
• Managed relationships and contract negotiations with all commercial and government payers.
• Established contacting policies, performance goals, and strategy.
• Introduced new contracting models and revenue enhancement strategies.
• Worked with all levels of the company to ensure payer agreements were optimized.

Hartford, Connecticut, US

• Directed the implementation of the managed care sales strategy and growth plans for targeted health plans. Accountable for client performance, activities, satisfaction, and retention.
• Developed and maintained client relationships to manage internal and external expectations.
• Interacted with internal departments to resolve care and service issues.
• Ensured account revenue was preserved and/or increased month to month.
• Worked with the sales team to maximize revenue opportunities in negotiating contracts.
• Led internal teams to identify and resolve account growth obstacles.

Nashville, TN, US

• Provided strategic leadership, financial and operational oversight of the company’s managed care contracting, payer relationships, and government lobbying efforts.
• Established the company’s managed care strategic vision, objectives, policies, and procedures.
• Led all aspects of the Managed Care Department including personnel management and creating departmental policies, goals, and objectives.
• Interpreted state, regional and national industry trends to identify opportunities to optimize radiation therapy and cancer imaging reimbursement.
• Served as liaison between physicians, payers, and company leaders.
• Developed revenue enhancement strategies for existing centers and prospective acquisitions.

• Managed existing product lines and developed new product ideas for a target audience of national managed care/insurance companies, self-insured employers and State or managed Medicaid plans.
• Led identification of market opportunities and development of new capabilities with the overall goal of diversifying the customer base and increasing sales.
• Met with clients, prospects and industry leaders to determine future needs, relevant trends and pricing models that responded to changing market conditions.
• Designed and implemented new radiology benefits management product offerings to support organizational strategy and client growth.

• Responsible for directing the company’s national provider network strategy for health services.
• Led a department that managed a directly-contracted network of 2,600 imaging centers in 46 states.
• Strategically expanded network coverage to improve margins and increase market share.
• Managed relationships with national insurance companies, hospitals, and outpatient imaging companies.
• Supported high-level sales process targeting managed care organizations.

• Managed existing product lines, generated new product ideas and developed products for a target audience of national managed care companies.
• Coordinated the development and implementation of product and market research strategies.
• Managed product and service enhancements through cross-functional teams.
• Led product/benefit review process and recommended changes to optimize product portfolio.

• Responsible for the negotiation of payer agreements for OrthoLink physicians and ancillary providers. Responsibilities:
• Coordinated all contract negotiations including financial analysis of reimbursement, contract language review, and education regarding managed care agreements and compliance.
• Managed communications with senior staff and physician leaders relating to the managed care strategy for ambulatory surgery centers, physician clinics, imaging centers, and physical therapy facilities.
• Served as a corporate resource regarding physician and ancillary managed care reimbursement methodology, payer relations, retail fee schedules, and other items.
• Supervised onsite Managed Care Coordinators including hiring, training, assigning work, appraising performance, and resolving problems.

Masters Of Business Administration

Bachelor Of Science, Business Administration