David Medeiros

David Medeiros Email and Phone Number

Client Operations Manager @ CapitalRx | Contractor @ Say Yes to the Dresser @ Capital Rx
David Medeiros's Location
Phoenix, Arizona, United States, United States
David Medeiros's Contact Details

David Medeiros personal email

n/a
About David Medeiros

My name is David. I am a driven professional who has been in the Prescription Benefit Management (PBM) business for 15 years with expertise in customer service, business growth, and leadership. I am dedicated to increasing results by building high-performing teams and positioning them for growth. In addition, I am known for my innovative ways to identify new business opportunities and increase brand trust to meet and exceed revenue objectives. Communication is my forte and where I focused my college studies. Today, I employ my communication acumen and relationship-building capabilities to maintain and further our business relationship with our clients.Some of my key successes in this role include:Maintaining client relationships while managing business support of populations in excess of 7+ million lives.Led multiple large clients through “Welcome Season” (or the onboarding of client and customer products) that must meet regulatory, federal, and business deadlines.Areas of Expertise:✭ Business Development & Optimization ✭ Customer Service/Satisfaction✭ Organization Excellence✭ Identifying Needs & Requirements✭ Building Strong Relationships✭ Team Work/Building ✭ Overcoming Objections✭ Motivational LeadershipWhen I’m not growing and aiding in the maintenance of accounts, I’m usually trying to keep my deaf dogs entertained long enough to wear them out. My hobbies also include growing aquatic and terrestrial plants and maintaining a fish breeding and plant growing side business. If you would like to know more, feel free to send me a message. I’d be delighted to hear from you. I enjoy learning new things and connecting with people across a range of industries, so don't hesitate to reach out if you'd like to get in touch.

David Medeiros's Current Company Details
Capital Rx

Capital Rx

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Client Operations Manager @ CapitalRx | Contractor @ Say Yes to the Dresser
David Medeiros Work Experience Details
  • Capital Rx
    Client Operations Manager
    Capital Rx Apr 2024 - Present
    New York, Ny, Us
  • Say Yes To The Dresser
    Manager And Operations Coordinator
    Say Yes To The Dresser Feb 2023 - Present
    As the second-in-charge at a vintage antique furniture painting store, I excel in business planning, leading a workshop team of 3 in various tasks like furniture preparation, painting, and staining. Additionally, I oversee a retail team of 4, managing their daily activities, store organization, advertising, social media, and ensuring efficient sales. My responsibilities extend to sourcing furniture and handling all electronic communication with businesses and clients, showcasing my comprehensive management and customer service skills.
  • Dave'S Aquatic Labs
    Owner
    Dave'S Aquatic Labs Jun 2022 - Present
    Aquarium and Pond maintenance including:Water change (As needed to meet chemistry requirements.)Substrate Vacuum. (If applicable)Full and thorough cleaning of algae from all aquarium glass/acrylic surfaces.Water polishing.Cleaning and or rinsing of readily accessible filters, sponges and padsFilter replacement (Customer provided/if supplied.)Bacterial supplement (As needed)Chemical testing of water/tank health diagnosis (As needed)Visual check of equipment, air and water flowVisual check of fish for headcount, disease, swimming and breathingCleaning protein skimmer (Saltwater/Reef tanks)Refilling of auto feeder (If supplied)Balance aquarium chemistry (As needed)
  • Navitus Health Solutions
    Client Services Executive
    Navitus Health Solutions Aug 2021 - Jan 2023
    Madison, Wi, Us
    In my previous role as Client Services Executive, I: • Responsible for the management and retention of 25 key client accounts; Develops meaningful partnerships to retain clients by proactively understanding their needs and priorities.• Gather requirements to develop solutions that meet the complex needs of clients and use a value-based “solution selling approach” to increase awareness and sell-through that ultimately improves costs, service, and member health. • Facilitate contract discussions outlining the Request For Proposal (RFP) details and ensuring all contract obligations are known and followed by the applicable teams and clients. • Assist new client account with onboarding and implementation; Identity, asses, and mitigate business risks that may arise through the onboarding process through ongoing engagement and follow-through. • Engage regularly with C-level internal and partner executives to elicit feedback, deliver strategic intent, and ensure alignment across the organizations. • Oversight of the Performance Guarantees (PG) process including but not limited to management, monitoring, and remediations of missed PGs.
  • Cvs Health
    Account Manager - Health Plan Account Management
    Cvs Health Sep 2017 - Aug 2021
    Woonsocket, Ri, Us
    In my previous role as Account Manager, I: • Handled over 7 million patient accounts for a major Medical Insurance provider and delivered $2.5 million in Performance Guarantees to clients. • Successfully implemented and onboarded 14+ million lives for two separate large client accounts and oversaw the onboarding of additional six Account Managers to the Account, leading the training and ramp-up of colleagues. • Oversaw the overall daily business needs by planning, organizing, and supporting business tasks, with the ability to align the day-to-day activities (short-term goals) with the strategic direction (long-term goals). • Developed document repositories for the department to ensure all client-specific documents were always accessible to the entire team, reducing bottlenecks when needing to find data.• Facilitated Open Enrollment meetings with clients implementing major processes and program changes and improvements to their new plan; Has a keen ability to translate and simplify complex topics for high-level general business audiences.• Provided guidance and support to the Account team on all CMS and Government-required projects; Kept an open and effective communication line, provided clear and concise answers as it pertains to each task, and ensured project deadlines were met. • Served as a Subject Matter Expert (SME) on company policies and “go-to” person for resolving single-member escalations with the expectation of timely and efficient resolution.• Drove quality assurance initiatives and ensured audit requirements were met by reviewing for accuracy, efficiency, and redundancy.
  • Cvs Health
    Member Operations Consultant - Integrated Accumulations
    Cvs Health Dec 2015 - Sep 2017
    Woonsocket, Ri, Us
    In my previous role as Member Operations Consultant, I:• Managed an assigned client portfolio with over 200 active clients. • Provided ongoing training to staff by having in-depth industry knowledge, an understanding of the company landscape, and a drive for improving the overall customer experience. • Reconciled and maintained a 98% success rate for failed Medical and Pharmacy transactions. • Achieved a track record of growing and retaining business relations with Membership Operations teams, finding novel opportunities to solve problems and explore creative approaches resourcefully.• Systematically aggregated and synthesized data for specialized reporting focusing on day-over-day transaction history.• Held monthly meetings with employees to ensure a mutual understanding of the project directives and held individuals accountable for meeting deadlines.
  • Cvs Health
    Senior Coordination Of Benefits Claim Analyst
    Cvs Health Mar 2013 - Dec 2015
    Woonsocket, Ri, Us
    In my previous role as Senior Coordination of Benefits Claim Analyst, I:• Responded to and appropriately handled emergency situations that arose calmly and effectively with the ability to change the approach or method to fit the situation best. • Resolved subrogation requests in partnership with law offices. • Completed Medicare Part D claims in accordance with NCPDP standards and recuperated money in relation to Medicare Secondary Payer guidelines.• Singlehandedly developed a new process that recovered $200,000+ within 6 months from Workman’s Compensation Clients.
  • General Dynamics Information Technology
    Cs Representative - Medicare Part A And Part B Claims
    General Dynamics Information Technology Sep 2008 - Mar 2013
    Falls Church, Virginia, Us
    In my previous role as Inpatient/Outpatient, Medical, & Durable Medical equipment Specialist, I: • Answered general insurance questions • Assisted customers compare and enrolled in Medicare prescription drug plans, Medicare Advantage plans, and supplemental plans through various private insurance companies • Responsible for escalating calls to Advance Resolution Center when the issue has to be researched • Filed complaints when the plan/provider did not comply with rules and/or regulations • Filed fraud investigations for fraudulent cases • Refered customers for best suited department that can best handle their issue

David Medeiros Skills

Data Analysis Account Reconciliation Insurance Claims Financial Analysis Microsoft Excel Workers' Compensation Claims Communication Non Profit Volunteer Peer Leadership Peer Mentoring Curating Writing Entrepreneurship Multimedia English Analysis Training Mentoring Leadership Public Speaking Team Building

David Medeiros Education Details

  • Estrella Mountain Community College
    Estrella Mountain Community College
    General

Frequently Asked Questions about David Medeiros

What company does David Medeiros work for?

David Medeiros works for Capital Rx

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

David Medeiros's current role is Client Operations Manager @ CapitalRx | Contractor @ Say Yes to the Dresser.

What is David Medeiros's email address?

David Medeiros's email address is da****@****lth.com

What schools did David Medeiros attend?

David Medeiros attended Estrella Mountain Community College.

What are some of David Medeiros's interests?

David Medeiros has interest in Education, Environment, Science And Technology, Human Rights, Arts And Culture, Health.

What skills is David Medeiros known for?

David Medeiros has skills like Data Analysis, Account Reconciliation, Insurance Claims, Financial Analysis, Microsoft Excel, Workers' Compensation Claims, Communication, Non Profit Volunteer, Peer Leadership, Peer Mentoring, Curating, Writing.

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