Jason Davis Email & Phone Number

Rancho Cucamonga, California, United States

I take internal and external data from CMS, Medi-Cal, Covered California, and the health plan to provide strategic insights into what’s happening now and where we want to go into the future. I also research the marketplace to determine how we compare to the market and how we trend compared to the market. I look at things like persistency/tenure of members, 834 raw data for Medi-Cal and Covered California lines of business to identify data issues internally, DTRR data for Medicare line of business, issues with Sales and Outreach for Covered California, collaborating with IT and operations in developing a workflow for the Sales & Outreach team members, lead generation with even distribution across team members.The skills I use are technical and creative. I utilize SQL to create ad-hoc reports, improve existing reports, and push them into PowerBI for a clean refreshable report. I create temp tables, static tables, and stored procedures to produce the outcomes necessary.

Rancho Cucamonga, California, United States

Carlsbad, California, United States

Helping people plan for financial success thru risk management, wealth accumulation & management, and wealth distribution.

Perris, California

Manage employee schedulingHire new employee(s)Terminate employee(s)Coordinate & Communicate organization budgetDesign and implement program planningVoting member on the Board of DirectorsPlan monthly staff meetingsCommunicate opportunities for employee growth & developmentResearch areas for business growthMaintain business & community relationsMarketing

Menifee, Ca

Provide oversight of the 12 & Under programManage scheduling of direct reportsTrain and mentor direct reportsCommunicate daily with staff and membershipExecute and support the Head Coach's vision for the programTeach leadership across the non-profit organization

Menifee, Ca

Project management for entire RPA (Robotic Process Automation) ideas/development/delivery utilizing Six Sigma principles.Develop RPAs (Robotic Process Automation)Generate millions in savings with RPA technologyDrive meetings to obtain deadline commitments to meet RPA deployment datesWork alongside off-shore partners in India to design and develop RPA technologyGathering of Business requirements (BRD) and documentationCreated Visio process mapping for Current State and Future StateUtilized AGILE methodology to determine cost savings vs cost implementationDesign reports for managementJoin SQL tables for database queryingWrite SQL to join claims data with Appeals data to drive towards trending and efficiencyAssist management with ad-hoc data requestsDevelop Cycle Time reports across a multi-function & multi-matrixed organization

Lead CMS Plan Star Rating Analytics – elements in Part C and D scoring formulas, actionable reporting through root-cause analysis, detect and correct barriers to improving Plan Star Rating scores.Develop monthly Grievance projections for Part C and D to ensure Leadership Teams have visibility and can anticipate/prepare for the upstream/downstream impactsDevelop short & long range workforce models and Capacity Plans with Clinical (doctors & nurses) and the Appeals & Grievances production staffCreate Cost Benefit AnalysesMonitor productivity metricsLead process improvement projects, including identification of gaps/opportunities, using good project management to facilitate team activities, leading teams to execute projects with problem solving methodology, tracking project states and results, and removing and elevating project barriersPerform deep dive analysis to identify root cause, quality impact, and propose metrics/process changes to drive process improvements and appeals/grievances reductionProvide subject matter analytic expertise for Senior and department leadership, clinical partners, and audit management teams.Generate pivot tables and complex formulas within Microsoft ExcelCreate Excel macros using VBA code to improve repetitive tasks within daily, weekly, monthly, and quarterly reportsRead and write SQL code to pull monthly data analysis on Appeals/GrievancesProduce Get-to-Green model(s) to drive down inventoryGathering of Business requirements (BRD) and documentationCreated Visio process mapping for Current State and Future StateUtilized AGILE methodology to determine cost savings vs cost implementation

Menifee, California

Facilitate inter-departmental trainingForecast monthly identificationsGenerate pivot tables and complex formulas within Microsoft ExcelCommunicate with departmental managers on improvements and issues with clientsResearch & report variances in Target vs ActualsRead and write SQL code and make recommendations for improvement(s)Research new trending opportunitiesPresent new production rule ideas to client on monthly phone callsDevelop, test, implement, and maintain production rulesCreate new automation procedures to reduce waste and improve profitabilityTrain and monitor new hiresPhysician Pricing – Multiple Surgery, Co-Surgeon, Assistant Surgeon, NCCI/CCI EditsFacility Pricing – Contracts, MedAdvantage, Rehabilitation, Skilled NursingGathering of Business requirements (BRD) and documentation

Franklin, Tn

Audited health claims in search of overpaymentsIdentified 200+ overpayment trends and collected over $20 million in overpayments on smaller clientReduced wasted employee costs utilizing Microsoft Excel automation to limit repetitive tasksSelected to be a member of the Esprit de Corp employee motivation teamTrained coworkers and new hiresPresented research on client specific data to upper managementGathering of Business requirements (BRD) and documentation

Bba, Business Administration

Activities and Societies: Belmont Copyright Society Service Corps.Core studies included strategic management, accounting, product.

Macc, Accounting

Activities and Societies: Belmont University Copyright SocietyMaster of Accountancy degree with a focus on Business Negotiation &.