John Getz Email and Phone Number
With a focus on strategic initiatives and tactical solutions in operations, my tenure at Optum as Senior Director has been marked by spearheading significant automations and cost-saving measures in pre-payment claim audits. Our team's collaborative spirit has fostered trusty partnerships, enhancing the provider experience and reducing operational costs.My role has also been pivotal in supporting commercial clients, achieving continuous growth year over year. By leading change and serving as a stakeholder liaison, I have successfully expanded our commercial payment integrity business and managed escalations, prioritizing client satisfaction and cementing trust within the healthcare industry.
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Sr. Director, Account ManagementGainwell TechnologiesMinneapolis, Mn, Us -
Solution Design Client DirectorLyric - Clarity In Motion. Oct 2024 - PresentUnited States
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Senior Director - Optum Payment Integrity OperationsOptum 2022 - Oct 2024Eden Prairie, Minnesota, United StatesIn this role, I led over 350 clinical coder claims reviewers located in the US and globally, overseeing Payment Integrity Operations, implementing automation & cost reduction solutions for pre-payment claim reviews for commercial payers clients.I also built collaborative, trusty partnerships with professionals across multiple disciplines, serving as a driver of positive change.My proudest achievements in this role include:• Strategically improving operational efficiencies through technological and business initiatives, enhancing provider experience and decreasing operational costs.• Supporting 15 current commercial clients with continuous YoY new client growth in both the large and mid-market payer space. -
Sr. Director Commercial Payment Integrity OperationsOptum Jan 2007 - Sep 2024United States -
Senior Director - Optum Payment IntegrityOptum 2018 - 2022Eden Prairie, Minnesota, United StatesIn this position, I spearheaded the introduction of commercial payment integrity BPO deals with key client accounts, next to directing the CPI contract implementation team, designing, developing, and leading change in a complex organization.Additionally, I served as stakeholder liaison and manager for teams, projects and clients, managing escalations and proposing risk mitigation measures to maximize client satisfaction and trust.In this position, I am proudest of:• Expanding the CPI business from new service offering to closing 9 new partnerships, with a total contract value $580M, and client savings of $4.5B.• Establishing the basis for scalable CPI client implementations by building and updating a CPI Delivery Playbook. -
Director – Optum Consulting Payment Integrity PracticeOptum 2007 - 2018Eden Prairie, Minnesota, United StatesIn subsequent positions, I built an internal and external network of trusted partners for the organization, managing multiple complex projects to deliver strategic value to clients and grow business.On a customer level, I supported multiple clients with building scalable and sustainable operational models to address existing gaps, delivering program and project management strategic direction and tactical support, consolidating payments, and driving savings.Additionally, I served as a technological and operational expert resource for a 6-month long Executive Development Program, resulting in decreased readmissions and improved patient outcomes.My proudest accomplishments in this role include:• Heading process of increasing recoveries on aged retrospective inventory, leading to a recovery gain of $35M.• Innovating operational and technical processes for key client, delivering annual savings of +$25M.• Driving business development strategy and operations, closing $.7M in consulting services sales, and $5M in new product and services sales. -
DirectorRsm Mcgladrey Oct 2005 - Jan 2007Responsible for project management and technical leadership for the research, design, integration, and implementation of technical and business solutions for consulting and IT engagements across all industries. Responsible also include Business Development activities between engagements. -
Consulting ManagerAmerican Express Tax & Business Services Aug 2004 - Oct 2005Responsible for project management, engagement delivery, and CRM business development across the Midwest region for American Express Tax and Business Services (TBS). TBS business unit was acquired by RSM McGladrey. -
ManagerBearingpoint, Inc (Formerly Kpmg Consulting) Feb 1997 - Aug 2004Responsible for providing project management and technical leadership on infrastructure and telecommunication implementation projects across all industries. Prior to Infrastructure Solutions Practice work, responsibilities included technical lead and project delivery work for CRM engagements across financial services and manufacturing industries.
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Project & Technology ManagerNorwest Bank Mn (Acquired By Wells Fargo) Jan 1992 - Feb 1997Responsible for new project implementations, and overall technical management of the Norwest Bank call center, including team management, and support & management of all voice & data call center technologies. Prior to position with the phone bank, positions included internal technology support (via call center) with Norwest Technical Services, and a Team Leader position within Norwest Operations.
John Getz Education Details
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International Relations -
Project Management ProfessionalProject Management -
Cisco Certified Network ProfessionalNetworking -
Microsoft Certified Systems EngineerDesktop, Servers, Networking -
American Banking AssociationBanking -
Masters Of Science In Telecommunications
Frequently Asked Questions about John Getz
What company does John Getz work for?
John Getz works for Gainwell Technologies
What is John Getz's role at the current company?
John Getz's current role is Sr. Director, Account Management.
What schools did John Getz attend?
John Getz attended University Of Minnesota, Project Management Professional, Cisco Certified Network Professional, Microsoft Certified Systems Engineer, American Banking Association, Saint Mary's University Of Minnesota.
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