Kellie Mcdaniel Email & Phone Number
@anthem.com
5 phones found area 615 and 727
LinkedIn matched
Who is Kellie Mcdaniel? Overview
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Kellie Mcdaniel is listed as Senior Business Consultant at Anthem, based in Nashville, Tennessee, United States. AeroLeads shows a work email signal at anthem.com, phone signal with area code 615, 727, and a matched LinkedIn profile for Kellie Mcdaniel.
Kellie Mcdaniel previously worked as Health Services Director at Anthem and Manager, Medicaid Special Investigations Unit at Anthem. Kellie Mcdaniel holds Bsn, Nursing from Cumberland University.
Email format at Anthem
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AeroLeads found 1 current-domain work email signal for Kellie Mcdaniel. Compare company email patterns before reaching out.
About Kellie Mcdaniel
My passion as a licensed Registered Nurse is using my clinical experience in the healthcare insurance industry to help define and streamline processes that enhance clinical operations and ultimately the member experience. I also have a very strong passion for identifying and helping to prevent fraud, waste and abuse within the industry. Specialties: Fraud/Waste/Abuse InvestigationsMedicaid Plan OperationsMedicare and Medicare Advantage Plan Operations Managed CarePerformance ImprovementClinical Project ManagementClinical Experience:Critical CareEmergency DepartmentBurn UnitTransplant/Organ Donation
Listed skills include Managed Care, Medicaid, Medicare, Healthcare Management, and 18 others.
Kellie Mcdaniel's current company
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Kellie Mcdaniel work experience
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Senior Business Consultant
CurrentTeam lead and senior consultant for pre-payment data analytics team. Responsible for identifying Medicaid and Medicare Advantage claims for pre-payment review based upon state and federal regulatory guidance and contractual payment agreements. Reporting of cost savings metrics and pre and post-payment review trends to internal executive leadership and.
Health Services Director
Primary responsibilities include oversight, updates and annual revisions to the Model of Care Health Risk Assessment for Medicare Advantage DSNP members, Demographic and population analysis of Medicare Advantage and DSNP, Management of regulatory new member screener process including new member outreach and results analysis, regulatory reporting and vendor.
Manager, Medicaid Special Investigations Unit
Managed team of 5 investigators and 1 coordinator in conducting in-depth investigations of reported, alleged or suspected fraud, waste and abuse (FWA) involving providers, members and associates, Ensure compliance with Health Plan and State regulatory reporting, Identification and tracking of Cost of Care projections as a result of FWA activities, Assisted.
Director Health Plan Operations
Primary liaison for TennCare inquiries regarding operational procedures, claims payment review and ad hoc requests, Review of TennCare policy changes for impacts to operational, healthcare management and claims processing procedures, Operational Project Manager for internal and State-defined project implementations including ICD-10, ACA PCP rate increase.
Director, Clinical Project Management
Review of claims and authorization data to identify areas of medical cost savings and process improvements for Home Health, mental health, inpatient, outpatient, and DME services, Plan Project Lead on multiple Medical Expense Initiatives. Supervised four project teams consisting of 16 persons, Development of and training on medical management policy and.
Medical Review Manager/Investigator
Medical Review Manger in support of benefit integrity for Part A, Part B, DME, Home Health and Hospice Medicare services. Liasion for Medical Review and Law Enforcement inquiries.
Kellie Mcdaniel education
Bsn, Nursing
Ad, Business
Frequently asked questions about Kellie Mcdaniel
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What company does Kellie Mcdaniel work for?
Kellie Mcdaniel works for Anthem.
What is Kellie Mcdaniel's role at Anthem?
Kellie Mcdaniel is listed as Senior Business Consultant at Anthem.
What is Kellie Mcdaniel's email address?
AeroLeads has found 1 work email signal at @anthem.com for Kellie Mcdaniel at Anthem.
What is Kellie Mcdaniel's phone number?
AeroLeads has found 5 phone signal(s) with area code 615, 727 for Kellie Mcdaniel at Anthem.
Where is Kellie Mcdaniel based?
Kellie Mcdaniel is based in Nashville, Tennessee, United States while working with Anthem.
What companies has Kellie Mcdaniel worked for?
Kellie Mcdaniel has worked for Anthem, Amerigroup Corporation, and Advancemed.
How can I contact Kellie Mcdaniel?
You can use AeroLeads to view verified contact signals for Kellie Mcdaniel at Anthem, including work email, phone, and LinkedIn data when available.
What schools did Kellie Mcdaniel attend?
Kellie Mcdaniel holds Bsn, Nursing from Cumberland University.
What skills is Kellie Mcdaniel known for?
Kellie Mcdaniel is listed with skills including Managed Care, Medicaid, Medicare, Healthcare Management, Healthcare, Critical Care, Hipaa, and Health Policy.
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