Kevin K. Dailey Email and Phone Number
I am a strategic and results-driven healthcare operations leader with over 20 years of experience. I specialize in operational leadership, project management, and process improvement, with a solid foundation in Six Sigma methodologies. My extensive career at CVS Health has been marked by a steadfast commitment to excellence, innovation, and leadership.Throughout my career, I have built and led high-performing teams, achieving significant improvements in efficiency and productivity. I am recognized for my ability to hire and nurture top talent, creating cohesive teams that propel our projects forward. My expertise encompasses intricate negotiation and management of multi-billion-dollar portfolios, facilitating optimal financial performance and compliance with regulatory standards.Leveraging a Six Sigma Black Belt Certification, I excel at process optimization, strategic project planning, and regulatory compliance, ensuring that all operations enhance business efficiency and client satisfaction. My leadership extends beyond managing resources to fostering a culture of continuous improvement and high employee engagement, delivering superior outcomes in operational transformations and client relationship management.A few of my career highlights include:• Boosted employee engagement within the department by 30% through the establishment of a supportive and dynamic work environment, resulting in acknowledgment from senior management as the Director - Client Pricing.• Initiated and coordinated various process optimization initiatives, encompassing technical and evaluative controls, data reconciliations, and efficiency enhancements, culminating in a 10% decrease in defect rates and a 50% increase in output.• Elevated overall team performance by 40% and facilitated seamless daily operations by restructuring workflow processes, deploying new operational tools, and eliminating non-essential tasks as the Senior Manager - Quality Management."Leadership is not about being in charge. It is about taking care of those in your charge." – Simon Sinek
Cvs Health
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Director, Client Pricing (Pharmacy Networks – Pbm Claims Adjudication)Cvs HealthScottsdale, Az, Us
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Director, Client Pricing (Pharmacy Networks – Pbm Claims Adjudication)Cvs Health 2018 - PresentScottsdale, Arizona, United StatesLead a specialized team of 24, including six direct reports, setting implementation dates for claims pricing through negotiations with clients for accurate billing, while directly reporting to the Executive Director. Manage the relationships with senior leadership of key Pharmacy Benefit Management (PBM) clients to ensure top-tier service and support. Collaborate with Product Owners to integrate client feedback into product development, aligning product roadmaps with client needs and expectations.Highlights of accomplishments in this role include:• Initiated and coordinated various process optimization initiatives, encompassing technical and evaluative controls, data reconciliations, and efficiency enhancements, culminating in a 10% decrease in defect rates and a 50% increase in output.• Boosted employee engagement within the department by 30% through the establishment of a supportive and dynamic work environment, resulting in acknowledgment from senior management.• Oversaw $250B+ in annual revenue while supervising PBM client pricing operations with a team of 24 exempt employees.• Championed the restructuring and formation of new teams, in line with enterprise strategies to support business objectives. -
Director, Coram Infusion Shared ServicesCvs Health 2016 - 2018Scottsdale, Arizona, United StatesAdministered end-to-end revenue cycle operations from billing initiation through collections, enabling the accurate and timely delivery of monthly invoices and accounts receivable management. Created and controlled the budget for Coram Infusion Services, optimizing resource allocation to enhance financial performance. Monitored financial performance, executing strategic measures to meet revenue and profitability goals while strengthening relationships with off-shore vendors for cash management processes.Highlights of accomplishments in this role include:• Drove cash reconciliation accuracy to 99% through the development and deployment of a robust tracking process, meticulously resolving issues via detailed analyses of banking and collection procedures.• Streamlined operations and minimized financial discrepancies through effective oversight of $77M+ in cash applications. • Instituted an efficient cash reconciliation waterfall process that saved 20 resource hours monthly in research time.
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Senior Manager - Quality Management: Client Products & PricingCvs Health 2014 - 2016Scottsdale, Arizona, United StatesEnsured accuracy and compliance of system-coded outputs for delivery to the benefits team through leading quality assurance efforts. Revamped the new hire onboarding process by transitioning from a paper-based to a comprehensive online training system. Introduced basic SQL programming, equipping the team with essential data retrieval skills from backend systems.Highlights of accomplishments in this role include:• Increased employee engagement and retention by 50% through the creation of an online university and training library, simplifying onboarding and integrating a shadowing phase for hands-on learning.• Yielded a 50% reduction in internal response times by leveraging advanced claims data analysis and mining techniques.• Elevated overall team performance by 40% and facilitated seamless daily operations by restructuring workflow processes, deploying new operational tools, and eliminating non-essential tasks.• Presented strategic insights to the Director regarding organizational design, shaping the future structure and capabilities of the quality team for scalability as the organization grows.
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Senior Manager - Medicare Part D Premium Billing & CollectionsCvs Health 2007 - 2014Scottsdale, Arizona, United StatesLed the development and management of a new financial operations team, growing from five to over 50 members. Supervised the day-to-day financial operations, including receivables, invoicing, and collections processes to comply with regulatory standards.Highlights of accomplishments in this role include:• Attained a collections success rate of over 90% on member premiums and copays by developing and administering a receivables collection program in coordination with Medicare Part D leadership, finance, and compliance teams.• Maintained high standards of service quality and streamlined financial and eligibility reconciliations in adherence to regulatory requirements through collaborative efforts with multiple State Pharmaceutical Assistance Plans.• Built a high-performing financial reconciliation team that conducted daily account audits, decreasing discrepancies by 100%.• Achieved 90% improvement in service delivery and aligned with CMS regulations and client performance commitments by instituting robust quality assurance protocols.
Kevin K. Dailey Education Details
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3.73 Gpa
Frequently Asked Questions about Kevin K. Dailey
What company does Kevin K. Dailey work for?
Kevin K. Dailey works for Cvs Health
What is Kevin K. Dailey's role at the current company?
Kevin K. Dailey's current role is Director, Client Pricing (Pharmacy Networks – PBM Claims Adjudication).
What schools did Kevin K. Dailey attend?
Kevin K. Dailey attended Arizona State University.
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