Travis David Email & Phone Number

Indianapolis, Indiana, US

• Monitors, analyzes, audits standard medical/pharmacy product benefit plans to determine strategy and client offering.
• Providers research, analysis, and recommendations on the external environment as part of the strategic plan for thebusiness unit
• Reviews competitors plans and consults with sales and underwriting to develop suitable benefit offerings, includingcustom plans.
• Identifies and monitors changing patterns of competition, recommends changes while presenting to stake holders andclients.
• Presents to Sales, account managers, underwriters, and stakeholders on custom benefit designs for RFP’s and renewals.
• Coordinates with product, compliance, and actuarial to ensure the benefit plan is complaint.

Chicago, IL, US

Lead the development, identification and root causing of payment accuracy opportunities through enhancing tactics and communicate/coordinate remediation with client counterpartsUtilize claims analytics to uncover payment accuracy opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS/OPPS), fee.

South Jordan, UT, US

Responsible for auditing and identifying complex claims projects, internal claim audits, and change auditing styles processes that improved revenue at $1M+.End to end project management including concept development, finding concepts that haven't been worked, and researching concepts that have been internalized by providers, to help find revenue, as well.

Philadelphia, PA, US

Creates and conduct training sessions for associates transferring to new roles within the organization of the processes and procedures per the assigned State Medicaid & Plan and Provisions to ensure claims are processed accurately and meet Service Level Agreements. Educate Medical Plan stakeholders of claim policies, processes and procedures. Educate.