Will Mclaughlin Email & Phone Number

United States

Identify potential areas for medical cost improvement and alternative pricing strategies in collaboration with the regional leadership team, key functional (clinical, network, actuarial, and payment integrity) leaders and local Health Plan leaders.Research and investigate key business problems through quantitative analyses of utilization and healthcare.

Philadelphia, Pennsylvania

Aequitas Partners is a boutique, retained executive search firm, highly focused on the strategic build-out of leadership teams for Venture Capital and Private Equity backed healthcare technology and services companies. With an emphasis not just on assessing for core competencies, but also for cultural fit, we are uniquely positioned to help our clients.

Wayne, Pennsylvania

Responsible for leveraging prospective client health insurance claim information to conduct analyses to determine how much savings (15-30%) they can expect by working with ELAP within a market.Engage directly with brokers and prospective clients to ensure given data is reliable and be available to answer questions and provide more detailed explanations on.

Blue Bell, Pennsylvania

Collaborated with audit teams to enhance existing concepts, test and validate new concepts that yielded 1.5M in return month over month.Plan and conduct analyses that identify and size client and business opportunities.Design, build and integrate analyses using Hadoop and other big data tools. This also includes redesigning existing reports for enhanced.

Conshohocken, Pennsylvania

Identified 19M in healthcare claim overpayments while recovering 15M in overpayments across 37 audit concepts.Combined healthcare contract expertise with SQL skills to identify potential overpayments.Researched healthcare claims to confirm the validity of overpayments and increase quality scores.Collaborated with the application team to develop and.

Conshohocken, Pennsylvania

Identified 8.3M in healthcare claim overpayments while recovering 4.6M in overpayments across 2 teams and 5 audit concepts.Review Contracts. Demonstrate proficiency, learn contracts with understanding how to research contract components. Make recommendations on contracts to fit projects within standard reports such as medical policies, state and federal.

Conshohocken, Pennsylvania

Traveled to hospital sites to audit chart samples and compile questionnaire data. Interacted with high-level potential client hospital executives during the RFP financial due diligence process.Processed and analyzed chart sample and questionnaire data to determine projected cash per visit collections. Generated initial variance analysis for potential.

Wilmington, Delaware

Demonstrate an understanding of the total Customer Experience through the manner with which the sales targets are achieved.Exhibit a passion for leading Americans back to saving.Keep up to date with all changes to all Deposit product features and benefits.

Master Of Business Administration - Mba, Health Care Management

Bachelor Of Science (B.S.), Business Administration

Activities and Societies: Captain, Men’s Soccer Team, 2009 - 2011, Member, Rosemont Student Athlete Advisory Committee (RSAAC), 2009.

Bachelor Of Science (B.S.), Economics

Activities and Societies: Member, Men's Soccer Team 2007-2009, Member/Community Service Chair, Tau Kappa Sigma 2007-2009