MBA with value-based care certification and strong technology, data science, and portfolio management skillsets. Substantial healthcare quality, regulatory, and program integrity leadership experience across Medicare, Medicaid, TRICARE, and commercial programs.
David P. is an MBA with 19 years of work experience. He has strong technology, data science, and portfolio management skills. David has worked in various roles, including Compliance Lead at Humana, Program Management Advisor at Cigna Healthcare, and Manager General Management at UnitedHealthcare. He has also worked as an Accreditation and Regulatory Specialist at Mayo Clinic and as a Clinical Quality Management Operations Administrator at TriWest Healthcare Alliance. David P. is based in the United States and has a background in healthcare quality, regulatory, and program integrity leadership.
Wellness and Fitness Services
We are a health benefits provider that advocates for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to improve their health and vitality.
When it comes to your health, everything matters. Each new diagnosis and every step along the way. You want a health plan that’s there for you in moments large and small. That’s UnitedHealthcare. We provide simple, affordable and supportive care. Wherever your health takes you, we’re there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved — one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere. Our Values Integrity: Honor commitments. Never compromise ethics. Compassion: Walk in the shoes of the people we serve and those with whom we work. Relationships: Build trust through collaboration. Innovation: Invent the future. Learn from the past. Performance: Demonstrate excellence in everything we do. For more information about UnitedHealthcare, click here: https://www.uhc.com/ For information about careers at UnitedHealthcare, click here: https://www.workatuhc.com
Mayo Clinic has expanded and changed in many ways, but our values remain true to the vision of our founders. Our primary value – The needs of the patient come first – guides our plans and decisions as we create the future of health care. Join us and you'll find a culture of teamwork, professionalism and mutual respect, and most importantly, a life-changing career. Mayo Clinic was founded in Rochester, Minnesota by brothers Dr. William James Mayo and Dr. Charles Horace Mayo. More than 100 years later, their vision continues to evolve around a single guiding value: "The needs of the patient come first." Today we are the largest integrated, not for-profit medical group practice in the world. We are recognized for high-quality patient care more than any other academic medical center in the nation. These endorsements are very gratifying, but also humbling. They remind us of the tradition that has been entrusted to each one of us, and the legacy of excellence that we uphold every day. COVID-19 Update 10.27.20: For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a non-patient care area where social distancing and other safety protocols were followed.
On a Mission to Serve® TriWest Healthcare Alliance was formed in 1996 as the only company of its kind, with one sole purpose that continues today – serving the health care needs of the military and Veteran communities. Since our founding in 1996, TriWest Healthcare Alliance has been On a Mission to Serve® our nation's Veteran and military communities. For 17 years, we administered the Department of Defense TRICARE program. We have been proud to serve those who wear America's uniform, those who came before them, and their family members. Today, we are privileged to support the health care needs of our nation's Veterans, offering access to quality provider networks and excellent customer service through the Department of Veterans Affairs (VA) Community Care Network Region 4 contract. Doing “Whatever It Takes!®” not only is our corporate motto, it is a deep-rooted desire to go above and beyond for our customers, because we understand and honor them. We Respect the Military Culture. We Honor the Sacrifices Made. We are Committed to Providing the Service Our Customers Deserve. Our team members – many of whom are Veterans or military family members – are committed to providing superior service to our nation's heroes. The medical providers in our network and our business partners strive to continually support the military and Veteran communities and exceed customer expectations. TriWest offers a wide variety of career options in areas such as Project Management, Administrative, Patient Services, Medical Operations, IT, Finance, Business Development, Data Services, and Customer Service, and many more. Learn how you can make a difference in the lives of Veterans at https://www.TriWest.com/joinourteam. https://www.facebook.com/TriWest/ https://twitter.com/TriWest https://www.instagram.com/triwesthealthcarealliance/
Description Health Care Excel (HCE) is a healthcare technology company focused on helping clients improve their quality ratings and optimize their revenues. Our combination of leading-edge data services and clinical expertise has positioned us as a strategic partner in the transformational change of the quality and integrity of healthcare systems. Our team includes highly skilled data analysts, technology experts, clinicians and coders from the medical, dental and behavioral health sectors to ensure measurable results through a variety of services including Star Ratings, Pay-for-Performance, commercial risk adjustment, and more. Mission For over a quarter century, Health Care Excel (HCE), has objectively evaluated health-care quality, clinical appropriateness, and outcome assessments. The company designs customized management solutions and develops appropriate educational programs to significantly improve the delivery of health services.
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David P. works for Humana
David P.'s role in Humana is value based care-certified product owner quality program integrity health system regulatory value creation azure devops agile sql python
David P.'s latest job experience is value based care-certified product owner quality program integrity health system regulatory value creation azure devops agile sql python at Humana
David P.'s latest education in Arizona State University