David Malec
- Role
- Director, Enrollment Operations at AmeriHealth Caritas
- Location
- Philadelphia, PA, US
- LinkedIn followers
- 500 followers
About David Malec
Creative, hardworking Healthcare Insurance Industry Professional with talent for process…
Experience
Director, Enrollment Operations
Sep 2016 — Present
Manage all aspects of the corporate Enrollment, Third Party Liability and Subrogation operational functions for all Medicaid plans. Responsible to create and manage a Strategic Business Unit (including Member and Enrollment Services) to support a new Affordable Care Act product. Oversee approximately 60 employees and an overall annual operating budget of four million dollars as well as a multi-million dollar subrogation contract. Engaged vendor (CAQH) via a corporate project to reduce Third Party Liability identification fees which resulted in an estimated 39.5% or $750k net annual decrease in fees.
Skills
- Analytical Skills
- Healthcare
- Medicare
- New Hire Training
- Group Benefit Plans
- Project Management
- Data Modeling
- Healthcare Information Technology
- Software Project Management
- Hipaa
- Budgets
- Managerial Finance
- Leadership
- Financial Modeling
- Project Planning
- Rfp Generation
- Process Improvement
- Health Insurance
- Database Design
- Managed Care
- Mentoring New Hires
- Budget Monitoring
- Business Process Improvement
- Analysis
- Itil
- Insurance
- Medicaid Managed Care
- Budget Management
- Training
- Client Liaison
- Department Budgeting
- Hiring
- Financial Analysis
- Management
- Budget Forecasts
- Medicaid
- Business Analysis
- Team Building
- Data Analysis
- Strategy
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