Summary
Work History
Education
Generic

Patrick Dawson

South Hadley,MA

Summary

Results-driven leader with twenty-five year experience responsible for the Utilization Management programs for a national health insurer. Led a team of five client managers to deliver ongoing utilization and savings reporting, in addition to owning the overall relationship. Known for adaptability, effective collaboration, and delivering superior service in at times challenging environments. Strong communication and problem-solving abilities have been developed over the years that have allowed for a successful career in client management.

Work History

Director of Client Management

EviCore by Evernoth
Franklin, TN
12.2000 - 12.2025
  • Directed a team of five client managers as the single point of contact for a large national payor's Utilization Management program, managing over 12 million Commerical, Medicare and Medicaid members.
  • Responsible for the overall relationship for this national client and participated in multiple contract renewals and RFPs to retain this long-term partner.
  • Identified gaps in workflows to improve program results, and helped implement real-time eligibility, real-time auth and electronic member notification.
  • Created standard and ad hoc reporting, including plan sponsor specific UM reporting.
  • Assisted with upselling and implementing six additional UM programs for the portfolio of the national client since 2011, adding over $300m in revenue per year.
  • Produced and presented quarterly business reviews for over ten Medicaid markets.
  • Participated in multiple CMS and state audits and knowledgeable about CMS. Medicaid and state level compliance and regulatory requirements.

Education

Master of Arts - Public Administration

American International College
Springfield, Massachusetts, MA
05-1998

Bachelor of Arts - Business Economics

Rutgers University
New Brunswick, New Jersey, NJ
12-1987

Similar Profiles

  • Donna ReinaDonna Reina

    Director of Client Management at The Connection MagazineDirector of Client Management at The Connection Magazine

  • DEV NICOLEDEV NICOLE

    Regional Business Development Director (Client Management Director) at Supplemental Health CareRegional Business Development Director (Client Management Director) at Supplemental Health Care

  • Brad MitchellBrad Mitchell

    <ul><li>Manage three separate teams for which their scope includes middle office support for the client relations community including known population remediations, complex reporting as well as a business manager team executing on efficiencies and development opportunities (eleven individuals both domestic and overseas contingent workers). 13 years of Institutional Relationship experience, 7 of those involving people management</li><li>Currently own and assist with facilitating the client relation pieces of various Management Action Plans (MAP) and internal audits within Revenue Credit Account (RCA) and Service Level Agreement (SLA) areas</li><li>In February 2024 released the first Salesforce Intake system at TIAA after five years of development and advocacy. This build has been noted as the blue print for all future case management intake systems within Salesforce at TIAA providing efficiency and ease for the user while reducing risk for the company</li><li>Worked on advancements and efficiencies within the Service Level Agreement process including salesforce automation. Implemented continuous improvement projects which reduced specific quarterly reporting tasks from days to minutes as well as the inception of a single budget code to pull penalties from rather than dozens of different budget codes</li><li>Through partnership with operations, updated the standard operating procedures for Client Service Managers concerning non bulk Lost Earning Calculations in 2021 to be submitted primary through plan focus unless through special exception. This reduced volumes for my team around lost earning calculations by 22% compared to the year prior while providing a more seamless and straight through process for the external clients</li><li>Continue working through obstacles, avoid duplication of efforts between client relations and other support team within different departments while creating synergy towards “working as one”</li><li>Advanced public speaking skills presenting both in person and virtually to groups as small as senior leadership to hundreds of employees on various forums</li></ul> at TIAA<ul><li>Manage three separate teams for which their scope includes middle office support for the client relations community including known population remediations, complex reporting as well as a business manager team executing on efficiencies and development opportunities (eleven individuals both domestic and overseas contingent workers). 13 years of Institutional Relationship experience, 7 of those involving people management</li><li>Currently own and assist with facilitating the client relation pieces of various Management Action Plans (MAP) and internal audits within Revenue Credit Account (RCA) and Service Level Agreement (SLA) areas</li><li>In February 2024 released the first Salesforce Intake system at TIAA after five years of development and advocacy. This build has been noted as the blue print for all future case management intake systems within Salesforce at TIAA providing efficiency and ease for the user while reducing risk for the company</li><li>Worked on advancements and efficiencies within the Service Level Agreement process including salesforce automation. Implemented continuous improvement projects which reduced specific quarterly reporting tasks from days to minutes as well as the inception of a single budget code to pull penalties from rather than dozens of different budget codes</li><li>Through partnership with operations, updated the standard operating procedures for Client Service Managers concerning non bulk Lost Earning Calculations in 2021 to be submitted primary through plan focus unless through special exception. This reduced volumes for my team around lost earning calculations by 22% compared to the year prior while providing a more seamless and straight through process for the external clients</li><li>Continue working through obstacles, avoid duplication of efforts between client relations and other support team within different departments while creating synergy towards “working as one”</li><li>Advanced public speaking skills presenting both in person and virtually to groups as small as senior leadership to hundreds of employees on various forums</li></ul> at TIAA

  • Peter SearlePeter Searle

    Associate Director, Client Relationship Management at JLLAssociate Director, Client Relationship Management at JLL

CREATE PROFILE
Patrick Dawson