Scott Davis
Flower Mound,TX
Summary
Dynamic and results-driven professional with 27 years of extensive experience in network management, systems operations, account management, and business operations within the healthcare industry. Proven track record in leading large-scale projects, managing diverse teams, and implementing innovative solutions to drive operational efficiency and client satisfaction. Adept at fostering strong relationships with clients and stakeholders, and skilled in navigating complex regulatory environments. Seeking to leverage my expertise and leadership skills in a new executive role within a forward-thinking organization.
Overview
28
28
years of professional experience
Work History
Director of Operations and Director of New Product Initiatives
WebTPA
01.2018 - Current
- Oversee claims, customer service, data/document acquisition, data entry, eligibility/COBRA, and pricing departments
- Develop and implement new administrative offerings, including The POD system
- Partner with clients to enhance healthcare support and services
- Key clients: City of Plano, Whole Foods Market, Hobby Lobby, Chickasaw Tribe, Prudential, Hartford Life, Gerber Life, Transamerica.
Director of Operations
WebTPA
01.2015 - Current
- Worked collaboratively with functional leaders to implement new procedures and corrective actions to improve quality
- Oversaw day-to-day production activities in accordance with business objectives
- Streamlined processes to improve operational efficiency
- Secured and implemented COBRA and FLEX systems
- Automated eligibility file processes and ID card functionality
- Managed the implementation of a new VoIP system with Five9.
Account Executive
WebTPA
01.2002 - Current
- Manage primary accounts for large employer self-funded health plans and health systems
- Performed effectively in self-directed work environment, managing day-to-day operations and decisions
- Employed proactive and collaborative approaches to strengthen relationships and manage customer needs
- Educate and support clients in health plan design, financial management, and reporting
- Oversee implementation and renewal processes for new and existing clients
- Lead development of new carrier business products and system functionalities.
Manager of Systems Operations
WebTPA
01.1999 - 01.2002
- Transitioned from RIMS to WebTPA’s proprietary claims system
- Managed network and system teams, and client installations
- Oversaw move to a new home office, including data center build-out and infrastructure setup
- Developed remote and 24-hour in-office teams for data entry and claims processing.
Network Manager
WebTPA
01.1997 - 01.1999
- Installed and maintained network systems and end-user systems
- Managed network connectivity, databases, applications, website security, and vendor contracts
- Enhanced remote access capabilities and introduced terminal servers and cell phones for employees.
Education
Bachelor of Arts - History
University of North Texas
Tx05.1994
Skills
- Leadership and Team Management
- Client Relations and Account Management
- Project Management
- Systems Operations and Network Management
- Healthcare Administration
- Process Improvement
- Regulatory Compliance
- Strategic Planning
- Data Analysis and Reporting
- Risk Mitigation
- Leadership training
Accomplishments
- Integral in implementing the American Indians and Alaskan Natives business as a new administrative product.
- Successfully managed health plans for Tribal Government and enterprises, navigating unique regulatory requirements.
- Led the WebTPA Mentorship Program, fostering future leaders through comprehensive training and project-based learning.
Timeline
Director of Operations and Director of New Product Initiatives
WebTPA
01.2018 - Current
Director of Operations
WebTPA
01.2015 - Current
Account Executive
WebTPA
01.2002 - Current
Manager of Systems Operations
WebTPA
01.1999 - 01.2002
Network Manager
WebTPA
01.1997 - 01.1999
Bachelor of Arts - History
University of North Texas
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