Dan Fitzpatrick

Director of Engineering

Virginia Beach, Virginia, United States23 yrs 5 mos experience

Most Likely To SwitchHighly Stable

Key Highlights

Proven leader in healthcare data management.
Expert in process improvement and analytics.
Strong collaboration with health plan partners.

Stackforce AI infers this person is a Healthcare Data Management Expert with strong analytical and leadership skills.

Contact

Skills

Core Skills

Project ManagementBusiness Analysis

Other Skills

AnalyticsBusiness Process ImprovementCollaborationData AnalysisData ManagementData Quality ManagementEmployee BenefitsLeadershipManagementMicrosoft SQL ServerOracle SQL DeveloperProcess ImprovementProgram ManagementStrategic PlanningTeam Building

Experience

Agilon health

3 roles

Director, Encounter Data

Promoted

Oct 2025 – Present · 5 mos

Sr. Manager, Encounter Data

Promoted

Apr 2021 – Present · 4 yrs 11 mos

Oversee an Encounters Data Management team of ten technical business analysts responsible for the reporting activities of encounter and quality/Stars data to MA contracted health plans
Manage a Data Delivery team comprised of four technical business analysts responsible for the monitoring and tracking of approximately three thousand health plan data files monthly and ensure these data are ingested and processed throughout the enterprise systems timely
Responsible for creating and submitting supplemental data files containing diagnosis codes identified during risk adjustment coder projects
Responsible for submitting supplemental data files used to close gaps in quality measurements
Conduct detailed analysis of delegated encounter data submissions and provide guidance for error remediations
Reconcile encounter data to CMS response files (MAO, MOR, MMR) to ensure our members’ complete history healthcare services and impactful diagnosis are captured by CMS
Collaborate with our 26 health plan partners, internal technical groups, risk adjustment, market leadership, and various actuarial and finance teams to improve processes and resolve data gaps
Create detailed monitoring and reporting tools to ensure business objectives and targets are visible and the department is exceeding company goals

Data ManagementData AnalysisTeam ManagementCollaborationProcess ImprovementProject Management+1

Manager, Encounter Data

Jul 2019 – Apr 2021 · 1 yr 9 mos

Hire, coach, train, mentor, evaluate, and manage a team of six technical business analysts
Oversee business operation activities related to the reporting of delegated 837 encounter data for Medicare Advantage contracts
Responsible for creating and submitting supplemental data files containing RAF eligible diagnosis codes identified via coder review projects
Conduct detailed analysis of encounter data submissions and provide guidance for issue remediation
Reconcile encounter data to financial expenditure reports to ensure contractual obligations are being attained
Work closely with 14 health plans, internal technical group, risk adjustment, and actuarial teams to improve processes and resolve gaps in member data

Data AnalysisTeam ManagementCollaborationProcess ImprovementProject ManagementBusiness Analysis

Anthem, inc.

4 roles

Manager II, Provider Data Quality

Jul 2017 – Jul 2019 · 2 yrs

Manager II – Provider Data Quality
Manage a team professional business analysts responsible for daily operational activities required to maintain high quality provider data for Anthem's Government Business Division processes
Responsible for developing and maintaining accurate and CMS compliant provider data directory extracts for Medicare and Medicaid products supporting print layout and online search tools
Responsible for the creation, maintenance, and submission of provider network adequacy reports to Medicaid entities used to measure compliance with state regulations
Approve business requirement documentation used to support process and system improvements
Supervise the receiving, mapping, and consuming of provider data network enrollment reports from Medicaid agencies
Develop reconciliation processes to ensure State agency reports are consistent with Anthem's provider database and incorporate automated system updates where appropriate
Lead and participate in leadership meetings with Health Plans, State agencies, and stakeholders
Prioritize change management project goals, evaluate required resources, and sercure funding
Assess team member performances, set team goals, and remove roadblocks to success

Data Quality ManagementTeam ManagementProcess ImprovementProject ManagementBusiness Analysis

Business Consultant - Provider Data Quality

Jan 2016 – Jul 2017 · 1 yr 6 mos

Responsible for overseeing provider data quality for Anthem’s Medicare markets
Maintain high quality data extracts for printed provider directories and online search tools
Create detailed quality reports and analyze data sets within those reports looking for trends and anomalies
Create business requirement documents and coordinate with IT counterparts to implement configuration changes
Present findings and project status updates to Anthem's Medicare leadership, network contracting, national sales, and various other business stakeholders
Update provider data discrepancies within Anthem’s claims processing system
Reconcile data in various enterprise level provider data source systems to the database creating Anthem’s Medicare provider directory
Work with teams responsible for updating changes in multiple upstream systems and tools
Responsible for business activities related to the implementation of new markets and products
Lead a team of consultants in daily activities in order to maximize ROI

Data Quality ManagementData AnalysisTeam ManagementProject ManagementBusiness Analysis

Manager of Business Operations, Encounter Data Management

Promoted

Apr 2014 – Jan 2016 · 1 yr 9 mos

Health Care Analytics; Encounter Data Management

Business Analyst, Sr. and Team Lead - Healthcare Analytics

Apr 2012 – Apr 2014 · 2 yrs

Liaison between the department Associate Vice President and a team of five business analysts
Led departmental training sessions and discussions related to market challenges and process improvements
Represented the Encounters department and its business objectives when meeting with corporate and state partners
Trained and mentored new hires on departmental processes and procedures
Wrote detailed SQL queries used to analyze multiple databases (MDE, Facets and ODW) for issue resolution and ad hoc reporting
Developed reports that allow for data driven decisions to be made by management
Creation and maintenance of documentation related to business scope objectives, configuration analysis requirements and translate requests into system requirement specifications

Data AnalysisTeam ManagementProject Management