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PROFESSIONAL EXPERIENCE
OmniClaim, Inc. Woburn, MA
Health care audit firm that identifies and coordinates savings between providers and payers.
Implement new lines of business for AZ, HI, MO, NJ and SC to expand the company by several hundreds of thousands of lives
in 2012 and 2013.
Implement new code compliance & billing system that increases annual medical cost savings by $30M.
Implement corporate risk assessment guide for strategic claims and cost containment projects value at $110M.
Improve claims denial rate from 13% to 10% annually that reduces adjustments and provider inquiries.
Implement new benefit programs Special Needs (SNIP) & Dual Enrollment.
Thomas Everett
Page 2
everetttom2009@gmail.com
Selected Highlights
Achieve business and system design in 5 months with a new AGILE methodology to integrate with Siemens products:
Eagle, INVISION and Soarian Clinical at the enterprise level.
Align, inform and gain commitment to execute business plan with corporate leadership for both financial and clinical
stakeholders that protects $600M in revenue annually.
1991-2002