DANIEL (D.J.

) PLAVSIC
WWW.LINKEDIN.COM/IN/DJPLAVSIC

Cincinnati, OH 45245

djplavsic@gmail.com (513) 722-5542

SUMMARY
Executive healthcare leader and strategy consultant with over 10 years of industry experience and an
M.B.A. in Healthcare Management. Focusing on data analytics, continuous improvement, and
employee engagement to influence people and drive positive change. Extensive background in
healthcare operations, process improvement, and executive consulting. Collaboration with numerous
executive leaders at hospital systems and large physician practices across the country to accomplish
operational efficiency, decreased time in AR, and improved revenue cycle.
Areas of Expertise:

Operations Strategy
Provider & patient experience
Six Sigma/Lean
Transformational change leadership
Project management
Employee engagement
Innovation Engineering Green Belt

Revenue cycle / AR management

Fee-for-service and risk contracts
Data Analytics
Ability to influence & motivate people
Polished presentation skills
Strategic planning
Commercial/Medicare/Medicaid/Exchange

PROFESSIONAL EXPERIENCE
Humana, Inc.

Cincinnati, OH / Louisville, KY
July 2005 Present

Market Executive and Management Consultant

Leverage my interactions as the relationship manager with key providers, combined with
a vast experience in data & analytics, to influence change and strategize on process
improvement, employee development, and cost saving initiatives.
Partner with senior leaders and executives within our large hospital systems and key
physician practices to form strategies around revenue cycle, account reconciliation
issues, and payer contract compliance.
Facilitate ongoing meetings with clients both on-site and virtually where I serve as the
liaison between my company and our clients senior leaders.
Partner with internal peers at the Director and VP levels overseeing multiple operational
areas to influence change and continuously improve the provider and patient experience.
Consultant to our provider contracting teams regarding contract language in agreements
between the payer and health systems; create operational strategy needed to adhere to
contract terms.
I have helped over 100 health systems in multiple states to resolve AR and revenue cycle
issues leading to drastically decreased net days in AR, increased revenue receipt, and
increased operational efficiency.
Recipient of three company "STAR" awards recognizing significant achievement in
innovation, process optimization, and driving positive change.

Leader - Provider Concierge Unit (PCU)

Creation, launch and leadership over unit of 60+ Account Concierge Specialists focused on
resolving complex, escalated medical claims issues through personal relationships with
providers.
Implemented onboarding and training programs.
Developed staffing allocation model, key performance indicators, and reporting.
Created a talent pipeline program to prepare internal associates for the PCU role.
Decreased escalation resolution time by over 80% compared to the previous model.
Leader - Employer Concierge Unit (ECU)
Led unit of 40+ Account Concierge Specialists focused on client relationship management for
key jumbo (5,000+ members) employer accounts.
Excelled at process creation and ownership. Implemented quality auditing, key performance
indicators, regular reporting, and volume forecasting model.
Led projects focused on operational efficiency, process improvement, and team engagement.
Operational improvement and relationship management led to an increase in key account
renewals of over 40%.
Previous leadership experience within Humana:
Member experience unit (call center)
Provider and member web support teams
Medical claims processing unit
Grievance and Appeals unit & voting panel member for 2nd level clinical appeals
U.S. Bank

Cincinnati, OH
Sept 2004 July 2005

Senior Service & Sales Representative

Sales representative for home equity lines of credit as well as home, auto, and personal loan
products.
Coached and trained other associates toward increased performance and career development.
Recipient of the companys monthly Top 5% award every month of tenure. The award is the
highest given to sales staff and recognizes overall performance with emphasis on quality and
sales production.
CitiGroup

Florence, KY
June 2001 Sept 2004

Performance and Sales Trainer

Leadership level position working with a group of 4 trainers. Promoted to this position after
only 14 months as a sales associate.
Facilitated workshops and one-on-one trainings to assist associates in development
techniques and improving service standards while increasing their individual, team and
business performance.
Recipient of the companys quarterly sales and service achievement award for 3 of the 4
quarters while in the role of sales associate. This award recognized the top 3 sales associates
from a group of over 300 employees.

EDUCATIONAL EXPERIENCE
Indiana Wesleyan University

Master of Business Administration Healthcare Management

Bachelor of Science Business Administration

Marion, IN