David Shea
Real Estate Agent at Keller Williams Realty Professionals- Claim this Profile
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Bio
Experience
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Keller Williams Realty Professionals
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Real Estate
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300 - 400 Employee
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Real Estate Agent
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Apr 2018 - Present
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Cigna Healthcare
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Hospitals and Health Care
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700 & Above Employee
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AVP, Network Management - AL
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Aug 2008 - Apr 2018
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Controller
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2006 - 2008
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Regional Director
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2000 - 2006
Analyzed and identified those facilities, physicians and ancillary providers that were being paid in excess of Medicare Allowable for Medicare services and implemented plans to pay providers at Medicare allowable levels. Analyzed and identified those facilities, physicians and ancillary providers that were being paid in excess of Medicare Allowable for Medicare services and implemented plans to pay providers at Medicare allowable levels.
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Director, Network Developement
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1997 - 2000
Identified provider network partners and negotiated risk arrangements with providers. Also coordinated with insurer's actuaries to ensure that the risk arrangements generated savings to the carrier. Identified provider network partners and negotiated risk arrangements with providers. Also coordinated with insurer's actuaries to ensure that the risk arrangements generated savings to the carrier.
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Director Managed Care Operations
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1995 - 1996
Successfully negotiated risk arrangements on behalf of Florida primary care groups. Successfully negotiated risk arrangements on behalf of Florida primary care groups.
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Chief Financial Officer
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1993 - 1994
Responsible for the financial aspects of 28 physician, four clinic medical group and related outpatient surgery facility. Negotiated HMO risk arrangements comprised of full profession capitation and facility savings risk sharing. Made numerous changes in contracts that resulted in $5 million in additional income to the group. Responsible for the financial aspects of 28 physician, four clinic medical group and related outpatient surgery facility. Negotiated HMO risk arrangements comprised of full profession capitation and facility savings risk sharing. Made numerous changes in contracts that resulted in $5 million in additional income to the group.
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Controller
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1990 - 1993
Made changes to the basic financial operations of the HMO that were instrumental to an $8 million turnaround to attain profitability. Made changes to the basic financial operations of the HMO that were instrumental to an $8 million turnaround to attain profitability.
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Education
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The University of Tulsa
MBA, Finance -
University of Oklahoma - Price College of Business
BBA, Accounting -
Sooner High School