Daniel Hartensveld

Experience

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  Perdue Farms

  Jan 1995 - Jan 1995

  • Intern

    Jan 1995 - Jan 1995

  • Intern

    Jan 1995 - Jan 1995
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  Cardiff Software

  Dec 1996 - Sept 2001

  National Account Executive

  Sold largest deals in the history of the company. Created vertical industry product for Health Insurers called MediClaim. Product sold for $250k - $1M when company average sale was less than $5000.

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  The EDI Project

  Sept 2001 - now

  General Manager

  Company FounderThe EDI Project provides services and expertise related to the last mile of automation often hooking line of business systems with Electronic Data Interchange (EDI). Complex systems integration and translation layer projects are common. While many companies are looking to take advantage of powerful analytics tools available on the market today, often the barrier is getting the data out of the systems it resides in and into a repository where it can be used. This is sometimes hard work not only requiring technical expertise, but a true understanding of what the data means and how it is used. Our understanding of healthcare data is second to none. When combined with our nimble, responsive approach, the result is a successful project completed on time and within budget. The EDI Project uses a variety of tools for data transformation and analytics including those from Pervasive / Actian. Show less

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  EasyLink Services

  May 2003 - Jan 2005

  Senior Account Executive

  Brought value added services to a company selling commodity hosted fax services. Sales to Baker Hughes, Unitrin and Tyco. Focused mainly on the Property and Casualty marketplace especially automating the First Notice of Loss (FNOL) process

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  Datafied Inc

  Nov 2009 - Dec 2010

  VP Sales & Marketing: Health Insurance

  Sold medical record retrieval services to health insurers for HEDIS and Retrospective Medicare Risk Calculation projects. Created and sold new product: HEDIS Navigator that automated the chart review process. Closed customers include: Blue Shield of CA & HealthNet.

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  Dynamic Healthcare Systems

  Jan 2011 - Nov 2011

  Senior Product Architect: Encounter Data

  Dynamic asked me to design their new Encounter Data Processing software to comply with CMS's requirements for reporting risk and pricing data. The result is a clean, functional and comprehensive product that customers will truly appreciate. - Expert in CMS EDS and Risk Reporting- Evaluated marketplace for new offer and set pricing - Detailed Business Requirements Document over 600 pages - Reshaped architecture of product especially as it related to reporting and exception management- Drove new client implementations - Worked seamlessly with programmers to understand best approach to implementing BRDs. - Designed and delivered new marketing materials (print & presentations) as well as overall message. - Presented product to existing customers as well as new opportunities Show less

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  Large California Medicare Advantage Plan

  Nov 2011 - Jul 2013

  Medicare Thought Leader

  *Apologies that my contract does not allow me to specifically identify the name or color of the plan that I am working for at this time. I have been working specifically with the Medicare Revenue Department and bridging the gap between the business needs and the technical details contained in claims and EDI. - I find ways to make more accurate determinations of HCC revenue opportunities as well as avoid RADV risks.- Help the plan have a complete 837 v5010 data set for compliance with CMS's new encounter data requirements.- Working on enhancing the data warehouse and analytics so they can be consumed across the enterprise.- Break down silos to make sure the plan has the data to deliver the best care at a reasonable cost while being properly compensated by CMS. Show less