Dan Jolivet

Background

About Dan Jolivet

I am an outcomes-focused individual with specialized training and experience in disability & health insurance, behavioral health, psychotherapy, management, utilization review, quality improvement, compliance and mathematical statistics. My approach is to analyze business opportunities and challenges by synthesizing information concerning the regulatory requirements, contractual obligations and policies with available data to develop targeted strategies for tactical progress towards specific team goals. My most important accomplishment as a manager has been to help the teams I lead coalesce around a shared vision and common goals, utilizing the diverse abilities of team members to achieve exceptional outcomes. I have repeatedly been told by current and past team members that the work we were doing together was exciting and meaningful to them, and I have been extremely fortunate to have numerous experiences marked by that sense of shared purpose and commitment. In the health insurance arena, I have experience managing HMO, POS, PPO, Medicare Advantage, Medicaid Managed Care, indemnity and EAP utilization, and have also worked within capitated, ASO, fee-for-service, pay for performance, case-rate and sub-capitation payment arrangements for commercial insurance, health insurance exchange plans, and employer group accounts. In addition to managing utilization, I have extensive experiencing managing physician review, denial and appeal processes. In each of my management roles, I have also developed and implemented decision-support tools, including Quality Improvement audits, databases, process and outcome metrics, and reports. I have worked as a clinician in a wide variety of clinical settings, including private practice, inpatient, long-term Residential Treatment Center (RTC), Partial Hospitalization Program (PHP)/Day Hospital, Intensive Outpatient Program (IOP), Community Mental Health Center (CMHC) and Employee Assistance Program (EAP) settings. I post occasional videos to and tweet from https://twitter.com/Dr_Dan_Jolivet.