Dave Cline

Background

About Dave Cline

I am a results-driven healthcare executive with a deep passion for improving patient outcomes and driving innovation in managed care. With 20+ years of experience in the healthcare industry, primarily in a Managed Care environment, I have led strategic initiatives in value-based care and operational efficiencies that have transformed organizations and enhanced healthcare delivery. My expertise lies in building high-performing teams to achieve success in software implementation and integrations, and leading cross-functional teams to execute strategic initiatives that drive growth, efficiency, and cost-effectiveness. I thrive in dynamic environments where innovation and collaboration are key. Key Areas of Expertise: Managed Care Strategy & Operations Value-Based Care Population Health & Risk Adjustment Regulatory Compliance (CMS, Medicaid, ACA) Cross-Functional Team Leadership Experience Highlights: • Led PMO during Merger and Acquisition of 21 clinics and 7 hospitals • Oversaw a portfolio of 200+ projects and mentored 15 Project/Program Managers • Led a 50+ team of IT staff plus business operational staff to implement Epic Systems’ integrated healthcare delivery application; delivered on schedule and under $30 million budget • Oversaw data integration of legacy systems into new EHR • Delivered projects resulting in over in UM savings • Transitioned EPIC Management and Beaver Medical Group to ICD-10 codes and directed all software application upgrades (EMR, Practice Management, referral system, claims system, and other clinical applications & systems) • Regulatory compliance projects: CAQH C.O.R.E, Phase 1, 2, & 3 • PACS system implementation, transition to new transcription service, EMR related projects, website development, credentialing, Nurse Advice Unit, PPM, radiology coding software, hospitalist coding software & practice management • Established a Project Management Office (PMO) Thought Leadership & Industry Engagement: Instructor at University of Redlands Speaker at Harvey Mudd College Presenter at Arrowhead Regional Medical Center Presenter at PMI events: local, regional, and national conferences • Active member of Project Management Institute’s local chapter: PMICIE My passion when not leading PMOs is scuba diving where I've been an instructor for over 10 years and certified 100+ divers. Let’s Connect!