David K. Dafilou, MS Finance
DIRECTOR OF CONSULTING SERVICES

David K. Dafilou has extensive experience in developing and managing networks of physicians, ancillary and hospital providers in the Mid-Atlantic region. His broad array of skills include, contracting, negotiating, medical cost analysis, healthcare financial modeling, project management, process improvement planning, and medical cost containment design and implementation.

Currently, Mr. Dafilou is responsible for managing projects in the practice areas of managed care financial policy and reimbursement analysis; strategic planning; managed care contracting; network development and integrated delivery systems; revenue cycle reengineering; operations and utilization management; and educational seminars and skills training.

Prior to joining Presscott Associates, Mr. Dafilou was Director of Contracting and Provider Networks at AmeriHealth Insurance Company, a wholly owned subsidiary of Independence Blue Cross. While at AmeriHealth, he had responsibility for a provider network of over 80 hospitals and 15,000 physicians as well as several hundred ancillary providers. He directed cost containment strategies, NCQA credentialing compliance, claims service, budgets and planning. Mr. Dafilou has also had responsibility for provider networks in New York, New Jersey, Pennsylvania and Delaware. His experience encompasses the management of commercial, Medicare, and Medicaid provider networks including regulatory compliance and reporting. Previous experience includes Business Development and Marketing for Honeywell Inc. and other Fortune 100 companies.

Mr. Dafilou received a Bachelor of Science in Commerce and Engineering from Drexel University in Philadelphia, PA. He went on to obtain a Master of Science in Finance from Drexel University. Mr. Dafilou has received certificates of accomplishment from the Program on Negotiations at Harvard Law School and in Leadership Training from Rutgers University.

 

 

 
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