About Me

Dave Malin

With nearly two decades of experience in the healthcare industry, I’ve built a career on driving meaningful outcomes in Medicare Advantage, Medicare Risk Adjustment, and Dual Eligibles. My journey includes a rewarding tenure at Humana, where I managed multi-state operations, developed strategic partnerships, and led initiatives that improved risk adjustment outcomes and optimized financial outcomes. Currently, I continue to leverage my expertise by working closely with health plans to elevate their quality measures, including Stars, HEDIS, CAHPS, and HOS, while crafting solutions that support health equity and member engagement.
I’ve always been focused on what’s next. As a Futurist, I help health plans stay ahead by identifying emerging trends and crafting strategies that position them to thrive in an ever-evolving industry landscape. This means not just seeing what’s on the horizon, but implementing strategies that lay the groundwork for sustainable growth. My forward-thinking approach has helped clients anticipate industry shifts and adapt seamlessly to regulatory changes, such as those brought by the IRA and CMS reimbursement models.
As a Change Agent, I understand that transformation is a constant in healthcare. I excel at turning complex challenges into strategic opportunities, enabling health plans to not just adapt but to grow stronger. I’ve successfully led initiatives that bridged gaps in care for dual-eligible populations, developed member outreach programs, and collaborated with cross-functional teams to implement innovative solutions that drive positive change.
Being an Ideator, I know that ideas matter—but it’s action that makes them impactful. I’ve spent my career bringing innovative strategies to life, ensuring that the ideas I bring to the table translate into tangible results. Whether through account management or process improvement, I’ve built and nurtured strong client relationships, driven business growth, and delivered exceptional service across various lines of business.
From managing risk adjustment strategies and compliance to building out supplemental offerings that resonate with members, I bring a wealth of experience and a holistic understanding of the healthcare industry. My passion lies in creating value-driven solutions that support the success of health plans and the well-being of their members. I’m continuously exploring ways to enhance outcomes, drive innovation, and contribute positively to the industry as a whole.
 
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