Mr. Giles has more than 30 years of experience provider reimbursement, risk based contracting and value based payment models. He works with health plans, physician groups, IPAs, medical groups and hospitals. He has extensive experience in market and product development, healthcare reimbursement and financing, development, and management of large-scale provider networks. David has worked with commercial, Medicare, Medicaid, and dual-eligible health plans and their contracted providers on the design and implementation of value and risk-based reimbursement, and in setting up data analytics to evaluate and monitor success.
In addition to designing and developing provider networks throughout the US, David has broad experience assisting clients in developing provider networks and meeting regulatory requirements for Medicare, Medicaid, and employer group plans. This includes analysis of provider access and adequacy compliance and the related regulatory filings.
Prior to joining ATTAC Consulting Group, Mr. Giles held senior management roles at BCBS, Carolina Medical Care, Humana Health Plans and as a consultant throughout the United States. He is a graduate of the University of Pennsylvania.