BluePeak Advisors

BluePeak Advisors simplifies the complexities of today’s dynamic healthcare environment. As a trusted partner to health plans, pharmacy benefit managers, and other healthcare organizations, we specialize in compliance and operational excellence. Our strength lies in our people—a team of highly experienced professionals, many of whom have served in leadership roles at CMS, health plans, and PBMs. With decades of hands-on expertise, we deliver practical, actionable solutions that help our clients stay ahead of regulatory changes and operational challenges. We specialize in: • Medicare Advantage, Medicaid, Commercial, and Self-Funded health plan operations and compliance • Audit readiness including mock audits and audit support • CMS Program Audits • Risk Adjustment Data Validation (RADV) Audits • Medicaid Audits • Federally Facilitated Exchange (FFE) and State Medicaid Audits • Programs of All-Inclusive Care for the Elderly (PACE) audits and audit readiness • New Medicare Advantage, Pharmacy Benefit Management, or PACE implementations • Compliance assessments • Phone-a-friend as needed consulting • Operational performance improvement • Interim staffing • Corporate Integrity Agreement (CIA) assistance • CMS Star rating assessments and strategy • Implementation of First Tier, Downstream, and Related Entities (FDRs) Let BluePeak be your constant in the ever-changing world of health care. We bring clarity, confidence, and results. 📩 Contact us: info@bluepeak.com 🌐 Learn more: www.bluepeakadvisors.com