Heather A. Ashcroft Email & Phone Number

San Ramon, Ca

Oakland, Ca

Managed daily operations for capitated health care contracts including eligibility, claims payment, authorizations, delegation, grievances and appeals. Implemented new and renewed contract configuration across all operational departments. Primary contact for health plan operational matters.

Oakland, Ca

Managed projects with a focus on member retention and physician/customer experience. Analyzed customer experience survey results and developed performance improvement plans with health plan and community partners that enhanced quality monitoring and access standards training for physicians, leading to measurably improved patient access.

Oakland, Ca

Hired, trained and mentored staff, provided sustained and positive individual coaching resulting in staff development and retention. Developed enhanced relationships with physicians and their staff which ensured successful adoption of strategic initiative to increase risk adjustment scores.

Emeryville, Ca

Primary point of contact between community physicians and internal departments for issues that impacted provider satisfaction and organizational strategy. Researched and resolved contracting, billing, claims and system issues for prompt resolution. Recommended resolution of provider appeals and disputes.

Emeryville, Ca

Supported Board of Directors and staff during the transition following company affiliation. Implemented facilities transition plan and aided with wind down and closure of the Alta Bates Medical Group corporation.