Performs Medicare and Managed Care Consulting for Health Plans, Pharmacy Benefit Management, Health Care Providers and Hospitals. Medicare Advantage, Prescription Drug Plan, Medicare Star, Medicaid, Health Plan Operations, Compliance, Auditing, Health Exchange and ACO Integration.Extensive experience in health plan compliance, auditing and implementing operational and quality improvement strategies for large and complex businesses including Medicare Advantage, Medicare Supplement, Medicare Prescription Drug, Medicaid and Individual programs.Experienced CMS Auditor, Government Programs Management, Compliance & Risk Assessment, Healthcare Reform Implementation, Star Ratings, Project Management, Operating Model Design, Talent Recruitment and Management.Highly effective in working across all operations areas to guide product and market expansion activities, ensuring operational readiness, executing process improvements including the design and delivery of technical program education and training.
Listed skills include Medicare, Managed Care, Health Insurance, Medicaid, and 21 others.
