Lead Healthcare Advisor
CurrentCommitted expert in operations, compliance, and strategic solutions who assists clients in achieving their business and organizational goals. Reliable knowledge of federal, state and private insurance regulations.
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Kimberly A. Ravalese Mba, Bs, Rn is listed as Experienced Executive --Six Sigma Green Belt & Lean Healthcare Certified 2017 at Principal Consultant, a company with 94 employees, based in Tolland, Connecticut, United States. AeroLeads shows a matched LinkedIn profile for Kimberly A. Ravalese Mba, Bs, Rn.
Kimberly A. Ravalese Mba, Bs, Rn previously worked as Lead Healthcare Advisor at Principal Consultant and Director, Clinical Operations & Programs at Women'S Health Usa. Kimberly A. Ravalese Mba, Bs, Rn holds Master Of Business Administration, Healthcare Management from Rensselaer Polytechnic Institute Master'S Program - The Lally School Of Management.
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Dedicated healthcare executive with many years of consulting and business leadership experience with a strong ability to analyze industry trends, anticipate change, and solve business challenges. Recognized as a self-starter and big picture visionary with the ability to recognize how daily operations shape long-term results.
Listed skills include Leadership, Management, Training, Microsoft Excel, and 9 others.
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Committed expert in operations, compliance, and strategic solutions who assists clients in achieving their business and organizational goals. Reliable knowledge of federal, state and private insurance regulations.
Responsible for oversight and direction of the Quality, Safety, and Compliance Program to include clinical quality targets, program development, data analysis, market assessments for opportunities, audits and regulatory readiness. Supported, educated, and trained 200+ Connecticut specialty physicians and staff in support of performance goals.
Performed State and Federal Centers for Medicare and Medicaid Services (CMS) facility compliance and licensure assessments. Promptly passed the complex CMS Federal Surveyor Compliance Exam.
Managed the business strategy and quality improvements for 38 midwest Medicare health plans which included operational delivery and successful completion of NCQA Accreditation Surveys. As Regional Lead, achieved Excellent NCQA Accreditation Status (highest achievable) for the first ever Medicare plan at UnitedHealth.
As cross-functional team leader was responsible for managing fraud investigations and minimizing corporate financial risk.
Overall, responsible for evaluation and execution of the Tri-state Health Plan's Quality Performance Goals. Succeeded in supporting the Health Plans through two Excellent NCQA Accreditations (highest achievable). Annually performed population based HEDIS clinical studies. Annually audited and managed the Mental Health and Substance Abuse Program. In.
Other employees you can reach at telospartners.com.au. View company contacts for 94 employees →
M V
Colleague at Principal Consultant
Singapore, Singapore, Singapore
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SK
Srinivasan Ks
Colleague at Principal Consultant
Bengaluru, Karnataka, India, India
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SC
Shivani Chaturvedi
Colleague at Principal Consultant
India, India
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AR
Ananth Raj
Colleague at Principal Consultant
Bengaluru, Karnataka, India, India
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CJ
Carolyn J. Schutten
Colleague at Principal Consultant
Los Angeles Metropolitan Area, United States
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RR
Richard Raymond
Colleague at Principal Consultant
Allentown, New Jersey, United States, United States
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GK
Gaylard Kombani
Colleague at Principal Consultant
Botswana, Botswana
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SS
Shelli Stuiber Whallon
Colleague at Principal Consultant
Grand Rapids, Michigan, United States, United States
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AN
Augustine Nnamdi Obiyo
Colleague at Principal Consultant
Nigeria, Nigeria
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PZ
Pooya Zarei
Colleague at Principal Consultant
United Arab Emirates, United Arab Emirates
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Activities and Societies: Rensselaer Polytechnic Institute Alumni Association
Activities and Societies: Active Connecticut Nursing License
Quick answers generated from the profile data available on this page.
Kimberly A. Ravalese Mba, Bs, Rn works for Principal Consultant.
Kimberly A. Ravalese Mba, Bs, Rn is listed as Experienced Executive --Six Sigma Green Belt & Lean Healthcare Certified 2017 at Principal Consultant.
Kimberly A. Ravalese Mba, Bs, Rn is based in Tolland, Connecticut, United States while working with Principal Consultant.
Kimberly A. Ravalese Mba, Bs, Rn has worked for Principal Consultant, Women'S Health Usa, State Of Connecticut Department Of Public Health, Unitedhealth Group, and Cigna.
Kimberly A. Ravalese Mba, Bs, Rn's colleagues at Principal Consultant include M V, Srinivasan Ks, Shivani Chaturvedi, Ananth Raj, and Carolyn J. Schutten.
You can use AeroLeads to view verified contact signals for Kimberly A. Ravalese Mba, Bs, Rn at Principal Consultant, including work email, phone, and LinkedIn data when available.
Kimberly A. Ravalese Mba, Bs, Rn holds Master Of Business Administration, Healthcare Management from Rensselaer Polytechnic Institute Master'S Program - The Lally School Of Management.
Kimberly A. Ravalese Mba, Bs, Rn is listed with skills including Leadership, Management, Training, Microsoft Excel, Team Building, Healthcare Management, Strategic Planning, and Public Speaking.
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