Megan Diffendal Email & Phone Number

Greater Pittsburgh Region

• Responsible for operational compliance delivery including new regulatory implementations, risk analysis, issue detection and management, in addition to leading risk mitigation and issue remediation initiatives or.
• Manage and improve oversight structures with defined and documented decision making framework and clear roles/accountability (includes establishing and/or expanding existing oversight forums)
• Manage and drive fulfillment of regulatory activities by engaging and partnering with key stakeholders from Regulatory, Compliance, and functional Business Units. Facilitate strategic conversations to assess and.
• Manage regular status reporting to key leaders and committees regarding operational compliance delivery and risk management activities.
• Identify and report risks to Oscar program leadership as well as applicable Business and Compliance leaders.
• Work with matrix partners to ensure appropriate policies are in place; maintain defined documentation and tracking for delegation life cycle processes.

Pittsburgh, Pennsylvania, United States

• Program managed health coach/health center installations, including project timelines, scope of work, contract management and licensing, recruitment/onboarding, facilities management, infrastructure, supply management.
• Developed and optimized licensure procurement and renewal processes to reduce risk
• Partnered with internal and external matrix partners to identify and implement methods to meet clients unique needs
• Utilized creative, complex problem solving skills to successfully install multiple coach installations and health center installations during pandemic limitations
• Managed and communicated effectively across internal matrix partners regarding the pipeline for current and future programs and services

Greater Pittsburgh Area

• Piloted and established structure for Utilization Management testing, including system implementation, test question build and reporting dashboard build to track progress against key strategic deliverables
• Partner and collaborate with internal multi-level, multi-disciplinary matrix partners to improve oversight of compliance results
• Insured quality of services of compliance testing through staff development, cross training, internal capacity planning and performance management

• Led and supported team with health/wellness guidelines, behavioral coaching principles and evidenced-based medical standards to improve customer satisfaction
• Business partner of choice for onsite health fairs, client audits, client site visits and escalated behavioral cases
• Interpreted results from system reporting and drove strategic projects to improve operational effectiveness/performance metrics, resulting in increased engagement and customer satisfaction

• Provided 1:1 wellness coaching to customers, centered on behavior change and condition management to reduce health risks, improve quality of life and health and well-being
• Provided 1:1 behavioral support through post discharge follow up, case management and EAP support
• Collaborated and integrated with multidisciplinary team, providers and internal and external matrix partners to drive increased improved population wellness

Ma, Art Therapy/Counseling

Masters of Arts in Art Therapy, Counseling Specialization

Ba, Art Therapy, Psychology

Art Therapy Major/Psychology Minor