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 projects.• 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 determine regulatory requirements and operational impacts and solutions. Lead and support the identification, removal, or escalation of barriers.• 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.• Continually improves skills and competencies by proactively participating in various internal and external training opportunities and stretch assignments

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 and marketing• 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