Nancy Becker Email and Phone Number
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Nancy Becker is a Corporate Director Medicare Strategy & Design at AmeriHealth Caritas at AmeriHealth Caritas. She possess expertise in medicare, medicaid, project management, hedis, ncqa and 11 more skills.
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Corporate Director Medicare Strategy And DesignAmerihealth Caritas Sep 2022 - PresentPhiladelphia, Pa, UsCorporate Director, Medicare Strategy and Design
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Corporate Director Population Health Solutions MedicareAmerihealth Caritas Mar 2022 - PresentPhiladelphia, Pa, UsPromotion to Corporate Director Population Health Solutions Medicare
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Director, Medicare Medical ManagementAmerihealth Caritas Jan 2017 - Mar 2022Philadelphia, Pa, UsDirector for Medicare DSNP Care Management department. AmeriHealth Caritas DSNP is also an aligned CHC plan. Significant experience writing Model of Care for CMS approval (98.5% in 2019). Experience with STAR measures and HEDIS. Manage a team of RNs and LSW care managers and a team of community health navigators working in the field with members. Responsible for process improvement, MOC documentation and reporting, policies, procedures, quality reporting, performance metrics. Responsible for managing the DSNP care management department within the confines of CMS and Pennsylvania regulations along with company policy. Knowledge of CMS regulation, DSNP requirements, Medicare/Medicaid requirements and CHC protocol.
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Corporate Ncqa LeadAmerihealth Caritas Jul 2014 - Jan 2016Philadelphia, Pa, UsOversight of NCQA Accreditation for all plans. Work with all plans for planning, organizing, completion of accreditation requirements in preparation for Health plan accreditation submission. Development of standard corporate documentation and templates. Update all plans leaders on NCQA policy changes/FAQs and changes in standard requirements. Ensuring required process and procedure changes are implemented as needed. Oversight responsibility for health plan accreditation and multi-cultural health plan distinction for Medicaid and Medicare plans. Serving as interim Quality Improvement Director for the Medicare plans.
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Quality Improvement Director, MedicareAmerihealth Caritas Jul 2013 - Jul 2015Philadelphia, Pa, UsManage all aspects of quality improvement for seven Medicare VIP D-SNP plans. HEDIS/STARS, CAHPS/HOS, drafting Models of Care for all Medicare plans, Responsible for NCQA accreditation for Medicare plans. Development and implementation of member initiatives. Quality committee management. All quality requirements for new business RFPs, readiness reviews and implementation for D-SNP and MMP plans. Policy management across all Medicare departments. Maintain CMS, State regulatory compliance and NCQA standard compliance for Medicare plans.
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Accreditation ManagerEvolent Health Feb 2015 - Sep 2015Arlington, Va, UsResponsible for managing the NCQA accreditation process, obtaining and maintaining excellent accreditation for the Evolent Health Case Management and Disease Management programs. Ensuring all programs are providing quality services for all client members while remaining fully compliant with regulatory requirements for Commercial, Medicare and Medicaid plans. -
Quality ManagerCoventry Health Care Aug 2010 - Aug 2013London, GbManager of the Quality Improvement program for the Medicaid plan throughout PA. Maintain regulatory compliance set forth by NCQA, DPW, External Quality Review. Development and implementation of provider and member outreach activities. Writing policy, compliance documents, quality improvement projects, audit documents, proposals and other related documents. Executive meeting facilitation, managing multiple projects and timelines, data collection, entry and analysis of member surveys, HEDIS, PA performance, etc. Department management responsibilities. -
Regional Quality ManagerAetna Apr 2000 - Dec 2005Hartford, Connecticut, UsMaintain regulatory compliance as established by NCQA. NCQA survey preparation and submission. Writing for compliance, policies, audits and other related documentation. Development, implementation and tracking of member initiatives for quality of care. Collection, data entry and analysis of HEDIS and survey information. -
Manager, Sales And MarketingPrudential Healthcare Jun 1991 - Apr 2000UsManage team for National Sales and Marketing department. Writing proposals for large national clients. Responding to broker surveys. HR training coach, Organizational Development consultant
Nancy Becker Skills
Nancy Becker Education Details
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University Of PhoenixHealthcare Administration -
University Of PhoenixOrganizational Leadership
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Kutztown University Of PennsylvaniaGeneral
Frequently Asked Questions about Nancy Becker
What company does Nancy Becker work for?
Nancy Becker works for Amerihealth Caritas
What is Nancy Becker's role at the current company?
Nancy Becker's current role is Corporate Director Medicare Strategy & Design at AmeriHealth Caritas.
What is Nancy Becker's email address?
Nancy Becker's email address is nj****@****zon.net
What schools did Nancy Becker attend?
Nancy Becker attended University Of Phoenix, University Of Phoenix, Kutztown University Of Pennsylvania.
What skills is Nancy Becker known for?
Nancy Becker has skills like Medicare, Medicaid, Project Management, Hedis, Ncqa, Strategic Planning, Quality Management, Regulatory Requirements, Management, Change Management, Visio, Writing.
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