An experienced results oriented leader with over 30 years experience in various healthcare sectors(Managed health plans (corporate and health plan levels), hospitals, accreditation agency, nursing homes) . Proven ability in leading and consulting within various managed care Medicaid, Medicare, Medicare-Medicaid Duals and Marketplace initiatives within health plans and in corporate roles. Experience in process improvement and implementation initiatives within various capacities including utilization management, population health management, medical policy, clinical training, appeals and grievances, provider disputes, provider network operations, member services, new program development and implementation, risk management, workman's compensation, performance improvement, quality improvement, and NCQA accreditation preparation..
Listed skills include Medicaid, Healthcare, Healthcare Consulting, Healthcare Management, and 33 others.