Scott Atole Email & Phone Number

United States

Albuquerque, New Mexico

Albuquerque, New Mexico

Provide overall delegation oversight for local provider groups and national vendors. Manages and directs the Delegation Oversight department, including hiring, training, and performance evaluation. Execute delegation assessments. Ensure federal, NCQA and NM State regulatory compliance. Chair and execute Delegation Oversight and other Health Plan Committees. Prepare and maintain all oversight documentation, including monitoring financial solvency of all delegated entities. Execute and monitor corrective action plans as necessary. Plan and execute strategies to nurture delegation oversight relationships and reduce member grievances. Engage delegates to address quality control and cost control initiatives. Key point of contact for all contractors and corporate offices regarding delegation oversight

Albuquerque, New Mexico Area

Consultation, guidance and coordination services to the New Mexico Health Insurance Exchange (BeWellNM) with efforts targeting American Indian/Alaska Native (AI/AN) communities. In addition to providing education, outreach and support services to AI/AN consumers regarding health care coverage, access and benefits as outlined in the Affordable Care Act and Indian Health Care Improvement Act. Strive to develop/foster strong relationships and facilitate communication/collaboration with AI/AN leadership, governments and communities. In addition to the development and execution of effective strategies to assist consumers to explore their health insurance options and increase access to health care.

Albuquerque, New Mexico Area

Albuquerque, New Mexico

Masters Of Public Administration, Health Policy & Administration

Bachelor Of Science (B.S.), Education And Community Health