Shelley Stevenson Email & Phone Number

More than thirty years of successful experience working with managed care plans in all lines of business, especially Medicare and Medicaid. All aspects of plan operations, compliance, performance and compliance plan auditing, service quality improvement, reengineering processes and operations. Experienced as lead auditor for recent CMS Compliance Plan and Program Audits. Completed two ACO gap assessments for large physician group and integrated hospital system. Conduct mock audits of operational areas and compliance plan effectievness. Medicare planning, functional training and interim staffing. Assist plans with starting Medicare or DSNP plans, dual demonstration plans. Strong presentation and training skills Specialties: Medicare Advantage and MAPD, ACO, Medicaid, Commercial Small and Large group plans. Presentations, audits, training, compliance, Fraud, Waste and Abuse, team building, management development, process redesign, NCQA, URAC, AAAHC, MBHOs, physician practices and PCP relationships.

Listed skills include Medicaid, Managed Care, Medicare, Healthcare, and 37 others.

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  University Of California, Berkeley

  Psychology