She is likewise a focused mentor and coach, elevating organizational compliance awareness by way of education and learning initiatives.

Just before Doing work during the healthcare field, he invested 15 years using Superior quantitative analytics to boost client loyalty and retention throughout banking, sector analysis and databases advertising and marketing companies.

He has developed, deployed, analyzed, and refined potential and retrospective courses. Prosperous draws on his substantial knowledge with info for constant improvement and optimization of risk adjustment endeavours, directed at maximizing ROI and minimizing expenses.

Jennifer has sizeable undertaking management, company and IT management, third-occasion Alternative, product improvement and vendor management working experience which might be used in almost any organizational atmosphere. She has served in leadership positions at Ernst & Young, and also company, vendor and payer businesses.

Eric has greater than thirty decades of encounter in leading ATTAC’s information analytics group. He's adept in design and development of software entrance-close and again-conclusion alternatives to help quite a few organization wants.

In addition, she has correctly led statewide expansions and community adequacy company contracting builds across several states.

David has labored with professional, Medicare, Medicaid, and twin-eligible overall health programs and their contracted vendors on the design and implementation of worth and possibility-dependent reimbursement, and in starting facts analytics to evaluate and keep an eye on achievement.

Offered her function in different Neighborhood care initiatives, she understands the battle of varied populations and the value of providing top quality care although balancing Price tag efficiency.

Lisa has more than 20 years of encounter in industrial, Medicaid, and Medicare managed care operations and compliance, exactly where she formulated organizational answers to guarantee operational compliance although Assembly inner and external stakeholder requirements. She has created and led multi-disciplinary teams spanning operations, compliance, and technological know-how across a broad spectrum of managed treatment operations.

Sharon is actually a member of ACG’s scientific pharmacy staff supporting Medicare Section D, Medicaid, and pharmacy advantage management groups. Sharon has intensive experience in integrated clinical follow, formulary administration, operational method reengineering and PBM oversight. She has developed and executed utilization administration courses for extensive-expression treatment service provider groups (Medicare Aspect A/ managed treatment) and it has structured and participated on company JCAHO certification groups, for both of those skilled nursing services and pharmacies.

Tina is a company community contracting chief with twenty five+ decades’ expertise setting up Medicare, Medicaid and Marketplace networks and applying price-based mostly payment designs.

Our clients count on us for qualified regulatory guidance, to put into practice robust compliance remedies also to execute successful, qualified auditing. Our health-related and pharmacy groups tutorial corporations in adoption of new designs to control treatment in a price-effective way.

She has assisted states and health plans in procurement, Investigation, checking and independent verification and validation. Linda has skills in business enterprise procedure mapping and re-engineering and building cohesive teams by way of palms-on administration.

Darlene is really a member of ACG’s Federal government Packages Practice Group. She delivers wide expertise in organizational progress and compliance administration inside the Medicare and Medicaid arenas. For more than a dozen mental health parity many years, she has held senior lawful and compliance roles within the insurance policies and managed treatment industries, where she has led actions as diverse as overall health system start-up, administration of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line obligation for grievances and appeals, revenue agent oversight and market place carry out along with company processes and policy for company record retention. She has Beforehand worked for Centene Company, AmeriGroup and United Healthcare.