She has a proven reputation of driving compliance with NCQA benchmarks and optimizing Health care shipping and delivery throughout numerous sectors, together with Medicare, commercial ACA, and Medicaid.
Megan supports ACG operations, IT and knowledge administration engagements, bringing customers 13 yrs of working experience as a business analyst, configuration help analyst, and work staff direct in documentation of company necessities, process and data perform flows to help configuration of varied devices.
Lynn has crafted and supported several community access-to-care initiatives. She has made and implemented social determinants of health courses and has labored throughout membership populations.
We are a Health care consulting firm specializing in functions and healthcare compliance options for health insurers and managed treatment businesses
Elizabeth serves as software director in ATTAC’s Info Audit Group. She supports purchasers on consulting engagements relevant to Medicare Gain and Element D enrollment, reconciliation and top quality billing functions, where she gives direction on enterprise system structure and process controls and oversight and checking.
In addition, she has properly led statewide expansions and network adequacy company contracting builds throughout numerous states.
His operational history permits him to effectively bridge the gap in between compliance and operations, supplying thorough alternatives for consumers.
Carol s a member of ACG’s Medical Management, Excellent Improvement and Govt Applications groups. She provides above twenty years of expertise centered on development and implementation of health care administration systems, which includes utilization administration, case administration, ailment administration, excellent advancement applications, medical facts units, NCQA accreditation and strategic planning.
Lisa has much more than twenty years of experience in commercial, Medicaid, and Medicare managed care operations and compliance, exactly where she created organizational options to make certain operational compliance although meeting internal and external stakeholder desires. She has created and led multi-disciplinary groups spanning operations, compliance, and technological innovation across a broad spectrum of managed care functions.
ATTAC’s leadership and consulting staff members provide our customers suitable business know-how and encounter from previous operating and federal government roles, and many years of experience crafting solutions and conducting audits for any wide variety of shoppers across the nation.
Tina is really a provider community contracting chief with 25+ many years’ encounter developing Medicare, Medicaid and Market networks and making use of worth-primarily based payment products.
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She has assisted states and wellbeing strategies in procurement, Evaluation, checking and impartial verification and validation. Linda has skills in small business process mapping and re-engineering and building cohesive groups as a result of palms-on administration.
Darlene can be a member of ACG’s Government Plans Observe healthcare compliance consulting companies Group. She brings broad skills in organizational development and compliance management while in the Medicare and Medicaid arenas. For more than a dozen years, she has held senior legal and compliance roles inside the coverage and managed treatment industries, wherever she has led things to do as numerous as well being strategy begin-up, management of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line responsibility for grievances and appeals, income agent oversight and current market carry out together with business processes and policy for company record retention. She has previously labored for Centene Company, AmeriGroup and United Health care.