5 Essential Elements For best ATTAC Consulting Group
5 Essential Elements For best ATTAC Consulting Group
Blog Article
A New Administration = New Issues for Programs & Providers ⚡Whilst last regulatory assistance has not been launched however, health strategies and suppliers have to be able to act fast when alterations strike. An agile method and the ability to promptly deploy specialist groups is going to be important. Medicare Advantage:
Megan supports ACG operations, IT and knowledge administration engagements, bringing clients 13 decades of encounter as a business analyst, configuration guidance analyst, and work staff guide in documentation of company necessities, process and data perform flows to assist configuration of varied devices.
Lynn has crafted and supported many Local community accessibility-to-treatment initiatives. She has designed and implemented social determinants of health and fitness packages and has labored across membership populations.
Pooja has over 15 years of knowledge driving company and information technological innovation transformations to productively advance healthcare and pharmaceutical industries. She has focused on establishing a culture of collaboration and transparency, managed implementations of complex, heavy cross-dependency ground-up techniques, updates and enhancements, and held superior-visibility positions. Pooja delivers impartial, skilled and common plan management aid to multi-disciplinary and interdepartmental groups, and guides consumers by operational and engineering initiatives.
She excels at the ability to evaluate processes for improvement and execute modifications necessary inside a timely and efficient method. Ms. Regalado has broad encounter in healthcare claims capabilities.
On top of that, she has correctly led statewide expansions and community adequacy company contracting builds across numerous states.
David has labored with business, Medicare, Medicaid, and dual-eligible health and fitness strategies and their contracted vendors on the design and implementation of value and hazard-based mostly reimbursement, and in putting together details analytics To guage and monitor results.
Darlene is often a member of ACG’s Governing administration Applications Practice Group. She brings broad skills in organizational growth and compliance management in the Medicare and Medicaid arenas. For more than a dozen decades, she has held senior authorized and compliance roles inside the insurance policy and managed treatment industries, where by she has led things to do as assorted as well being program begin-up, management of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed line duty for grievances and appeals, income agent oversight and sector conduct together with business enterprise processes and coverage for corporate report retention. She has Formerly labored for Centene Corporation, AmeriGroup and United Health care.
Within this everchanging Market it gets much more important to retain leading expertise as well as the knowledge that expertise possesses. By means of ATTAC Mobility we will help develop a platform to establish expertise and ordeals of specific employees and also develop a occupation approach that aligns with their private desire.
Sharon is often a member of ACG’s scientific pharmacy group supporting Medicare Portion D, Medicaid, and pharmacy profit management groups. Sharon has substantial practical experience in built-in clinical apply, formulary management, operational approach reengineering and PBM oversight. She has intended and executed utilization management applications for prolonged-expression treatment service provider groups (Medicare Section A/ managed care) and has organized and participated on corporate JCAHO certification teams, for the two expert nursing services and medicare consulting pharmacies.
She also makes a speciality of progress of tailor made employees-education systems and accomplishing immediate staff members schooling with a wide choice of operational- and compliance-similar issues.
Carmen is actually a member of ACG’s Overall health Plan Operations and Authorities Plans Follow Groups. She supplies purchasers aid in the event of powerful inside auditing and downstream checking systems, and presents operational know-how during the parts of enrollment and quality billing (In particular MA and Aspect D), appeals and grievance administration, HEDIS reporting and management of external audits.
In addition to developing and establishing supplier networks all through the US, David has broad expertise assisting customers in developing provider networks and Conference regulatory necessities for Medicare, Medicaid, and employer group options.
Before transitioning to consulting, Ashleigh held Management roles at Common American and AmeriHealth Caritas, and served being a supplier network contracting supervisor and credentialing supervisor at a national business.