Getting My best ATTAC Consulting Group To Work
Getting My best ATTAC Consulting Group To Work
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The shortage of CMS updates—which include key enrollment knowledge—creates uncertainty, but organizations that strategy forward is going to be during the best place As Steve notes, "It truly is a fascinating time and energy to go silent; if timelines slip, it could compress activities later inside the 12 months, but designs should have planned currently for every one of the pursuits." MMIT (Managed Marketplaces Perception & Technology)
At ATTAC Consulting, Justin provides deep expertise in auditing, wellbeing program compliance, and regulatory and delegation oversight, which has a target the nuances of your California industry.
She's experienced with task administration methodologies, controlling challenge stakeholder responsibilities and expectations, and it has led compact teams of direct stories.
We are a healthcare consulting business specializing in operations and healthcare compliance answers for health and fitness insurers and managed care organizations
She excels at the ability to analyze processes for advancement and execute variations wanted in a very well timed and productive method. Ms. Regalado has broad expertise in healthcare claims capabilities.
ATTAC Group delivers with us decades of Management encounter, within the battlefields in the center east, the offices of a lot of the premier banking institutions on Wall Road, leading recruiting companies, and one of many top suppliers on this planet.
His operational background permits him to correctly bridge the gap in between compliance and functions, supplying thorough options for consumers.
Provided her do the job in a variety of Neighborhood treatment initiatives, she understands the wrestle of various populations and the necessity of offering quality care when balancing Charge performance.
Lisa has much more than twenty years of encounter in business, Medicaid, and Medicare managed treatment operations and compliance, where by she designed organizational methods to be certain operational compliance when meeting inside and exterior stakeholder requires. She has developed and led multi-disciplinary teams spanning operations, compliance, and engineering across a wide spectrum of managed treatment operations.
Sharon is a member of ACG’s medical pharmacy workforce supporting Medicare Portion D, Medicaid, and pharmacy benefit management groups. Sharon has comprehensive working experience in built-in scientific observe, formulary management, operational course of action reengineering and PBM oversight. She has made and carried out utilization administration systems for extensive-term treatment supplier groups (Medicare Element A/ managed treatment) and it has organized and participated on company JCAHO certification teams, for both equally qualified nursing facilities and pharmacies.
Jon is usually a seasoned executive guiding chance adjustment programs for Medicare Benefit, ACA /Market and Medicaid packages. He brings experience in development and implementation of productive potential and retrospective danger adjustment initiatives, correctly targeted To optimize ROI. He is deeply proficient at guiding and establishing analytics to determine/suspect opportunity chance adjustment possibilities, in addition to monitoring for inappropriately coded statements and diagnoses to ensure precision in risk adjustment submissions on the MA Encounter Information Processing Programs and ACA Edge Servers.
Erin is a skilled and prosperous Medicare Benefit compliance Specialist with 10 years of experience from the Health care field. Erin’s background consists of Management positions in Medicare product sales compliance/agent oversight, compliance system usefulness/administration, delegated entity oversight, and well being strategy functions.
In addition to creating and building supplier networks through the entire US, David has wide health plan consulting expertise assisting shoppers in developing provider networks and meeting regulatory necessities for Medicare, Medicaid, and employer group options.
Darlene is usually a member of ACG’s Federal government Courses Apply Group. She delivers wide expertise in organizational advancement and compliance management from the Medicare and Medicaid arenas. For over a dozen yrs, she has held senior lawful and compliance roles inside the insurance plan and managed care industries, the place she has led things to do as varied as well being strategy start off-up, administration of JCAHO and NCQA accreditation, point out and CMS regulatory oversight audits, managed line obligation for grievances and appeals, sales agent oversight and marketplace carry out as well as business processes and policy for corporate document retention. She has Formerly worked for Centene Corporation, AmeriGroup and United Healthcare.