She incorporates a demonstrated reputation of driving compliance with NCQA specifications and optimizing Health care delivery across various sectors, which includes Medicare, business ACA, and Medicaid.
Just before Doing work while in the healthcare marketplace, he expended fifteen yrs working with Superior quantitative analytics to improve shopper loyalty and retention throughout banking, industry investigate and databases promoting companies.
As passionate as we have been about our answers, we’re also captivated with our group. ACG’s group is selected and constructed about Every crew member’s demonstrated accomplishment in past working positions in the market or with regulatory companies.
Pooja has in excess of 15 yrs of practical experience driving business enterprise and knowledge know-how transformations to efficiently progress Health care and pharmaceutical industries. She has centered on creating a society of collaboration and transparency, managed implementations of complex, significant cross-dependency floor-up methods, updates and enhancements, and held large-visibility positions. Pooja delivers unbiased, qualified and standard program administration help to multi-disciplinary and interdepartmental teams, and guides purchasers as a result of operational and technological know-how initiatives.
Lynn has substantial practical experience working with Health care shipping and delivery techniques which is a master’s ready nurse. Her leadership expertise includes inpatient, ambulatory and overall health system environments.
- Rebecca Welling - You might be this kind of humble leader and wonderful to attach with you and your workforce. - Tom Shankle - Your example of how a Hazard Adjustment coding nuance and training assisted your relative avoid troubles was awesome!
Mae is usually a member of ACG’s Health and fitness Prepare Operations and Federal government Systems groups. Mae provides ACG’s clientele in excess of twenty years of working experience in health and fitness program operations, including statements administration program configuration, business method design, workflow development, process interfaces and excellent and procedure Handle implementation.
Linda provides a lot more than 30 several years of expertise to purchasers within the health and fitness coverage and managed care industries. She's a senior specialist with knowledge in units, operations, management and implementations.
During this everchanging Market it gets to be far more imperative that you keep major expertise and also the healthcare consulting firm understanding that expertise possesses. By ATTAC Mobility we should help produce a System to determine skills and activities of specific employees as well as produce a job prepare that aligns with their personalized desire.
Sharon is a member of ACG’s clinical pharmacy team supporting Medicare Component D, Medicaid, and pharmacy advantage management groups. Sharon has in depth practical experience in built-in medical follow, formulary management, operational method reengineering and PBM oversight. She has developed and implemented utilization administration applications for extensive-expression care supplier groups (Medicare Element A/ managed care) and has structured and participated on corporate JCAHO certification teams, for equally proficient nursing amenities and pharmacies.
Her fingers-on working experience supports organizations in getting ready for NCQA accreditation and CMS utilization management audits, and in driving Price reduction via successful care administration and utilization administration systems.
Linda is a member of ACG’s Government Systems crew, bringing above thirty yrs of knowledge at the two the Facilities for Medicare and Medicaid Expert services (CMS) and private industry practical experience to ACG’s clientele. She focuses on organizational progress, state and federal purposes, network improvement, regulatory compliance and audits, revenue oversight, and operational control growth.
She has assisted states and health programs in procurement, Investigation, checking and unbiased verification and validation. Linda has expertise in enterprise approach mapping and re-engineering and producing cohesive groups as a result of hands-on management.
✅ Onshore & offshore healthcare report coding & HCC validation ✅ Put up-coding and steering to the “best report” for submission We have been at the moment supporting a number of Medicare Benefit programs with 2025 RADV chart coding & evaluation – and we nevertheless have capability that will help your approach. ⏰ Time is jogging out! Safe your RADV audit help these days.