Expert Details

Healthcare Medicare Advantage Medicaid DSNP Quality

ID: 734167 Washington, USA

Medicare Advantage and DSNP- Expert has worked in the Medicare Advantage arena since it's inception of a Dual Special Needs Plan (DSNP). In 2005, this product offering became something my former employer wanted to get into so Expert was part of the first team that led National applications to CMS with expansion across the country for the company. Expert understands the product from the ground up.

An expert in these areas and was responsible for performance for contracts regionally and nationally. Expert was able to increase quality performance in each market for which she was responsible. She built teams in each market to drive performance for each CMS contract.

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Education

Year	Degree	Subject	Institution
Year: 1992	Degree: Bachelors	Subject: Psychology	Institution: Arizona State University

Work History

Years	Employer	Title	Department
Years: 2003 to Present	Employer: Undisclosed	Title: Regional Director	Department: Risk Quality Network Solutions
Responsibilities: Network performance for Risk Adjustment, Quality (STAR, HEDIS), Managed Care Incentives, Coding and Training

Fields of Expertise

health care, healthcare regulatory compliance, health care quality assurance