She features a confirmed background of driving compliance with NCQA criteria and optimizing Health care shipping throughout assorted sectors, which include Medicare, commercial ACA, and Medicaid.
This breadth of fingers-on operational and regulatory working experience will allow us to promptly assess the complexities that your Corporation faces and to carry concrete and in depth
Dr. Chapman has served as Health care Director for any wellbeing strategy with over one million users in professional, Medicare Edge and Medicaid goods. In his perform with ATTAC clientele, he concentrates on the scientific areas of managed care, high quality and STAR applications, like enhancement and software of utilization management requirements, good quality checking and interventions, and developing operational efficiencies in scientific software application to cut back administrative expenditures.
Pooja has much more than fifteen years of encounter driving organization and data engineering transformations to efficiently advance Health care and pharmaceutical industries. She has centered on creating a lifestyle of collaboration and transparency, managed implementations of complex, hefty cross-dependency ground-up systems, updates and enhancements, and held significant-visibility positions. Pooja supplies independent, qualified and typical software management assistance to multi-disciplinary and interdepartmental groups, and guides clients as a result of operational and know-how initiatives.
- John Barkley - Fantastic way to lead the panels and dropping some wisdom to many on bringing suppliers and payers together and vendor oversight.
ATTAC Consulting Group is really a nationwide chief in supplying advisory, auditing, consulting and organization functions methods to well being insurers, drug programs, managed care corporations and provider companies.
Her Management has continuously enhanced operational efficiency, Value Regulate, and provider satisfaction, even though preserving the highest benchmarks of regulatory and accreditation compliance.
Shared my vision for reversing Persistent illness, integrating eco-system among Payers & Vendors and unlocking the power of Price-Dependent-care products for example RA, Top quality and many others. in U.S healthcare along with some functional tips and views to my sector colleagues about ways to get PROACTIVE in the 3rd Once-a-year RA #Innovation Forum in Dallas. Strategic Solutions Network ✳️ It is really very clear following current pent up stress with The existing state of Long-term condition, Prior Auth frustrations, superior cost of care and Using the administration change, its a pivotal second for all. #️⃣ It truly is far more crucial to search outside of The existing lens of KPIs of Chance Adjustment, STAR and worth based care performance. Let's healthcare consulting firm maintain ourself accountable to each other on bettering real wellness outcomes.
Lisa has much more than twenty years of working experience in professional, Medicaid, and Medicare managed treatment functions and compliance, wherever she formulated organizational methods to ensure operational compliance whilst meeting internal and exterior stakeholder desires. She has made and led multi-disciplinary teams spanning operations, compliance, and technological innovation across a broad spectrum of managed treatment operations.
Laurie is an element of ACG’s scientific pharmacy exercise group serving all software segments. She has in depth encounter in scientific and operational management of pharmaceutical products and services in an entire scope of Health care environments, including Medicare health systems, acute care and LTC arenas. Her multi-market expertise has involved integrated scientific and operational strategic setting up, pharmacy community oversight, PBM oversight, pharmaceutical agreement evaluation and negotiation, and course of action reengineering to boost margin and compliance.
She also focuses on progress of custom made workers-education packages and doing immediate team schooling with a wide choice of operational- and compliance-linked issues.
Paul Lake is usually a Health care software and task leader with greater than twenty five yrs of expertise within the industry. He has directed electronic transformation implementations and many remedies for wellness ideas with Medicaid, Medicare and professional core systems. He has also led service provider-targeted revenue cycle administration Remedy implementations.
We Blend that know-how with experience received from decades of challenge resolving for just a broad variety of clientele. It’s an unbeatable mixture.
Ms. Regalado has much more than twenty five yrs of healthcare practical experience with comprehensive knowledge of compliance polices related to federal and a variety of state Medicaid and business needs. She has extensive practical experience in well being plan functions, which includes statements administration, claims auditing, technique configuration, company approach style and design, and workflow advancement.