She can be a devoted mentor and trainer, elevating organizational compliance awareness via training initiatives.
With Victoria’s track record in medical excellence, she's a vital asset for ATTAC shoppers looking for to enhance operational efficiencies and audit readiness.
Using a foundation in 6 Sigma Methodologies, our process functions to help recognize and outline critical issues although driving to discover the root results in. We companion using your administration staff to uncover, create, and carry out innovative options in the operational and transactional space.
Notably, he reengineered clinical processes that resulted inside of a reduce in Medicare appeals by 21% in just 6 months. This accomplishment improved buyer gratification, Increased claims’ processing efficiency, and reduced administrative fees.
Elizabeth serves as system director in ATTAC’s Details Audit Group. She supports clientele on consulting engagements relevant to Medicare Advantage and Element D enrollment, reconciliation and high quality billing functions, where by she gives steering on organization course of action design and procedure controls and oversight and monitoring.
Previous to becoming a member of ACG, Jon served as director of chance adjustment for just a multi-point out regional health program that presented ACA /MA and Medicaid products and solutions, as well as serving as regional supervisor for threat adjustment at a nationwide wellbeing prepare.
Mae is often a member of ACG’s Health and fitness Approach Functions and Govt Packages groups. Mae delivers ACG’s clientele more than twenty years of practical experience in wellbeing program operations, such as claims administration process configuration, organization method style and design, workflow growth, method interfaces and top quality and process control implementation.
Shared my vision for reversing Serious disorder, integrating eco-process among Payers & Vendors and unlocking the strength of Price-Based-treatment designs for example RA, Quality and many others. in U.S Health care along with some functional suggestions and feelings to my business colleagues about ways to get PROACTIVE for the 3rd Once-a-year RA #Innovation Forum in Dallas. Strategic Alternatives Network ✳️ It truly is apparent following modern pent up irritation with the current point out of Persistent ailment, Prior Auth frustrations, superior price of care and Together with the administration change, its a pivotal second for all. #️⃣ It truly is far more critical to appear over and above The present lens of KPIs of Possibility Adjustment, STAR and price primarily based care performance. Let's continue to keep ourself accountable to each other on strengthening authentic health and fitness results.
Mae has extensive expertise in examining and developing operational processes in elaborate, delegated and/or matrixed environments. She brings broad practical experience in professional, Medicare Advantage, and a variety of point out Medicaid programs to bear on consumer engagements. She has had wide know-how in the major info units utilized inside the wellbeing insurance business.
Laurie is part of ACG’s clinical pharmacy observe group serving all software segments. She has substantial encounter in scientific and operational administration of pharmaceutical providers in a complete scope of Health care environments, such as Medicare health systems, acute care and LTC arenas. Her multi-industry medicare consulting skills has bundled integrated scientific and operational strategic arranging, pharmacy community oversight, PBM oversight, pharmaceutical agreement analysis and negotiation, and approach reengineering to improve margin and compliance.
She also concentrates on progress of tailor made team-schooling courses and accomplishing direct staff instruction on the broad selection of operational- and compliance-related issues.
Linda is usually a member of ACG’s Government Plans group, bringing over thirty a long time of experience at both of those the Centers for Medicare and Medicaid Solutions (CMS) and private marketplace practical experience to ACG’s purchasers. She concentrates on organizational improvement, point out and federal programs, community advancement, regulatory compliance and audits, gross sales oversight, and operational Handle development.
We combine that know-how with expertise gained from several years of issue resolving to get a wide array of consumers. It’s an unbeatable mix.
Victoria held two government roles with an Ohio overall health plan serving multiple million users. As Vice chairman of Scientific Operations, she led essential initiatives in appeals administration, clinical schooling, and regulatory compliance, substantially improving upon operational efficiencies and CMS audit readiness.