She's adept at taking care of privacy problems, managing regulatory submissions, and driving course of action advancements that boost efficiency and mitigate hazard.
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Lynn has crafted and supported a variety of Neighborhood accessibility-to-care initiatives. She has made and carried out social determinants of well being packages and has labored across membership populations.
Notably, he reengineered scientific processes that resulted within a minimize in Medicare appeals by 21% in only 6 months. This accomplishment greater client fulfillment, enhanced statements’ processing performance, and decreased administrative fees.
- John Barkley - Fantastic way to direct the panels and dropping some knowledge to several on bringing vendors and payers with each other and seller oversight.
Just before becoming a member of ACG, Jon served as director of danger adjustment for a multi-state regional health approach that available ACA /MA and Medicaid products, and also serving as regional manager for threat adjustment in a countrywide health program.
Her leadership has consistently improved operational effectiveness, Value Regulate, and provider fulfillment, although protecting the highest specifications of regulatory and accreditation compliance.
He's a a flight surgeon from the Michigan Air Countrywide Guard, the place he continues to be decorated for negotiating a bilateral Worldwide settlement on health plan consulting health-related licensure.
Lisa has in excess of 20 years of expertise in business, Medicaid, and Medicare managed treatment functions and compliance, exactly where she produced organizational answers to be sure operational compliance when Assembly inside and external stakeholder requires. She has developed and led multi-disciplinary teams spanning operations, compliance, and engineering across a broad spectrum of managed treatment functions.
He's known for his Management in regulatory audits, compliance system development, and possibility mitigation for large overall health strategies.
She also focuses on advancement of personalized staff-education courses and performing immediate personnel teaching over a wide choice of operational- and compliance-linked matters.
Linda is actually a member of ACG’s Federal government Programs workforce, bringing about 30 many years of experience at both the Centers for Medicare and Medicaid Companies (CMS) and personal industry expertise to ACG’s customers. She focuses on organizational improvement, condition and federal apps, network enhancement, regulatory compliance and audits, profits oversight, and operational Command growth.
She has assisted states and health and fitness options in procurement, Evaluation, checking and independent verification and validation. Linda has abilities in enterprise system mapping and re-engineering and establishing cohesive groups by means of arms-on management.
Darlene is usually a member of ACG’s Authorities Plans Exercise Group. She provides wide abilities in organizational enhancement and compliance administration in the Medicare and Medicaid arenas. For more than a dozen years, she has held senior legal and compliance roles throughout the insurance and managed treatment industries, where by she has led functions as assorted as wellbeing prepare commence-up, management of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed line responsibility for grievances and appeals, gross sales agent oversight and current market carry out together with company procedures and policy for company document retention. She has Beforehand worked for Centene Company, AmeriGroup and United Healthcare.