The Single Best Strategy To Use For best ATTAC Consulting Group
The Single Best Strategy To Use For best ATTAC Consulting Group
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A completely new Administration = New Troubles for Options & Providers ⚡Though closing regulatory assistance has not been introduced however, health and fitness programs and vendors have to be willing to act quickly when changes strike. An agile technique and the chance to rapidly deploy skilled groups is going to be crucial. Medicare Edge:
At ATTAC Consulting, Justin delivers deep knowledge in auditing, health prepare compliance, and regulatory and delegation oversight, which has a deal with the nuances on the California market.
As passionate as we have been about our methods, we’re also captivated with our staff. ACG’s group is chosen and designed all around Every single group member’s demonstrated success in past working positions in the marketplace or with regulatory agencies.
Pooja has in excess of fifteen yrs of experience driving company and knowledge technological know-how transformations to effectively advance healthcare and pharmaceutical industries. She has focused on establishing a society of collaboration and transparency, managed implementations of elaborate, heavy cross-dependency ground-up systems, updates and enhancements, and held significant-visibility positions. Pooja supplies independent, professional and common plan administration guidance to multi-disciplinary and interdepartmental teams, and guides customers 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 companies and payers jointly and vendor oversight.
Noted for her collaborative tactic, Tammy works seamlessly with inner and exterior stakeholders to navigate advanced regulatory landscapes, ensuring effective audits and investigations.
He also guides task teams supporting small business course of action Examination, reengineering and style and enhancements of core systems supporting the industrial, Medicare and Medicaid sectors. Ilya has held consulting roles with other corporations and served as Medicare functions guide for Horizon BCBS and in operations capacities at Aetna, Inc.
Supplied her work in various Group treatment initiatives, she understands the battle of assorted populations and the value of providing top quality care though balancing Value effectiveness.
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Sharon is a member of ACG’s medical pharmacy group supporting Medicare Element D, Medicaid, and pharmacy profit management groups. Sharon has comprehensive knowledge in integrated clinical observe, formulary management, operational approach reengineering healthcare compliance consulting companies and PBM oversight. She has built and executed utilization management plans for extended-time period treatment company groups (Medicare Element A/ managed care) and it has structured and participated on corporate JCAHO certification groups, for each experienced nursing services and pharmacies.
Her hands-on practical experience supports corporations in preparing for NCQA accreditation and CMS utilization administration audits, As well as in driving Expense reduction through efficient care administration and utilization administration systems.
Carmen is usually a member of ACG’s Wellness Prepare Operations and Government Plans Apply Groups. She offers customers assist in the development of productive inside auditing and downstream monitoring programs, together with gives operational expertise during the regions of enrollment and top quality billing (In particular MA and Element D), appeals and grievance administration, HEDIS reporting and administration of exterior audits.
Along with building and building provider networks through the entire US, David has wide experience helping shoppers in building service provider networks and Assembly regulatory requirements for Medicare, Medicaid, and employer group programs.
Victoria held two govt roles with an Ohio wellbeing plan serving multiple million associates. As Vice chairman of Medical Operations, she led important initiatives in appeals management, clinical coaching, and regulatory compliance, considerably enhancing operational efficiencies and CMS audit readiness.