Meet The Team
Our seasoned professionals have real-world experience, having served as senior level managers and regulators at the Centers for Medicare & Medicaid Services (CMS), regional and national Medicare Advantage and Part D plans, Special Needs Plans, Pharmacy Benefit Managers, and clinical facilities and organizations. Collectively, we have decades of combined experience in areas including:
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Appeals and Grievances
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Claims
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CMS Audit Validations
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CMS Program Audits
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Compliance
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Contracting
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Enrollment/Disenrollment
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Health IT and Systems
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Interim Management
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MA and Part D Applications
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Utilization Management and Quality
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Medicare Star Ratings/HEDIS
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Member Services
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Network Development and Management
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Pharmacy/Part D Operations and Oversight
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Plan and Project Implementation
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Risk Adjustment/Chart Review
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Sales and Marketing
During the global COVID-19 pandemic, we have been largely stuck at home, unable to travel to meet with clients or to see the world. We thought we would share with our readers the places where we are the happiest, where we most love to travel, or where we feel most at home. Check out our bio pages to see what that place is for each of us…
