Lead PDR Operations to ensure compliance, manage teams, and enhance procedures while driving strategic initiatives across Commercial, Medi-Cal, and Medicare lines of business.

Lead the charge in optimizing provider dispute resolutions by managing onshore and offshore teams, ensuring compliance, and implementing strategic enhancements across Commercial, Medi-Cal, and Medicare lines of business.

Transform provider dispute resolution operations by managing teams and ensuring compliance in Commercial, Medi-Cal, and Medicare lines. Drive strategic initiatives for operational efficiency, and audit preparedness while fostering team success and collaboration.

Advance regulatory compliance for Medicare Advantage and Part D operations by conducting reviews, audits, and supporting corrective actions. Collaborate across teams to evaluate risks and enhance compliance, ensuring alignment with CMS regulations.

Shape the future of Medicare Stars quality improvement as a strategic leader, driving initiatives across all lines of business while ensuring compliance and optimal performance outcomes for members and the organization.