Drive quality data management by leading a skilled team to optimize operations, ensuring compliance and accuracy in delivering HEDIS and Survey data to stakeholders while fostering performance improvement initiatives.
Drive clinical reviews of behavioral health treatment plans to ensure compliance, medical necessity, and appropriate documentation under regulatory standards, while coordinating care for individuals with Autism Spectrum Disorder and related conditions.
Innovate healthcare solutions as a strategic liaison, driving product management to enhance operational efficiency and compliance. Collaborate with business leaders to ensure effective delivery and measurable outcomes in a dynamic health plan environment.
Transform regulatory reporting by leading a dynamic team, ensuring data integrity and compliance. Drive operations for accurate report generation and analysis, collaborating cross-functionally to meet all regulatory and accreditation standards.
Lead the financial analysis and reconciliation of diverse revenue streams, ensuring accuracy in billing and compliance. Collaborate across departments, mentor staff, and enhance financial reporting processes to drive organizational success.