We offer intense transform administration coaching to make certain Long lasting and sustainable adjustments. Our proprietary approach is your critical to unlocking outstanding growth.
Megan supports ACG operations, IT and facts administration engagements, bringing customers thirteen a long time of expertise as a business analyst, configuration support analyst, and operate group lead in documentation of organization needs, approach and details function flows to assist configuration of varied units.
By using a Basis in 6 Sigma Methodologies, our method will work to help determine and define crucial difficulties whilst driving to find the root results in. We spouse together with your management team to seek out, make, and carry out revolutionary methods within the operational and transactional space.
This incorporates Evaluation of company obtain and adequacy compliance as well as connected regulatory filings.
Our clients count on ACG to deliver skilled regulatory guidance, to put into action sturdy compliance solutions and to carry out effective, professional auditing. Our professional medical and pharmacy groups are guiding organizations in adoption of new versions to deal with care in a value-effective way.
Recognized for her collaborative approach, Tammy is effective seamlessly with inside and external stakeholders to navigate complicated regulatory landscapes, guaranteeing effective audits and investigations.
David has labored with industrial, Medicare, Medicaid, and twin-eligible overall health ideas and their contracted suppliers on the design and implementation of worth and threat-based reimbursement, As well as in establishing info analytics to evaluate and keep an eye on achievements.
Darlene can be a member of ACG’s Authorities Systems Apply Group. She brings broad know-how in organizational improvement and compliance management in the Medicare and Medicaid arenas. For over a dozen decades, she has held senior lawful and compliance roles inside the insurance policy and managed care industries, exactly where she has led actions as numerous as health and fitness system commence-up, administration of JCAHO and NCQA accreditation, point out and CMS regulatory oversight audits, managed line duty for grievances and appeals, sales agent oversight and current market conduct together with business enterprise procedures and policy for corporate history retention. She has Formerly labored for Centene Corporation, AmeriGroup and United Health care.
Eric is a qualified knowledge technician and architect of database units to aid analytics and generation applications. He's deeply skilled in ACA hazard design, CMS Medicare universes as well as other facts types used in authorities Health care programs.
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Her fingers-on expertise supports companies in getting ready for NCQA accreditation and CMS utilization management audits, As well as in driving cost reduction through powerful care administration and utilization administration courses.
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She has assisted states and overall health designs in procurement, analysis, monitoring and independent verification and validation. Linda has knowledge in organization course of action mapping and re-engineering and acquiring cohesive groups through hands-on management.
Ms. Regalado has in excess of 25 years of Health care knowledge with extensive knowledge of compliance polices connected with federal and different healthcare consulting firm point out Medicaid and business specifications. She has considerable knowledge in health system operations, such as promises management, promises auditing, method configuration, business enterprise method design, and workflow growth.