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Marcia has greater than 30 a long time of practical experience and leadership and management of clinical and quality courses for Medicaid and Medicare Gain packages and industrial goods. She has deep knowledge in the look, implementation and oversight of delegated healthcare management method types, such as development of service provider incentive and checking systems centered on efficient and compliant healthcare administration.

He has made, deployed, analyzed, and refined future and retrospective systems. Abundant attracts on his considerable experience with information for continuous improvement and optimization of threat adjustment efforts, geared toward maximizing ROI and reducing fees.

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Elizabeth serves as plan director in ATTAC’s Facts Audit Group. She supports consumers on consulting engagements related to Medicare Benefit and Aspect D enrollment, reconciliation and premium billing operations, the place she provides assistance on business enterprise process design and style and approach controls and oversight and monitoring.

ATTAC Consulting Group is really a countrywide leader in offering advisory, auditing, consulting and business enterprise operations methods to well being insurers, drug options, managed care organizations and supplier businesses.

He also guides task teams supporting business course of action analysis, reengineering and style and design and enhancements of core techniques supporting the industrial, Medicare and Medicaid sectors. Ilya has held consulting roles with other firms and served as Medicare functions direct for Horizon BCBS As well as in functions capacities at Aetna, Inc.

Darlene is actually a member of ACG’s Governing administration Systems Exercise Group. She brings wide know-how in organizational development and compliance administration from the Medicare and Medicaid arenas. For more than a dozen a long time, she has held senior lawful and compliance roles throughout the coverage and managed treatment industries, the place she has led pursuits as varied as wellness strategy start off-up, management of JCAHO and NCQA accreditation, point out and CMS regulatory oversight audits, managed line accountability for grievances and appeals, product sales agent oversight and marketplace conduct coupled with business enterprise processes and plan for corporate history retention. She has Formerly labored for Centene Corporation, AmeriGroup and United Health care.

With this everchanging marketplace it becomes far more crucial that you retain top expertise and also the awareness that talent possesses. Through ATTAC Mobility we may help create a platform to establish expertise and experiences of particular person staff and produce a job program that aligns with their own curiosity.

Laurie is an element of ACG’s medical pharmacy apply group serving all program segments. She has intensive knowledge in clinical and operational administration of pharmaceutical products and services in a whole scope of healthcare environments, together with Medicare wellbeing plans, acute treatment and LTC arenas. Her multi-sector experience has bundled integrated scientific and operational strategic setting up, pharmacy network oversight, PBM oversight, pharmaceutical agreement evaluation and negotiation, and course of action reengineering to enhance margin and compliance.

Jon is really a seasoned executive guiding hazard adjustment courses for Medicare Edge, ACA /Market and Medicaid programs. He provides skills in improvement and implementation of helpful possible and retrospective danger adjustment initiatives, correctly focused To optimize ROI. He is deeply proficient at guiding and building analytics to identify/suspect likely danger adjustment prospects, in addition to checking for inappropriately coded statements and diagnoses to be certain precision in possibility adjustment submissions towards the MA Experience Facts Processing Techniques and ACA Edge Servers.

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We Merge that expertise with knowledge acquired from decades of difficulty resolving for any wide array of customers. It’s an unbeatable combination.

Darlene can be a member of ACG’s Governing administration Programs Follow Group. She provides broad skills in organizational enhancement and compliance management inside the Medicare and Medicaid arenas. For more than a dozen decades, she has held senior legal and compliance roles inside the insurance policies and managed care industries, wherever she has led pursuits as assorted as health strategy commence-up, administration of JCAHO and NCQA accreditation, state and CMS regulatory oversight audits, managed line duty for grievances and appeals, profits agent oversight and sector conduct in addition to organization procedures and policy for company file retention. She has Formerly worked for Centene Corporation, AmeriGroup healthcare compliance audit and United Healthcare.