Babette has been in the managed care industry for 25 years and advises health plans, pharmacy benefit management companies and pharmaceutical companies on Medicare and managed care strategies, operational and compliance issues.
Sherry has been in the managed care industry for 19 years and advises health plans, pharmacy benefit management companies and information technology companies on Medicare strategies, operational and compliance issues.
Melissa has over 25 years of experience in health plan and PBM operations, with the past 10 years focused on the Medicare Part D business. Melissa’s expertise is in the identification and remediation of Medicare Part D operational issues and compliance risks, operating within matrix organizations and managing cross-functional teams.
Shannon Casey, MHA is Vice President, Operations at BluePeak Advisors. Shannon has been in the managed care industry for 20 years and works with health plans and Pharmacy Benefit Managers on Part D Operations, compliance, strategic planning and business development.
Nancy has been in the managed care industry for over 21 years and currently advises Medicare Advantage plans on Medicare compliance and operational requirements, conducts CMS mock audits, assists in remediation of CMS audits and supports development of monitoring and oversight programs.
David has spent over 20 years in managed care. His background includes extensive experience in commercial managed care, utilization management and quality with Blue Cross Blue Shield, pharmacy benefit management with CVS Health, retail pharmacy as VP of Clinical Affairs for Walgreens, and Medicare as Medical Director and Chief Medical Officer for two Part D plans.
Dr. Gary Owens has 30 years’ experience in healthcare management. He provides strategic and tactical consulting services to pharmaceutical manufacturers, new technology developers, employer benefit managers and managed care plans.
Jeff’s expertise includes claim processing, Prescription Drug Event (PDE) reporting, and management of Medicare financials. He has over 15 years of management experience with the last 10 years dedicated to the Medicare Part D industry.
Jaymie is a registered nurse and Senior Consultant with BluePeak Advisors where she consults with health plans on compliance, STAR, and operations issues for Parts C (ODAG) and D (CDAG).
Susan works with health plans and PBM companies on compliance and operational issues for Parts C and D. Prior to consulting Susan had worked in the managed care industry as a federal regulator with the CMS San Francisco Regional Office since 1991.
An industry leader with extensive Medicare operations management and regulatory oversight experience, Kelly focuses on Medicare claims and operations for Pharmacy Benefit Managers (PBM) and health plans.
Greg focuses on PBM operations, CMS mock audits, and, pharmacy and oversight auditing. In his previous management experience, Greg has led teams in preparing the clients’ audit universe files, quality assurance practices, mock audit preparation and also provided guidance on operational and audit best practices.
With more than 25 years of Medicare experience, Kim lends her expertise in communications, regulations, process development and implementation, compliance, and Part C operations to clients.
Emily specializes in Medicare Part D and Pharmacy Benefit Management (PBM). In this role, she leads projects for clients including audit preparation and remediation, mock audits, Part D readiness, delegation oversight, compliance, risk assessments and strategic planning.
Michelle D. Rigby, CFE, CHC is a Senior Consultant at BluePeak Advisors (BPA). Michelle has 20 years of health care compliance experience at both the health plan and PBM level to include Medicare, Medicaid and Commercial products.
Laurie has 40 years of health care experience including more than 20 years in managed care and 15 years in Medicare. She advises health plans on quality improvement, Medicare star ratings, compliance and operations around ODAG/SNP and medical management.
Erin W. Skinner, Esq. is a Senior Counsel at BluePeak Advisors. Erin is a legal professional with over 6 years of experience in the Medicare industry, specializing in government and regulatory compliance.
Cheryl has 22 years of experience in managed care, indemnity insurance and government programs (Medicare and Medicaid).
Carmen is an experienced compliance officer and consultant with over 15 years of Federal and State Compliance Program development and management and 24 years of managed care industry experience.
Kinga Conklin is a healthcare executive with 10+ years of experience with Medicaid, Medicare and Commercial Health plans and related risk-bearing entities. She is a solutions-oriented innovator, able to streamline processes, reduce costs, minimize risks, and improve quality and service.
Melissa is a healthcare professional with experience in the Medicare Advantage Part D field focusing on coverage determinations, appeals and drug utilization review.
Lyanna Lusk is an Analyst at BluePeak Advisors where she focuses on database and reporting solutions. Lyanna possesses 20 years of experience implementing Information Technology solutions for various organizations, with the past 9 years specializing in Health Care Prescriber and Medicare Part D programs.
Lindsay focuses on Medicare claims and operations for Pharmacy Benefit Managers (PBM) and health plans. Lindsay has been in the healthcare industry for 20 years with experience in both retail pharmacy and pharmacy benefit management.