BluePeak Advisors can provide health plans and pharmacy benefit managers assistance with Part C and D Medicare operations remediation and efficiencies. We can analyze your processes and provide practical solutions and operational best practices to meet Medicare standards in all areas including coverage determinations, organizational determinations, appeals, grievances, formulary, call center, medication therapy management, claims, vendor management, provider contracting, SNP Model of Care, utilization management, enrollment, finance, marketing and sales. Read More
We can analyze workloads and develop staffing plans to meet your specific organizational needs, and provide interim staffing to fill a subject matter or management gap. BluePeak can also provide all required staff training to meet CMS requirements or refresh your staff on current operational and compliance policies and procedures.