BluePeak Advisors, a division of Gallagher Benefit Services, Inc., is a nationally recognized healthcare compliance consulting firm specializing in government-sponsored programs.
Deep Industry Knowledge. Real-World Experience.
Meet BluePeak
Who We Are
About Us
BluePeak Advisors, a division of Gallagher Benefit Services, Inc., is a nationally recognized healthcare compliance consulting firm specializing in government-sponsored programs. Since our founding in 2010 by a team of former CMS regulators and managed care professionals, we have been dedicated to helping organizations navigate the complex regulatory and operational landscape of Medicare, Medicaid, and Commercial health programs.
We serve a diverse client base that includes health plans, pharmacy benefit managers (PBMs), Employer Group Waiver Plans (EGWPs), Programs of All-Inclusive Care for the Elderly (PACE), health systems and providers, and allied health organizations. Our consultants bring deep industry knowledge and hands-on experience from roles within CMS, health plans, health systems and PBMs, enabling us to deliver practical, audit-ready solutions tailored to each client’s unique needs.
Our Approach
At BluePeak, we combine regulatory insight with operational expertise to deliver actionable, sustainable solutions. We understand the pressures our clients face—from evolving CMS requirements to increasing audit scrutiny—and we tailor our services to meet those challenges head-on. Our consultants act as trusted advisors, working collaboratively with clients to ensure compliance, improve performance, and enhance member outcomes. As part of Gallagher Benefit Services, we also leverage the capabilities of Gallagher’s Pharmacy & Health Plan Services and Healthcare Analytics divisions to provide integrated, data-driven solutions that extend beyond traditional consulting.
Why BluePeak?
Deep Regulatory Insight
Our team includes former CMS regulators and industry veterans with firsthand experience.
Proven Track Record
We’ve supported hundreds of clients through audits, operational transformations, and compliance initiatives.
Flexible Engagement Models
From short-term projects to long-term partnerships, we adapt to your needs.
Commitment to Excellence
We invest in our people and technology to stay ahead of industry changes and deliver exceptional value.
Our Core Capabilities
- Health Plan Compliance & Audit Support
- Performance Improvement & Analytics
- Operational Strategy & Optimization
- Interim Staffing, Training & Regulatory Guidance
Health Plan Compliance & Audit Support
We provide end-to-end support for federal and state audits, including:
- Medicare Advantage (MA, MA-PD, PDPs and EGWPs):
- Mock CMS program audits (FA, CDAG, ODAG, SNP, and/or CPE)
- Audit preparation, remediation, and Independent Validation Audits (IVA)
- CMS RADV and 1/3 Financial audit support
- Manufacturer rebate audits, including review DIR and PDE audit support
- PACE and Medicaid-specific mock audits and EQRO oversight
- FFE mock audits and market conduct exams for Commercial plans
Performance Improvement & Analytics
We use proprietary tools and data-driven strategies to improve outcomes:
- Audit universe scrubbing and market comparison tools
- Star rating improvement programs and HEDIS success strategies
- Part C & D analytics and reporting optimization
- Clinical program design and call center performance evaluations
- Proprietary testing, readiness and assessment tools
Operational Strategy & Optimization
We help clients build and refine compliant, efficient operations across all lines of business:
- Medicare Advantage (MA, MA-PD, PDP, SNP): application and bid support, plan builds and expansions, PBM oversight, claims testing, readiness reviews, Model of Care (MOC) development, Medicare stars optimization, and HEDIS strategies
- Medicaid: compliance and operations, readiness, managed care consulting, policy and procedure development
- PACE: operational and compliance oversight, state-specific support
- EGWP: Review of CMS reporting, benefit administration review for compliance with sponsor limits, FDR oversight, HIPAA and fraud prevention programs
- Commercial Plans: program development, network strategy, vendor evaluation, NQTL reviews, HIPAA and fraud prevention programs
Interim Staffing, Training & Regulatory Guidance
We offer flexible staffing and training solutions to fill gaps and build internal capacity:
- Interim leadership and subject matter experts (executive, pharmacy, clinical, operations)
- Customized training for compliance and operational teams
- Regulatory updates, CMS advocacy, and impact assessments
Our People
BluePeak consultants are senior level managed care professionals, experienced clinicians, and former Centers for Medicare and Medicaid (CMS) regulators who have worked at health plans, pharmacy benefit managers (PBMs), and CMS. Our team has experience and expertise to service our clients in every aspect of Commercial and Medicare programs.
Culture & Recognition
As part of Gallagher, BluePeak shares a commitment to ethics, equality, and resilience:
- Gallagher is recognized as a World’s Best Company of 2025 by TIME.
- Gallagher is recognized as one of the Best Places to Work for Disability
- Inclusion by the Disability: IN Disability Index® 2025 in the US.
- Gallagher earns Mental Health America’s Bell Seal for Workplace Mental Health Certification for the third year in a row at the highest level: Platinum.
- Gallagher receives the recognition of Equality 100 from The Human Rights Campaign Corporate Equality Index 2025, earning the top score for the sixth consecutive year.
Join the team
At BluePeak Advisors, a division of Gallagher Benefit Services, you’ll join a team recognized nationally for excellence in healthcare compliance and operational consulting.
Did You Know?
The name “BluePeak” was chosen to symbolize our unwavering commitment to excellence and our aspiration to reach the highest standards in everything we do. Just as a peak represents the pinnacle of a mountain, our name serves as a constant reminder of our mission to elevate the standards of healthcare operations and compliance, ensuring that our clients continue to reach new heights.
