April Fleming is a Senior Consultant at BluePeak Advisors. April has been in the managed care industry for over 15 years and works with health plans and Pharmacy Benefit Managers on Part C and D compliance, Operations, Appeals and Grievances and Sales and Marketing.
Prior to joining Blue Peak, April was the Senior Vice President at a national Medicare consulting agency where she was responsible for oversight of the development, operations, and content of Medicare Part C and Part D software solutions in the areas of compliance and operations, sales onboarding and oversight, appeals and grievances, and enrollment reconciliation. April’s ability to translate complex regulatory guidance into business requirements and assist plans in operationalizing the requirements makes her a unique and valuable asset to health plans.
April has extensive experience consulting with plans to perform CMS audits, prepare for regulatory audits, provide operational re-engineering, implement new plans, deliver training, and provide regulatory guidance interpretation and implementation.
April also worked in a large MA-PD health plan in a Compliance role.