Meryl Chick is a Consultant with BluePeak Advisors, a division of Gallagher Benefit Services, Inc. Meryl is an experienced consultant with over 20 years of managed care industry experience and over three years of consulting experience. Meryl has conducted and supported numerous audits with her primary expertise in Organization Determinations, Appeals and Grievances (ODAG), and Coverage Determinations, Appeals and Grievances (CDAG), as well as Enrollment, assisting two organizations remediate issues that led to Enrollment sanctions.
As a consultant, Meryl has led a variety of Medicare and Medicaid projects including claims, encounters, enrollment and appeals and grievance and has assisted clients with both compliance and operational assessments and remediation. She has served as the project lead addressing end-to-end business processing, development of company-wide oversight and monitoring programs, development of cross functional policies, procedures and business process development for several types of Medicare Advantage (MA) Plans, including Coordinated Care Plans (CCPs), Private Fee-for-Service (PFFS) plans, Employer Group Waiver Plans (EGWPs) and stand-alone Prescription Drug Plans (PDPs). She supports plans with enrollment, customer service, coverage and organization determinations, appeals and grievance management, strategies to improve CMS star ratings as well as regulatory compliance and oversight, auditing and monitoring. She also serves as a functional project manager across small to very large projects.
Prior to becoming a consultant, Meryl was a Senior Manager for a large health plan for Medicare Part C Appeals. She has also managed Enrollment Operations for two different Medicare plans, including a large Pharmacy Benefit Management company (PBM).