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Angela Muncy

Angela Muncy is a Senior Consultant at BluePeak Advisors. She is certified in Healthcare Compliance and has over 10 years of experience working with Medicare, Medicaid, and Commercial health plans, including Health Insurance Exchanges. Angela specializes in the interpretation and implementation of government healthcare regulatory guidance.

Prior to joining BluePeak Advisors, Angela worked as the Sr. Manager of Regulatory Affairs & Healthcare Compliance for OptumRx, a large Pharmacy Benefit Manager (PBM). While in this role, Angela helped build and implement a Regulatory Integration Committee and supporting processes. As a result, senior leadership and operational staff gained insight on the importance of understanding guidance, how to mitigate associated risks, and how to implement the requirements correctly the first time. This process also required up front implementation of internal/external monitoring and audit controls, decreasing future risks.

While working in the PBM space, Angela gained experience in the National Council for Prescription Drug Programs (NCPDP) and the Pharmaceutical Care Management Association (PCMA). Angela served as a Task Group Leader for the NCPDP Healthcare Insurance Exchange task group. This task group partnered with the Center for Consumer Information & Insurance Oversight (CCIIO) to answer industry questions and identify the best way to operationalize Health Insurance Marketplace requirements.

In her current role, she leads projects for clients including Part D readiness, delegation oversight, compliance, audit/risk assessments, regulatory interpretation, staff training, and strategic planning.

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Experienced Medicare staff: Ready when you are!

BluePeak knows how difficult it can be for Medicare Advantage plans and TPAs to find knowledgeable resources with experience in Medicare, especially when demands increase sharply given the Medicare annual cycle. BluePeak maintains a wide variety of experienced Medicare personnel to help you with seasonal projects, operational backlogs, compliance monitoring, remediation activities, and more.

Examples of projects that BluePeak has assisted plans in 2022 include:

  • Clinical chart review by licensed clinicians
  • Call center oversight, including listening to calls for accurate classification and calibration
  • Operational support to resolve grievance backlogs and provider directory compliance
  • Pharmacy support to resolve coverage determination backlogs
  • Program area specific operational and administrative responses to a corrective action (initiated internally or externally)
  • Compliance resources to support compliance program initiatives

Whether you need one resource or many, BluePeak can quickly staff any project, train resources, track results, and deliver success.

Contact us today!