Valley Health Plan
Takara C. currently serves as Program Manager ll/Regulatory Liaison at Valley Health Plan, where responsibilities include creating process improvements in alignment with CMS, DOI, and DHCS guidelines, as well as reviewing provider disputes and contracts. Previously, Takara held various managerial roles at Kaiser Permanente, including Program Manager/Senior Consultant and Senior Case Manager, focusing on complaints, grievances, and appeals, while representing the Health Plan in legal cases. Takara's expertise also extends to work as Clinical Appeals Program Manager at Optum, where work strategies were defined to ensure alignment with client outcomes, and as Claims Processor at Old Republic Title. Early experience includes a role as Medicare Enrollment Compliance Analyst at Humana, with a focus on compliance reports and regulatory impacts. Takara holds a Bachelor's degree in English Language and Literature/Letters from the University of Louisville.
Valley Health Plan
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Owned and operated by the County of Santa Clara, Valley Health Plan (VHP) is the only locally-based HMO health plan serving the community for nearly 35 years. VHP offers health coverage choices for Employer Groups and Individuals & Families with a coverage area within Santa Clara County. VHP is a Qualified Health Plan Issuer in the Covered California Marketplace for Region 7 - providing individuals and families living in Santa Clara County access to a network of nationally recognized providers, convenient services such as nationwide Safeway and Walgreens pharmacies and statewide Quest labs, and free health education and fitness classes for our members.