The Healthcare Operations Management team at WellSense Health Plan oversees critical functions ensuring efficient and compliant operations across various health services. This includes managing behavioral health services, ensuring Medicaid and Medicare compliance, overseeing claims and payment integrity, improving quality of care, and coordinating care management. The team also handles regulatory matters, coding, vendor operations, supplier diversity, and provider data integrity to enhance member experiences and outcomes.
Allison Andrade-Cull...
Behavioral Health Operations M...
Angela Hasley
Regulatory And Transaction Cod...
Ann Lynch
Manager Of Provider Data Inter...
Anthony Ta
Public Partnerships Manager - ...
Betsy Maloof
Director Of Operations Utiliza...
Beverly Paige
Ancillary Contract Manager
Danielle Murphy
NEMT Vendor Operations Manager
Eboni R.
SIU Operations Manager
Henry Hernandez-Torr...
Senior Manager Of Care Managem...
Holly Brese
Payment Integrity Operations M...
Jennifer Cascio Scia...
Manager Of OCA Operations
John Dugger
Director, Sourcing, Supplier M...
Karen J Evans
Manager Of Care Management
Karin Williams
Quality Improvement Manager
Lanise A. Hutchins
Quality Business Operations Ma...
Lisa Colville
Quality Improvement Manager
Nicole Arruda
Supplier Operations Manager
Sarah Tallman
Manager Of Behavioral Health O...
Teresa Zoito
Claims Operations Manager
Teressa J.
Medicaid And Medicare Complian...
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