Melissa Bailey
Subject matter expert in government healthcare program compliance with 20 years of healthcare experience. Experience includes MA, MA-PD, PDP, SNP’s, MMP, EGWP and Medicaid. Expertise in performing mock audits, CMS audit preparation, audit remediation, and independent validation audits.
Experience
- Provided support as a Senior Consultant, working with over 40 health plans in 22 States and Puerto Rico on a wide array of projects, developing extensive industry experience and knowledge of best practices.
- Assisted clients by performing mock audits, CMS audit preparation, audit remediation, and independent validation audits.
- Provided support as a Compliance Manager for a West Coast health plan.
- Managed compliance activities during a period of exponential growth of the organization wherein the MA and MAPD business underwent a 200% growth.
Qualifications
- Certificate in Healthcare Compliance (CHC), Health Care Compliance Association (HCCA)
Education
- 20 years of healthcare experience