Director Of Managed Care And Advanced Payment Models@TLC management
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As the Director Of Managed Care And Advanced Payment Models at TLC management, I lead strategic initiatives, that drive innovation and sustainability and senior care. I oversee our groundbreaking partnership with Provider Partners Health Plan, and five other senior living organizations, forming the nations largest provider owned institutional special needs plan (I-SNP). This collaboration is transforming the managed care landscape in long-term care. In addition to spearheading our I-SNP expansion, I manage all contracting and credentialing activities for managed care insurance plans across our facilities, ensuring seamless payer relationships, and operational excellence. I also lead our accountable care organization (ACO) partnerships, aligning care delivery with value-based models to improve outcomes and reduce costs. AsTLC‘s Indiana Medicaid waiver specialist in the assisted living sector I integrate IHC benefits to enhance reimbursement strategies and drive revenue growth in our Medicaid waiver communities. My passion lies in bridging policy, payment innovation, and operational execution to create meaningful change in the lives of the seniors we serve.More...