Teams at Central California Alliance for Health

Designs and validates managed care payer models, performs financial and scenario analysis to evaluate payer reimbursement methodologies, and collaborates with internal and external stakeholders to achieve payer reimbursement objectives.

Recruit, onboard, and expand the provider network across assigned counties by conducting provider recruitment, facilitating onboarding and credentialing, analyzing network needs, and supporting provider relations and contracting efforts.

Lead and manage the Risk Adjustment Department for Medicare DSNP, providing strategic oversight, hands-on execution, staff supervision, cross-functional alignment, and implementation of risk adjustment methodologies and analytics to scale the program.