Betsy Seals

Principal and Chief Operating Officer

Betsy is a nationally recognized leader in the managed care industry with over 17 years of experience. Betsy has been quoted in numerous industry publications, including USA Today.  Bringing to the table a solid mix of leadership and business acumen, as well as regulatory and strategic knowledge within the Managed Care landscape, Betsy’s expertise is focused in the areas of mergers and acquisitions, compliance, sales and marketing, strategy, supplemental benefit landscape, innovative benefit design to address social determinants of health (SDoH) and health plan operations.

 

Prior to founding Rebellis Group, Betsy served as the Chief Consulting Officer for Gorman Health Group (GHG). In this role, Betsy managed the Medicare consulting practice, including implementation of strategic initiatives, development of new practice areas, and oversight of day-to-day consulting operations. Prior to this, Betsy served as Senior Vice President of Compliance Operations where she assisted Medicare Advantage Organizations (MAOs) and Part D Sponsors to attain and maintain compliance with the Centers for Medicare & Medicaid Services (CMS) regulations and guidance by conducting risk assessments, preparing organizations for CMS audits, performing mock CMS audits, and creating and implementing internal and delegated entity oversight programs.

 

Before joining GHG in 2006, Betsy worked for Medicare Advantage Organizations where she served in Customer Service and Compliance with responsibility for creation and implementation of oversight programs, CMS audit preparation, implementation of internal corrective action plans, and the day-to-day management of Compliance operations. Betsy has also worked as a CMS sub-contractor to conduct Compliance Program Audits.

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