Kimberly Walker

Kimberly is an experienced healthcare leader with more than 20 years of Operations, Compliance, and Quality management experience with a demonstrated history of leading organizations to achieve excellent audit scores and accreditation ratings. As a strategic planner committed to quality outcomes, Kim has a proven ability to analyze data trends and barriers and identify ways to optimize efficiencies and implement improvements to mitigate risks.

Kim has deep knowledge of the CMS requirements and is a subject matter expert in processing, managing, reporting, oversighting and auditing Medicare Advantage Part C grievances, sales allegations, appeals, provider disputes and complaints filed with Medicare (CTMs). Her expertise also includes developing and implementing policies and procedures, workflows, training documentation and internal audit protocols as well as preparing, monitoring, and auditing organization determination, appeals, grievances, enrollment and disenrollment annual CMS and ODAG data validation reporting.