Senior Consultant, Clinical
Robin is an experienced nurse leader with an extensive background in Medicare, Medicaid, and Commercial lines of business. Her experience includes clinical care management, case management, population health, disease management, utilization management, and clinical quality. She has broad experience in building integrated healthcare models, organizational strategy within the clinical and population health space, healthcare analytics interpretation resulting in cost of care initiative results, and aligning organizations to CMS and State regulations and compliance. She also has expertise in CMS Model of Care compliance, achieving HEDIS and NCQA outcomes, STARS ratings, system integrations, and program/process redesigns and build outs.
Prior to joining Rebellis Group, Robin served as AVP Healthcare Services for Senior Whole Health, Massachusetts - a Molina Company. Robin holds a Masters Degree in Business Administration/Management from Northeastern University - Boston, a Bachelor's Degree in Nursing from Nova Southeastern University - Davie, and is CCM certified through the Commission for Case Manager Certification (CCMC).