Senior Consultant, Clinical
Tina is an experienced nurse executive with extensive background in commercial, Marketplace, Medicare, and Medicaid lines of business. Her expertise includes case management, disease management, clinical quality and accreditation, including NCQA and URAC, Stars and HEDIS, appeals and grievances, quality of care, and regulatory compliance. She has health plan experience in strategic planning, joint ventures, partnerships, delegated relationships, and value-based care. She has extensive experience in developing and implementing clinical programs, delegation, compliance management, and corrective action plans for all lines of business.
Tina previously served as the Head of Health Plan Operations for Cityblock Health, a value-based care, risk-based startup serving underprivileged populations. She was also the Director of Clinical Quality, Accreditation, Appeals and Grievances at Blue Cross Blue Shield of Arizona. She holds a bachelor’s degree in Nursing and a post graduate certification from Duke University in Population Care Coordination and is a Board-Certified Case Manager (CCM).