Our Team

OUR TEAM

Medicare Compliance Solutions believes in the power of teamwork and cooperation. We have assembled a ‘best in class’ Part C and D team comprised of senior level health plan and pharmacy benefit manager (PBM) professionals and former Centers for Medicare and Medicaid (CMS) regulators. Collectively we have decades of combined experience in the following areas:

  • Appeals and Grievances
  • Claims
  • CMS Audit Validations
  • CMS Program Audits
  • Compliance
  • Contracting
  • Enrollment/Disenrollment
  • Health IT and systems
  • Implementations
  • Interim Management
  • MA and Part D Applications
  • Medical Management and Quality
  • Medicare Star Ratings/HEDIS
  • Member Service
  • Network Development and Management
  • Pharmacy/Part D Operations and Oversight
  • Risk Adjustment/Chart Review
  • Sales, Marketing, Strategy and Benefit Design
  • We are proud of our outstanding team, and we look forward to being of service to you and your organization. Please meet our core team below. Additional MCS team members are available to supplement the core team as specialized projects require.