Melissa Bailey

Subject matter expert in government healthcare program compliance with 20 years of healthcare experience.  Experience includes MA, MA-PD, PDP, SNP’s, MMP, EGWP and Medicaid.  Expertise in performing mock audits, CMS audit preparation, audit remediation, and independent validation audits.

Experience

  • Provided support as a Senior Consultant, working with over 40 health plans in 22 States and Puerto Rico on a wide array of projects, developing extensive industry experience and knowledge of best practices.
  • Assisted clients by performing mock audits, CMS audit preparation, audit remediation, and independent validation audits.
  • Provided support as a Compliance Manager for a West Coast health plan.
  • Managed compliance activities during a period of exponential growth of the organization wherein the MA and MAPD business underwent a 200% growth.

Qualifications

  • Certificate in Healthcare Compliance (CHC), Health Care Compliance Association (HCCA)

Education

  • 20 years of healthcare experience 
View all consultants

Let’s start a conversation

We’re here to help you find out how this solution could benefit your organisation. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.