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Beverly Gibbs
Founder & CEO
Beverly has over 25 years of experience working in the managed health care industry. She has held various executive management positions throughout the course of her career in multiple settings with a focus on clinical operations pertaining to utilization management, case management, quality management and delegation oversight. Over the course of the most recent ten years of work, she has been providing consulting services to a variety of managed care clients with a proven track record in assisting them with the delivery of quality and efficient outcomes congruent with their targeted goals by aligning them with resources, initiatives, financial objectives, and compliance with emerging legislation and prevailing regulatory demands, related to Medi-Cal and Medicare lines of business.
Yvonne Buncio
RN, BSN
Licensed Registered Nurse with 15 years of Critical Care and Home Health administration experience. From the clinical arena Yvonne transitioned and earned 25 years of experience in the Managed Healthcare Industry. She has extensive experience in Delegation Oversight, NCQA Accreditation, Quality Management, and preparing organizations for regulatory surveys. For the last 10 years, she has been serving as an independent contractor consultant for MSOs, Medical Groups, and IPAs for Utilization Management, Quality Management and Delegation Oversight Compliance. She is adept with the development of GAP analysis and corrective actions supported by monitoring methodologies to ensure ongoing compliance.
Vincent L. Anthony
MD, MPH, MBA, FASN, CHCQM, CPE
Dr. Vincent Anthony has 23 years of health care industry experience and is board certified in Internal Medicine and Nephrology. He is a physician executive and leader with a proven record of building and leading health care organizations and medical start-up companies. He is a Fellow of the American Society of Nephrology, board certified in Medical Management as a Certified Physician Executive for the past 17 years and is certified in Health Care Quality Management by the American Board of Quality Assurance and Utilization Review physicians.
He has served as Medical Director of hemodialysis clinics, skilled nursing facilities and Sub-acute facilities and MSOs. In each, he brought his knowledge of integrative strategies in enhancing efficiencies of care and streamlined operations processes in order to provide high quality and efficient patient care through these organizations.
Linda Corbin
RN
Linda has greater than 25 years of nursing background and substantial managed care administrative management experience as an enterprise leader. She is an innovative problem-solver who can generate workable solutions. She is well versed in the areas of utilization management, case management-care coordination, information technology implementation, and auditing and monitoring practices. She has a detailed understanding of the Medicare, Medi-Cal, and Commercial lines of business and applicable regulatory requirements and NCQA accreditation standards. Under her direction she has a successful track record in co-managing both outpatient and inpatient services to ensure seamless interactions and shared goals of the two departments.
She is talented in leveraging clinical services and information resources within organizations to provide new products and services aimed at helping payer and provider organizations better manage care to the high-risk segments of their membership. Additionally, with her subject matter expertise she has performed auditing services for the CA Department of Managed Health Care for oversight validation purposes pertaining to utilization management.
Strell Ramirez
RN
Strell Ramirez is a multi-state licensed RN who brings over 25 years of Medicaid and Medicare managed care leadership experience to PAHS. As a seasoned healthcare executive, she has built and overseen centralized specialty programs, including Disease Management, Member Outreach, Advanced Imaging, Transplant, and UM Support Service. She is a Subject matter expert in the application of federal and state compliance measures to meet requirements for Medicaid, Medicare, and commercial populations. She is adept in the development of standards, protocols, and decision support systems to enhance clinical operations and cost-effective care. Previously, Strell served as Vice President, Clinical Operations at Molina, where she successfully managed UM and CM centralized functions across Medicare, Medicaid, and Commercial like lines of business.
Charity Matic
RN, BSN
Charity is a Licensed Registered Nurse with over 25 years of experience in the Managed Healthcare Industry. Charity Transitioned seamlessly from 13 years in the Banking Industry, with a focus on financial statistics. Through this experience she became involved with Population Health Measurements and Healthcare Regulatory and Accreditation metrics. In her leadership roles Charity organized, staffed, trained, and operationalized various department to include case management, delegation oversight, quality management, and utilization management teams for National Health Plans. She is instrumental with work plan development, auditing and monitoring methodologies, to promote GAP improvements.
Andrew Ramirez
Business Intelligence Risk and Quality Solutions, MHA
Andrew Ramirez is an accomplished executive with over 25 years of managed healthcare experience, dedicated to improving quality and patient outcomes by leveraging data to drive actionable insights. Throughout his career, Andrew has built Quality and HEDIS reporting teams from the ground up for a Fortune 500 Managed Care company with Medicaid, Medicare, and Medicaid-like Commercial markets across more than 20 states. He has successfully reported key Quality performance measures through meticulous data collection, transformation, and integration across disparate clinical and digital sources.
Under Andrew’s most recent role as Associate Vice President of Risk and Quality Solutions, his teams consistently exceeded mission-critical financial and quality goals, significantly influencing quality improvement and organizational growth.
Colleen Del Vall
LVN
Colleen Del Valle brings 20 years of managed care experience working with Healthplans, MSOs, IPAs, FQHCs and community based organizations with emphasis on Case management programs To include: Enhanced Case Management, Special needs plan, Complex Case Management, Transitional Care Case management, ACO-Accountable care organizations, Maryland MDPCP programs and Community Supports benefits including recuperative care for the homeless.
Colleen started her career in Healthcare in Utilization management which sparked her passion for member advocacy that drove her to further her career in healthcare.
She spent nearly 10 years with Caremore learning the intricacies of both Utilization Management and Ambulatory Case management. She later joined Alignment healthplan and Prospect medical in which case management reporting, compliance, and new program implementations were a key focus.
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