Tammy Wald

Background

About Tammy Wald

A Nurse Executive with twenty (20) years of progressive experience in the managed health care industry. Expert knowledge and proven results in the areas of Medicare Risk Adjustment, Quality Improvement, Population Health, Disease Management, Complex Case Management, Telephonic and On-Site Utilization Review and Precertification/Referral Management. A proven leader with a consistent track record of obtaining desired results on schedule and within budget. Able to manage multiple projects while motivating teams through change. A creative personality and proactive approach lead to enjoyment of strategic planning and process improvement activities. Specialties: Registered Nurse (RN) ANCC Board Certification: Case Management (RN-BC) Certified Case Manager (CCM) Managed Care (Commercial, Retail, Medicare, Medicaid, Self-Insured) Contracting Strategic Planning and Vision PCMH, MSSP ACO Implementation Population Health Management Quality Improvement Compliance (Health Plan, CMS, Medicaid, HSAG, NCQA, URAC, DOI) NCQA Health Plan Survey Experience Telephone Call Center Implementation and Management Medicare Risk Adjustment Strategy and Program Oversight Credentialing Public Speaking