Steve Arbaugh

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health insurance operations medicare advantage provider network development compliance regulatory auditing managed care radv hhsradv audit medicare iva independent validation audit medicare advantage application risk adjustment delegate oversight claims operations enrollment operations medicaid dual eligible provider network management medicare part d affordable care act health insurer licensure appeals grievances snp programs fraud waste & abuse fwa data validation compliance program effectiveness cpe value based contracting business consulting & services healthcare compliance operations consulting medicaid services health plans acos provider networks fraud audits coding audits compliance programs cms audits oig audits mental health parity nqtl compliance eligibility management enrollment assistance claims processing utilization management business transformation technology implementation operational excellence customer engagement training & development staffing solutions interim staffing accreditation preparation market conduct examinations value-based payment programs provider contracts regulatory compliance clinical auditing pharmacy solutions program development care management solutions healthcare marketplace state licensure managed care operations merger & acquisition support operational assessments client engagement healthcare analytics process engineering quality assurance standards health information management commercial insurers management consulting