HICE Leadership

Contact information contained herein is not intended for sales or commercial purposes.

Administration

Patty Hermanns
Administrative Operations Manager
Health Industry Collaboration Effort (HICE)
Bio
Email


Mike Myers
Chief Executive Officer
Health Industry Collaboration Effort (HICE)
Bio
Email


Board of Directors

Christopher McGlone
President, HICE Board of Directors
Sharp Community Medical Group
Chief Operating Officer
Bio
Email


Gena Jongebloed
Secretary/Treasurer, HICE Board of Directors
UnitedHealthcare
Director, Delegation Relations
Bio
Email


Delilah Samson
Director, HICE Board of Directors
Anthem
Clinical Research Manager
Bio
Email


 

Karen Bowling
Director, HICE Board of Directors
Health Net
Senior Manager, Delegation Oversight, Claims & Credentialing
Bio
Email


Angela Arredondo
Director, HICE Board of Directors
MemorialCare Medical Foundation
Executive Director, Network Management
Bio
Email


Howard T. Saner
Director, HICE Board of Directors
NAMM CA, Part of Optum
Vice President, Network Operations & Marketing
Bio
Email


Team Leadership

Melony Davis
Team Leadership Provider Organization Co-Chair
Sharp Healthcare
Project Manager Privacy
Email


 

Traci Mackey
Team Leadership Provider Organization Co-Chair
Identity MSO
Credentialing & Compliance Supervisor
Email


Mei Ling Christopher
Team Leadership Health Plan Co-Chair
UnitedHealthcare
Manager, Delegation Relations Department
Bio
Email


Beth Richardson
Team Leadership Health Plan Co-Chair
Blue Shield of California
Sr. Manager, Delegation Operations
Bio
Email


Appeals & Grievances Improvement Team

Yolanda Morris, CHC
Team Co-Leader
Providence Medical Foundation
Director of Delegated Health Plan Compliance
Bio
Email


Robert Williams
Team Co-Leader
Molina Healthcare
Manager, Appeals & Grievances
Bio
Email


 

Teresa Savaii
Team Co-Leader
SCAN Health Plan
Grievance and Appeals Quality and Compliance Specialist
Bio
Email


Claims Standardization Team - Main

Rikki Haffner
Team Co-Leader
Blue Shield of California
Manager, Delegation Operations
Email


Sandie Andres
Team Co-Leader
Hill Physicians Medical Group
Director, PPO Payments
Email


Contracting & Compliance Team

Mary L. Curry, RN, MN
Team Co-Leader
Torrance Memorial IPA
Director of Compliance
Email


Beth Richardson
Team Co-Leader
Blue Shield of California
Sr. Manager, Delegation Operations
Bio
Email


Contracting & Compliance Team Delegated Entity Compliance Audit Workgroup

Beth Richardson
Workgroup Co-Leader
Blue Shield of California
Sr. Manager, Delegation Operations
Bio
Email


 

Cheryl Stempson, CHC
Workgroup Co-Leader
CommonSpirit HealthⓇ & Dignity Health Management Services
Manager, CRO, Corporate Responsibility Program
Email


 

Sharon McFall
Workgroup Co-Leader
Blue Shield of California and Blue Shield Promise
Delegation Operations Auditor, Consultant
Email


 

Stacy Ramirez
Workgroup Co-Leader
CommonSpirit HealthⓇ & Dignity Health Management Services
Compliance Analyst, CommonSpirit Health Corporate Responsibility
Email


Contracting & Compliance Team IT Systems Integrity Workgroup

Beth Richardson
Workgroup Co-Leader
Blue Shield of California
Sr. Manager, Delegation Operations
Bio
Email


Munaf Razzak
Workgroup Co-Leader
Molina Healthcare, Inc.
Director, Information Security
Bio
Email


 

Richard Quintana
Workgroup Co-Leader
NAMM / CA
Email


Credentialing Shared Audit Policy Team - Main / California

Mei Ling Christopher
Team Co-Leader
UnitedHealthcare
Manager, Delegation Relations Department
Bio
Email


Susan (Suki) Ewers
Team Co-Leader
Cigna Healthcare of CA
Credentialing Lead Analyst/Compliance and Accreditation
Bio
Email


Credentialing Shared Audit Policy Team - Main / Mid-Atlantic

 

Gwenlynn Lanowy
Team Co-Leader
Aetna
Manager, HC Quality Project Management
Email


Cynthia Minnick
Team Co-Leader
UnitedHealthcare
Sr. Clinical Quality Analyst, Medical & Clinical Ops/Clinical Business & Performance Oversight
Bio
Email


Credentialing Shared Audit Policy Team - Main / Northwest

Susan (Suki) Ewers
Team Co-Leader
Cigna Healthcare of CA
Credentialing Lead Analyst/Compliance and Accreditation
Bio
Email


 

Janet Hodulik
Team Co-Leader
Cigna
Regional Credentialing Manager
Email


Credentialing Shared Audit Policy Team - Main / Texas

 

Gwenlynn Lanowy
Team Co-Leader
Aetna
Manager, HC Quality Project Management
Email


Cynthia Minnick
Team Co-Leader
UnitedHealthcare
Sr. Clinical Quality Analyst, Medical & Clinical Ops/Clinical Business & Performance Oversight
Bio
Email


Cultural & Linguistics Team - Main

Valencia D. Walker
Team Co-Leader
Cigna
Language Assistance Program Compliance Sr. Manager
Bio
Email


Valerie Ridge
Team Co-Leader
Anthem Blue Cross
Program Director; CA LAP & G&A Regulatory
Bio
Email


DMHC Access Regulations Team/Workgroup

Jemme Durrow
Team Co-Leader
Blue Shield of California
Senior Manager of Network Compliance
Bio
Email


Beth Lewis
Team Co-Leader
Blue Shield of California
Senior Manager, Network Compliance
Bio
Email


Encounters Standardization Team

Carol Wanke
Team Co-Leader
Sharp Healthcare
Vice President of Post-Acute Patient Financial Services and Managed Care Operations
Bio
Email


 

Terri Bailey
Team Co-Leader
Health Net
Manager, Data Analysis, Provider Performance and Analytics
Email


 

Sarjeet Singh
Team Co-Leader
Health Net
Business Process Consultant, Inbound Capitated Encounters
Email


Pharmacy Regulations Team - CA

Amit K. Khurana, Pharm.D, BCACP
Team Co-Leader
Medica
Vice President, Pharmacy
Bio
Email


Dang Huynh, PharmD
Team Co-Leader
Santa Clara Family Health Plan (SCFHP)
Director, Pharmacy & Utilization Management
Bio
Email


Quality Improvement/Utilization Management (QI/UM) Team - Main

Delilah Samson
Team Leader
Anthem
Clinical Research Manager
Bio
Email


Risk Adjustment Data Acquisition & Reporting (RADAR) Team - Main

Jenny Gentry
Team Leader
John Muir Health
Manager, Risk Adjustment
Email


 

Kristin Rodriguez, CPC, CEMC, CPC-I, CPMA, COC, CRC, CDEO
Team Co-Leader
Alignment Healthcare
Risk Adjustment Compliance Auditor - Lead
Bio
Email


Service Determination Standardization Team

Melony Davis
Team Co-Leader
Sharp Healthcare
Project Manager Privacy
Email


 

Linda Baker, RN, MBA, CCM
Team Co-Leader
Health Net
Director, Medical Management
Email


UM Required Reports Team

 

Paula Gumpher
Team Co-Leader
Elevance Health
Manager, Delegation Oversight
Bio
Email


 

Tia Brooks, RN, BSN, MHA, CCM
Team Co-Leader
Providence Health LA
Regional Compliance Nurse
Bio
Email


 

Traci Mackey
Team Co-Leader
Identity MSO
Credentialing & Compliance Supervisor
Email


   

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