HICE Leadership

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

Administration

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


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


Rebekah Baljet
Administrative Coordinator
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


Vivian Khalil
Director, HICE Board of Directors
Heritage Provider Network (HPN)
Senior Vice President of Clinical Services, Quality
Bio
Email


Angela Dorsey
Director, HICE Board of Directors
Blue Shield of California
Director, Delegation Oversight
Bio
Email


Sharon Almany
Director, HICE Board of Directors
Regal Medical Group | Lakeside Community Healthcare
Sr. Vice President, Prior Authorization
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
Director, Appeals & Grievances
Bio
Email


Teresa Savaii
Team Co-Leader
SCAN Health Plan
Grievance and Appeals Auditor
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
Dignity Health MSO
Credentialing & Compliance Supervisor
Email


Mei Ling Christopher
Team Leadership Health Plan Co-Chair
UnitedHealthcare
Manager, Clinical Quality
Bio
Email


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


Compliance Team (formerly Contracting & Compliance Team)

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


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


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
Bio
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
Bio
Email


Compliance Team IT Systems Integrity Workgroup

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


 

Richard Quintana
Workgroup Co-Leader
NAMM / CA
Email


Credentialing Shared Audit Policy Team - Main / California

Susan (Suki) Ewers
Team Co-Leader
Evernorth Health Services
Credentialing Lead Analyst/Compliance and Accreditation
Bio
Email


Cynthia Minnick
Team Co-Leader
UnitedHealthcare
Senior Clinical Quality Analyst, Delegated Credentialing Oversight Department
Bio
Email


Credentialing Shared Audit Policy Team - Mid-Atlantic / Northwest / Texas

 

Gwenlynn Lanowy
Team Co-Leader - Mid-Atlantic/Texas
Aetna
Manager, HC Quality Project Management
Email


Cynthia Minnick
Team Co-Leader - Mid-Atlantic/Texas
UnitedHealthcare
Senior Clinical Quality Analyst, Delegated Credentialing Oversight Department
Bio
Email


Susan (Suki) Ewers
Team Co-Leader - Northwest
Evernorth Health Services
Credentialing Lead Analyst/Compliance and Accreditation
Bio
Email


Janet Hodulik
Team Co-Leader - Northwest
Cigna
Delegation Credentialing Lead Analyst
Email


Cultural & Linguistic Services 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

Jemmé 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 & Benefits Team - CA

Amit K. Khurana, Pharm.D, BCACP
Team Co-Leader
HICE
Team Co-Leader
Bio
Email


Caroline Tambe, PharmD
Team Co-Leader
Santa Clara Family Health Plan
Clinical Pharmacist
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 Health
Director, Medicare Risk Adjustment Compliance
Bio
Email


Service Determination Standardization Team

 

Linda Baker, RN, MBA, CCM
Team Co-Leader
Clinicas del Camino Real, Inc.
Director, Medical Management
Email


April Harrell, MLS, BBA, RN
Team Co-Leader
Cigna
Quality Clinical Management Lead Analyst/Delegation Oversight Nurse Quality Programs & Accreditation
Bio
Email


UM Required Reports Team

 

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


 

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


   

Website development services provided by:
Click here for more information about Stone Six Solutions, Inc.
Stone Six Solutions