
Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm
HEALTHCARE QUALITY, ACCREDITATION, COMPLIANCE, AND REGULATION Seasoned healthcare quality professional known for 10+ years’ direct experience in managed care... | Columbia, South Carolina Metropolitan Area, United States
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Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Emails sh****@ro****.com
Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Phone Numbers No phone number available.
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Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Location Columbia, South Carolina Metropolitan Area, United States
Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Expertise HEALTHCARE QUALITY, ACCREDITATION, COMPLIANCE, AND REGULATION Seasoned healthcare quality professional known for 10+ years’ direct experience in managed care health plans plus 15+ years’ regulatory/appropriations experience in state government, specializing in healthcare agencies and Medicaid managed care. Comprehensive, detailed knowledge and skills in: - NCQA and URAC accreditation oversight and leadership - Medicaid, Medicare, Exchange/Marketplace, and Commercial Lines of Business, PPO, HMO, POS - HEDIS and Quality Rating System (QRS), including CAHPS Member Satisfaction Survey - Regulatory compliance with state and federal government, including CMS and ACA regulations, plus EQRO audit experience - Management of multiple committees, presentation to upper level executives and leading meetings - Continuous quality improvement, both clinical and service, including oversight of Quality Improvement Projects (QIP) - Supervision and leadership of successful department of 40+ employees - Delegation and vendor oversight, including contracting and ongoing monitoring and audit - Expert legislation tracking, specializing in appropriations - Diplomacy, tact, persuasion, and negotiation - Interdepartmental and intercompany project management - Critical thinking and problem-solving - Proficiency in Microsoft Word, Excel, PowerPoint, Outlook, Adobe Professional
Sharon Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Current Industry Absolute Total Care
Sharon
Mancuso Mpa Cphq Cpc Pcmh-Cce Cpm Pahm’s Prior Industry
South Carolina Continuum Of Care
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Sc General Assembly State Reorganization Commission
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Sc General Assembly House Ways And Means Committee
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Sc Budget And Control Board Office Of State Budget
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Sc Department Of Mental Health
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Bluechoice A Subsidiary Of Blue Cross Blue Shield Of South Carolina
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Bluechoice Healthplan And Bluecross Blueshield Of South Carolina
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Consumers Choice Health Plan
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South Carolina Department Of Health And Human Services
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Absolute Total Care
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Work Experience

Absolute Total Care
Vice President, Quality Improvement
Sun Mar 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
South Carolina Department Of Health And Human Services
Director, Division of Quality and Healthcare Outcomes
Fri Apr 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Mar 01 2020 00:00:00 GMT+0000 (Coordinated Universal Time)
Consumers Choice Health Plan
Director Of Quality Management
Fri Aug 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Nov 01 2015 00:00:00 GMT+0000 (Coordinated Universal Time)
Bluechoice Healthplan And Bluecross Blueshield Of South Carolina
Quality Director
Wed Aug 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Aug 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time)
Bluechoice A Subsidiary Of Blue Cross Blue Shield Of South Carolina
Accreditation Compliance Manager
Sat Sep 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time) — Wed Aug 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time)
Sc Department Of Mental Health
Accounting/Fiscal Manager II
Thu Jan 01 2004 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Sep 01 2007 00:00:00 GMT+0000 (Coordinated Universal Time)
Sc Budget And Control Board Office Of State Budget
Accounting/Fiscal Manager I
Fri Jan 01 1999 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Dec 01 2003 00:00:00 GMT+0000 (Coordinated Universal Time)
Sc General Assembly House Ways And Means Committee
Research Analyst
Thu Jan 01 1998 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Jan 01 1999 00:00:00 GMT+0000 (Coordinated Universal Time)
Sc General Assembly State Reorganization Commission
Research Analyst
Mon Jan 01 1996 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Jan 01 1998 00:00:00 GMT+0000 (Coordinated Universal Time)
South Carolina Continuum Of Care
Special Projects Assistant
Sun Jan 01 1995 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Jan 01 1996 00:00:00 GMT+0000 (Coordinated Universal Time)