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Amy Paul Location
Massachusetts, United States
Amy Paul Work
Director, VBC and ACO Compliance @ (January 2025 - Present)
Senior Manager, Compliance and Contracts @ Revere Medical (January 2024 - January 2025)
Senior Contract and Compliance Program Manager @ Steward Health Care Network (January 2019 - January 2024)
Director of Delegation Oversight @ (January 2016 - January 2018)
Director of Utilization Management @ (January 2014 - January 2016)
Director of Compliance @ Core Health LLC (January 2014 - January 2014)
Director of Continuing Care @ (January 2011 - January 2014)
Program Manager, Medicare Advantage Plans @ (January 2006 - January 2011)
Team Leader, Onsite Review @ (January 2002 - January 2006)
Onsite Reviewer @ (January 1997 - January 2002)
HIV and AIDS Case Manager @ (January 1996 - January 1997)
Assistant Clinical Manager @ The Homecare Project, JRI Health, Inc. (January 1996 - January 1996)
Primary Nurse and Case Manager @ (January 1991 - January 1995)
Clinical Nurse III @ (January 1987 - January 1991)
Amy Paul Education
Loyola University Chicago School of Law
Master of Jurisprudence (Health Care Compliance)
2013-2016
Boston College
Bachelor of Science (Nursing)
Amy Paul Skills
Accreditation Management
Acute Care Nursing
Auditing
Bed Management
Breach Investigation
Breach Reporting
Care Coordination
Case Managment
Clinical Compliance
Clinical Research
Clinical Supervision
Community Outreach
Compliance Investigations
Compliance Management
Continuity of Care
Director level
Discharge Planning
Disease Management
Document Drafting
EHR
EMR
Employee Benefits
HIPAA
HIPAA Privacy
HIV/AIDS Nursing
Health Education
Health Equity
Health Insurance
Health Policy
Health Promotion
Healthcare
Healthcare Consulting
Healthcare Industry
Healthcare Information Technology
Healthcare Management
Home Care
Home Health Aide Supervision
Hospitals
Informatics
Inpatient
Insurance
Leadership
Length of Stay Review
Level of Care Determination
Managed Care
Medicaid
Medical Necessity
Medical Nursing
Medical Policy
Medicare
Medicare Benefit Policy Manual
Medicare Local Coverage Determinations
Medicare Managed Care Manual
Medicare National Coverage Determinations
Medicine
Motivational Interviewing
NCQA
NCQA Accreditation
Network Development
Non-profits
Nursing
Nursing Case Management
Oncology
Patient Advocacy
Patient Safety
Pediatrics
Performance Improvement
Post Discharge Outreach
Primary Care Nursing
Process Improvement
Program Development
Project Management
Provider Relations
Public Health
Public Speaking
Quality Improvement
Regulatory Compliance
Regulatory Submissions
Revenue Cycle
Strategic Planning
Team Building
Team Leadership
Training
Transitions of Care
Transtions of Care
Treatment
Utilization Management
Utilization Review
Program Management
Microsoft Office
Non Profits
Amy Paul Summary
Amy Paul, based in Massachusetts, United States, is currently a Director, VBC and ACO Compliance at Bookmark Medical. Amy Paul brings experience from previous roles at Revere Medical, Steward Health Care Network, Blue Cross & Blue Shield of Rhode Island and BMC HealthNet Plan/Well Sense Health Plan. Amy Paul holds a 2013 - 2016 Master of Jurisprudence in Health Care Compliance @ Loyola University Chicago School of Law. With a robust skill set that includes Accreditation Management, Acute Care Nursing, Auditing, Bed Management, Breach Investigation and more. Amy Paul has 1 emails and 1 mobile phone numbers on RocketReach.
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