Carmen Alfonso's Email & Phone Number
Key Decision Maker in Mission-Critical Healthcare Business Improvement Strategies / Subject Matter Expert in Medicare Standards and Administration / Providing a Patient-First Approach to Healthcare Pr
Carmen Alfonso's Work Experience
Managed Care Consulting, Inc.
Senior Medical Advisor, Tenet Healthcare Plans
October 2013 to Present
Medical Director West Coast Region
October 2011 to Present
Carmen Alfonso's Education
University of New England
January 1986 to January 1990
University of Miami
January 1980 to January 1985
Letterman Army Medical Center, Presidio, San Francisco, CA
Naval Hospital, Oakland, CA
University Medical Center, Las Vegas, NV
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Carmen Alfonso's Estimated Salary Range
About Carmen Alfonso's Current CompanyHUMANA
Frequently Asked Questions about Carmen Alfonso
What company does Carmen Alfonso work for?
Carmen Alfonso works for HUMANA
What is Carmen Alfonso's role at HUMANA?
Carmen Alfonso is Medical Director West Coast Region
What is Carmen Alfonso's Phone Number?
Carmen Alfonso's phone (602) ***-*333
What industry does Carmen Alfonso work in?
Carmen Alfonso works in the Hospital & Health Care industry.
About Carmen Alfonso
💼 Past Experience
Medical Director West Coast Region at HUMANAPHoenix, AZ. Responsible for the Medicare Model of Care for the West Coast Region. CDC - Datamine databases to provide analysis of vital statistics and market trends. Milliman Expert Certified - Utilization Management (MCG/Milliman Expert Certified). Manage the inpatient population through the various levels of care. Analyze trends to determine areas of potential growth and expansion to spearhead efficiency, provide highest level care, and increase revenue. Technologicallysavvied and able to leverage this technology to educate plan physicians/providers in order to meet the "5 stars" expectations-transforming healthcare into the "value-based" system being mandated by congress and CMS. Promoting member retention which will also be clearly impact the "5 Stars" program; Insuring that MLR's are maintained at less than 85% to insure plan Survival.Provide medical leadership and strategy for a regional Health Services Operations. Provide support and ensure compliance with all regulatory issues related to utilization management. Implement quality improvement programs as defined by corporate leadership and CMS. Responsible for medical interpretation, reviews, and decisions as required for plan administration. Participate on committees that require medical expertise.
Carmen Alfonso has a B.A. from the University of Miami in 1980 and a Doctorate of Educational Psychology from the University of New England in 1986. Carmen Alfonso has been a teaching assistant and then a full-time professor at the University of Miami since 1990. Carmen Alfonso's areas of study have included early intervention, behavior modification, and education for social workers. Carmen Alfonso has received many awards for her work, including the2016 American Educational Research Association, the 2016 Louisville Conference on Teaching, Learning and Scholarship Award, and the 2017 American Psychological Association Investigator Award for First-Year Teaching.
💡 Technical & Interpersonal Skills
skills: Medical Director West Coast Region at HUMANACarmen Alfonso has a background in medical interpretation, reviews, and decisions as required for plan administration. Manage the inpatient population through the various levels of care. skills: Medical Director West Coast Region at HUMANA has a background in medical interpretation, reviews, and decisions as required for plan administration.
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In a nutshell
Carmen Alfonso's Ranking
Ranked #176 out of 3,520 for Medical Director West Coast Region in Arizona
Carmen Alfonso's Personality Type
Extraversion (E), Sensing (S), Feeling (F), Judging (J)
2 year(s), 0 month(s)
Carmen Alfonso's Willingness to Change Jobs
Open to opportunity?
There's 79% chance that Carmen Alfonso is seeking for new opportunities