Anna Gunsser
Senior Manager, Facility Compliance Review at Blue Shield of California | Fair Oaks, California, United States
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Anna Gunsser, currently serving as the Senior Manager of Facility Compliance Review (FCR) at Blue Shield of California, brings a wealth of expertise in managed care operations, quality assurance, and healthcare compliance. Since her promotion to this leadership role in January 2022, Anna has been instrumental in overseeing the integrity and accuracy of facility reviews, ensuring that Blue Shield maintains adherence to industry standards and regulatory requirements. Her role involves managing a team responsible for conducting comprehensive post-service and prior authorization reviews, which are critical in controlling costs, optimizing member outcomes, and maintaining compliance with federal and state healthcare policies.
Anna's extensive background as a Post Service and Prior Authorization nurse has equipped her with a deep understanding of clinical workflows, documentation standards, and the nuances of healthcare reimbursement. She has demonstrated proficiency in utilizing industry-specific tools such as Auth Accel, MCG Careweb, and Optum360 EncoderPro, enabling her team to perform efficient and accurate reviews. Her cross-training in both post-service and prior authorization processes allows her to lead process improvements and streamline workflows, ultimately enhancing operational efficiency.
In her leadership capacity, Anna is responsible for training and mentoring staff, updating job aides, and refining documentation like DLPs to reflect evolving industry standards. Her skills in quality assurance, healthcare coding, and compliance auditing ensure that her team consistently meets high standards of accuracy and integrity. With a strong foundation in nursing, pediatric care, and healthcare technology, Anna is dedicated to advancing Blue Shield’s commitment to quality, compliance, and member satisfaction in a rapidly changing healthcare landscape.
Senior Manager, Facility Compliance Review at Blue Shield of California in February 2016 to Present
Utilization Review Nurse at Aloha Care in August 2015 to December 2015
Clinic RN Team Lead / Care Coordinator at Waimānalo Health Center in February 2015 to June 2015
Clinical Nurse II at The Children's Hospital of Philadelphia in May 2012 to October 2014
Coordiantor, Quality Assurance at Ashfield, part of UDG Healthcare plc in September 2010 to August 2012
Registered Nurse at Abington Pediatric Associates in January 2008 to January 2010
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Gwynedd Mercy University, Bachelor’s Degree, August 2026
Gwynedd Mercy University, Associate’s Degree, August 2026
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Pediatrics
Immunization
Quality Assurance
Quality Improvement
Microsoft Office
Microsoft Excel
Microsoft Word
Auditing
Vital Signs
Patient Education
Vaccines
Epic Systems
Employee Training
Patient Safety
Healthcare
Nursing
EMR
BLS
Healthcare Information Technology
CPR Certified
Prior Authorization
Utilization Management
Document Review
Microsoft PowerPoint
Microsoft Project
Microsoft Outlook
Utilization Review
Quality Auditing
Time Management
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Discover more about Blue Shield of CaliforniaWhat is Anna Gunsser email address?
Email Anna Gunsser at [email protected]. This email is the most updated Anna Gunsser's email found in 2026.
How to contact Anna Gunsser?
To contact Anna Gunsser send an email to [email protected]. (updated on April 26, 2025)
What company does Anna Gunsser work for?
Anna Gunsser works for Blue Shield of California
What is Anna Gunsser's role at Blue Shield of California?
Anna Gunsser is Senior Manager, Facility Compliance Review
What is Anna Gunsser's Phone Number?
Anna Gunsser's phone (213) ***-*218
What industry does Anna Gunsser work in?
Anna Gunsser works in the Hospital & Health Care industry.
Anna Gunsser Email Addresses
Anna Gunsser Phone Numbers
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