Beth Brooks
Clinical operations executive, consultant, and Medicare Part C subject matter expert
- Role
- Director, Medicare Part C at Bluepeak Advisors
- Location
- Lynchburg, VA, US
- LinkedIn followers
- 500 followers
About Beth Brooks
Clinical Operations leader with 20+ years of experience including startup, population health, case management, CMS/SNP compliance, client delivery, data analytics/reporting, and marketing strategy. Proven track record of identifying operational deficiencies, creating and implementing solutions, and increasing profit margins across multiple companies. Exceptional interpersonal skills. Strong business acumen with the ability to understand and deliver both clinical and financial opportunities. Highly driven, self-motivated leader with strong negotiating skills.
Experience
Director, Medicare Part C
Mar 2025 — Present
As the Director of Part C and Clinical Operations at BluePeak Advisors, I provide expert guidance to health plans on clinical operations, Special Needs Plan (SNP) management, and CMS audit support. My role focuses on delivering tailored solutions to address operational and clinical challenges, ensuring compliance and operational excellence for clients of varying sizes.Key responsibilities and achievements include: o Serving as the primary account manager and contact for multiple clients, with a focus on Special Needs Plans and Model of Care (MOC) development and assessments. o Providing subject matter expertise in health plan clinical operations and SNP operational gap analysis. o Supporting Part C Organization Determinations, Appeals, and Grievances (ODAG) through mock audits and audit preparation. o Assisting clients with CMS audit support for Part C operations, ensuring readiness and compliance. o Driving operational and clinical improvements to enhance plan performance and regulatory adherence.I am dedicated to helping health plans navigate the complexities of clinical operations and compliance, delivering innovative solutions that drive success and improve outcomes.
Education
Centra Health School of Nursing
Diploma Program, RN
2006 — 2008
Liberty University
Bachelor’s Degree, Registered Nursing/Registered Nurse
2012 — 2013
Certified Case Manager
Certified Case Manager
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