Lou Melwani
- Role
- Director, Medicare Operations at CalOptima
- Location
- Long Beach, CA, US
- LinkedIn followers
- 500 followers
About Lou Melwani
Sales and Business management professional with extensive experience in the healthcare…
Experience
Director, Medicare Operations
Feb 2023 — Present
I am responsible for leadership, plan management, and operations of the CalOptima OneCare and OneCare Connect lines of business. I provide direction to CalOptima’s departments to ensure compliance with regulatory agencies such as the Centers for Medicare and Medicaid (CMS), Department of Health Care Services (DHCS), and Department of Managed Health Care (DMHC). My duties include coordination with clinical operations, regulatory relations, and subcontracted providers and health networks. I interact with all levels of CalOptima staff, members, providers, regulatory agencies, CalOptima Board, advisory committees, and representatives of other agencies as needed. I oversee production for both internal and external (FMOs) agents.
Education
University of Phoenix
Masters, Business Administration
De La Salle University
BA/BSC, Marketing/Psychology
Skills
- Policy
- Health Insurance
- Compliance
- Medicare
- Sales Management
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