The Value of Allena Consulting
Let’s Succeed Together
Welcome! I provide the guidance and support that my clients need to succeed in managed care medical management. Here are some of the services that I offer:
Medical Management Operational Assessments and Recommendations
Program design/development, implementation and evaluation
Care model evaluations and recommendations
Select NCQA Analyses
Compliance support
Vendor Selection and Implementation Support
Delegation Oversight Infrastructure
Clinical software selection/design/implementation guidance
Change Management Support
About
Barbara Berger
I'm a leader in clinical managed care with 14 years of proven success developing and leading high-performing clinical programs and teams. Operating at both a Director level and a Vice President level, I have
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ensured compliant UM/CM/Population Health programs for Medicare, Medicaid, and Commercial lines of business
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achieved continuous consecutive years of improving MLRs
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led and motivated multidisciplinary teams of up to 130 individuals through 5 successful NCQA surveys
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integrated the MCO teams with health systems and ACOs
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implemented many delegated vendors
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designed content/workflows, implemented, and refined clinical information systems
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merged two Health Services departments together after an acquisition
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streamlined operations to achieve strong compliance frameworks
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provided clinical account management for self-insured clients
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developed several successful new pre- and post-acute continuum of care programs
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developed numerous individuals from front-line roles into leadership roles
My focus is always on supporting teams to enable them to provide stellar services to Members. Providers, and Clients.
