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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


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

  • ensured compliant UM/CM/Population Health programs for Medicare, Medicaid, and Commercial lines of business

  • achieved continuous consecutive years of improving MLRs

  • led and motivated multidisciplinary teams of up to 130 individuals through 5 successful NCQA surveys

  • integrated the MCO teams with health systems and ACOs

  • implemented many delegated vendors

  • designed content/workflows, implemented, and refined clinical information systems

  • merged two Health Services departments together after an acquisition

  • streamlined operations to achieve strong compliance frameworks

  • provided clinical account management for self-insured clients

  • developed several successful new pre- and post-acute continuum of care programs

  • 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.​

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Red Wall & Stairs

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