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    Andrea Bezdicek

    Healthcare Consulting

    Professional Background

    Andrea L. Bezdicek is an accomplished healthcare consultant with a wealth of experience in operational efficiency, compliance, and performance management. Her expertise spans a variety of sectors within the healthcare industry, including health payers, pharmacy benefit managers (PBMs), and healthcare technology clients. Andrea has a proven track record of consulting, where she assists organizations in assessing, improving, and transforming their operational processes to achieve better compliance and performance metrics.

    In her role as Senior Manager at emids, she has been instrumental in optimizing crucial operational processes across various client engagements. Some of her key areas of focus include enrollment, eligibility verification, disenrollment, claims management, Medicare Secondary Payer processes, and benefit setup. Andrea’s profound knowledge extends to complex operational elements such as appeals and grievances, coordination of benefits and subrogation, risk adjustment, and compliance initiatives.

    Her former position as Senior Manager in the Advisory Healthcare sector at EY has equipped her with the insights necessary for navigating regulatory landscapes. At EY, Andrea took on challenging roles that required intricate knowledge of Medicare and Medicaid processes, ensuring her clients were not only audit ready but also able to maintain compliance with ever-evolving regulations. Additionally, her strong skill set in project management and operational process improvement makes her a preferred partner for clients looking to enhance their business operations.

    Education and Achievements

    Andrea hold a Bachelor of Sciences degree in Accounting, with a focus on Information Systems from DePaul University. This educational background has provided her with a solid foundation in both financial and information systems—critical aspects of the healthcare industry.

    Throughout her career, Andrea has successfully led a variety of operational and compliance improvement initiatives. This includes extensive regulatory remediation experience, where she has significantly contributed to initiatives such as CMS Part C & D Program Audits, state examinations, and the development of Corrective Action Plans (CAP). Her commitment to compliance means developing measurable outcomes and project management strategies that ensure her clients can operate effectively within regulatory frameworks.

    In addition to regulatory compliance, Andrea has also designed key quality assurance and compliance functions for various operational entities, including third-party billing companies and leading academic medical centers.

    Notable Achievements

    Andrea's leadership abilities have been showcased in high-stakes environments. As Interim Chief Compliance Officer for a third-party billing client, she provided critical oversight in rebuilding the compliance organization, ensuring that all systems were aligned with current regulations. Her capability to work closely with top executives empowers organizations to execute effectively on compliance matters and operational improvements.

    Her core soft skills as an effective communicator enable her to convey complex regulatory information to diverse audiences, making her a valuable asset to teams and organizations. Andrea's dedication to training and developing effective compliance programs further underscores her commitment to fostering a culture of compliance in the healthcare industry.

    Related Questions

    How did Andrea L. Bezdicek develop her extensive knowledge in Medicare and Medicaid processes?
    What specific strategies does Andrea L. Bezdicek recommend for improving operational compliance in health organizations?
    How has Andrea L. Bezdicek's educational background influenced her career in healthcare consulting?
    In what ways has Andrea L. Bezdicek led significant transformations in organizations she has worked with?
    What challenges has Andrea L. Bezdicek faced in her role as Interim Chief Compliance Officer, and how did she overcome them?
    Andrea Bezdicek
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    Location

    Greater Minneapolis-St. Paul Area