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Michele D. Alfano, R.N.
Chief Operating Officer
ValueOptions
Michele D. Alfano has worked for ValueOptions since 2000 and is the
Chief Operating Officer. Ms. Alfano has responsibility for overseeing
the Employer Solution Division and Health Plan Division. Each division
represents the major commercial lines of business serviced by ValueOptions. In
addition to the field offices, Ms Alfano is responsible for oversight
of the following departments; medical/clinical management, claims, customer
service, data management, network operations, IT and telecommunications,
human resources, proposals, marketing and communications. Further
responsibilities include streamlining administrative services, sharing
best practices and building a national network of service centers that
interact with providers and members in a clinically sound manner while
delivering quality service at an affordable price.
Ms. Alfano has over
25 years experience in health care including 20 years experience in both
medical and behavioral managed care. Past
experience includes: Vice President for The TriZetto Group where
she oversaw HMO operations for health plans under management contracts
with The TriZetto Group including claims, customer services, billing
and accounts receivable, central support service and IS operations. She
led initiatives to move the HMOs to paperless claims and implemented
state of the art technology to create a paperless work environment for
claims and customer service. She also served as Chief Operating
Officer and Executive Vice President for Novalis Services Corporation
and Novalis Development and Licensing (purchased by The TriZetto Group
in 1999) for 10 years. In that role she oversaw implementation
of new accounts, account management, system programming for its managed
care system, the provider credentialing software, and the NCQA certified
CVO. Additional responsibilities included oversight of consulting
services for claims, customer service, network development, implementation,
Help Desk and IT data services for the Novalis clients. No stranger
to ValueOptions, she was Regional Vice President of the Troy
Service Center of the former Value Behavioral Health from 1992 through
1994.
Ms. Alfano is a Registered Professional Nurse and holds a Nursing
Degree from Champlain Valley Physician's Hospital School of Nursing in
Plattsburg, New York.
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