Maria Diana MSN

@m_diananavedo

Medical Policy Consultant

Porto Rico

Espanhol

Algumas informações são exibidas no idioma inglês.

Sobre mim

Medical Policy Analyst and Registered Nurse specialized in CMS regulations, Medicare Advantage, Utilization Management, and clinical policy development. Experienced in NCD/LCD review, Internal Coverage Criteria (ICC), prior authorization policies, regulatory compliance, and evidence-based clinical analysis. Skilled collaborating with Medical Directors and operational teams to develop audit-ready medical policies aligned with CMS guidelines and healthcare regulatory standards.... Saiba mais

Habilidades