Theresa Bissonnette

Proven leader with expertise in Compliance, Quality, Pandemic Management, MIPS, Managed Care, CMS 5 Star, Long Term Care, Medicare and Medicaid. Strong record of successful results utilizing best practices to achieve optimal outcomes. Understands core concepts of Quality and utilizes these concepts to increase constituent well-being while being mindful of the needs of the business. Understands core concepts of Compliance and utilizes these concepts to ensure adherence to all regulatory requirements for provider group operations. Global thinker with vast knowledge of departmental impacts on the core business and those served by the business. Team player known for seeing all sides of the story and working with all parties to determine a mutually beneficial outcome. •Oversee MIPS submissions for 19 unique TINs ensuring incentives are achieved. Results in additional revenue each year. •Built foundational components of a provider group compliance program to include Compliance Handbook, Compliance Work Plan, Audit Plan, Policy and Procedure Program, annual compliance education, and Peer Review process. •Stood up a Pandemic Response Plan. Updated Response Plan as needed to align with current CDC and government guidance. Track all COVID cases, work with local health departments on contact tracing and location management. Oversee city, state and organization vaccine and testing mandate programs across five regions. Participate in leadership decisions on furlough, location closures, reopening, vaccine management…etc. •Implement and manage pay for performance programs to address quality measures by specialty provider groups. •Oversee accreditation for Medicare Advantage plan.

Previous Company:

• Company Name:  North Texas Specialty Physician
• Job Title:  Director of Risk Adjustment and Quality
• Start Date: