Sharon Rafalko
Clinical Care Manager and Lead Support For Medicare's Accountable Care Organization Program
Since 2013, Sharon Rafalko has been working in Oakland Physician Network Services, Inc based 310, 310. Sharon Rafalko is an experienced Clinical Care Manager and Lead Support For Medicare's Accountable Care Organization Program with over 41 years of work experience. According to Sharon's CV and work profile, this professional has worked at more than 12 places with numerous backgrounds and got different skills. Sharon attended school at the Henry Ford College from 1974 to 1977. This expert has professional certification in American Board of Quality Assurance and Utilization Review Physicians - Diplomat Status. Sharon Rafalko can be found in Clarkston, Michigan – where this professional is currently located. You can search for their phone number and email. We can also provide you additional contact information upon request.
Name variants:
Sharron Rafalko,
Sharen Rafalko,
Sharyn Rafalko,
Shari Rafalko,
Sharrie Rafalko
Last updated Jun 18, 2024
Contact Information
Last Update
Jun 21, 2022
Email
sr**@opns.org
Location
Clarkston, MI
Workplace
Clinical Care Manager and Lead Support For Medicare's Accountable Care Organization Program
Keego Harbor, MI
Industry
Health, Wellness and Fitness
Colleagues
Work History
Clinical Care Manager and Lead Support For Medicare's Accountable Care Organization Program
2360 Orchard Lake Rd SUITE 105, Sylvan Lake, MI 48320
Developed training and marketing tools for educating providers and their staff on quality initiatives and guidelines.
Developed training manual for the ACO audit process, hired and tra...
Dec 2013 — Mar 2015
Director of the Chronic Disease Management Program
Bingham Farms, MI
Provided leadership, project management and program operations working closely with IT leadership in implementing an electronic patient registry in 200+ provider offices.
Trained staff...
Mar 2006 — Jul 2013
Quality and Accreditation Administrator
Successfully initiated and maintained URAC accreditation for eight years in the areas of Provider Network, Credentialing and Utilization Management.
Assisted with compliance audits.
...
Oct 1998 — Dec 2005
Independent Contractor and Hmo and Hedis Auditor
Performed on-site medical record audits for MPRO in capturing physician compliance to HEDIS guidelines.
Performed on-site provider credentialing audits for multiple HMO physicians incl...
Jul 1995 — Nov 1998
Independent Contractor/Auditor/UR Nurse
Rochester Hills, MI
Feb 1995 — Oct 1998
Independent Consultant and Medical Claims Review
1000 Mineral Point Ave, Janesville, WI 53548
Developed and implemented a medical review process for ClaimCheck, an edit application software.
Audited claims for accuracy and thorough application.
Created physician trending rep...
Apr 1994 — Jul 1995
Clinical Care Manager
2360 Orchard Lake Rd SUITE 105, Sylvan Lake, MI 48320
Education
1974 — 1977
Occupations
Executive
Manager
Director
Health Specialist
Physician
Operations Manager
Skills
New Program Development and Implementation
Quality Improvement Management
Clincal Data Analyst
Health Plan Incentive Program Facilitator
Accreditation Administrator
Leadership
Research
Windows
FAQs about Sharon Rafalko
What is the main profession of Sharon Rafalko?
Sharon is a Clinical Care Manager and Lead Support For Medicare's Accountable Care Organization Program.
What jobs is Sharon proficient at at?
Sharon Rafalko is a professional such jobs as Executive and Manager.
Where does Sharon Rafalko live?
Sharon Rafalko lives in Clarkston, Michigan.
What is the expert's email?
Sharon Rafalko's email is sr**@opns.org.
How many companies did Sharon Rafalko work at?
The professional worked at 12 jobs.
Where has Sharon Rafalko studied?
Sharon studied at the Henry Ford College from 1974 to 1977.
Are there any professional certifications Sharon Rafalko has?
This expert received the following certifications: American Board of Quality Assurance and Utilization Review Physicians - Diplomat Status.
Are there any special industries, that Sharon Rafalko works in?
Sharon Rafalko works in Health, Wellness And Fitness industry.