Stephenie Erickson

An Independent Consultant with over 20 years’ health plan experience optimizing operations, improving clinical programs, and developing highly effective teams. She has extensive Medicare knowledge and experience working with both State and Medicare regulators to resolve complex issues and advocate for change.

She most recently left Cambia Health Solutions (Regence Blue Cross Blue Shield) where she led her teams through successful ODAG, CDAG, NCQA, and other audits related to coverage decisions, appeals, and grievances. Over 10-year track record of achieving and maintaining 4+ star ratings on the Part C appeals and Complaint Tracking Module (CTM) measures.

Throughout her 20.5-year tenure at Cambia, she gained a holistic prospective of the health insurance business, by leading the following departments: Prior authorization, Inpatient Management, Member Appeals & Grievances, Provider Appeals & Disputes, Medicare Membership, Payment Integrity, Clinical & Clinical Review & Reimbursement, Policy and Reimbursement, Quality of Care, Clinical Programs & Strategic Partnerships, Project Implementation, and Strategy & Execution. She is currently helping health plans improve performance and increase star ratings.