MEET THE EXPERTS
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Darren Wethers
Chief Medical OfficerATRIO Health PlansDarren Wethers is a board-certified internal medicine physician and certified physician executive.
He graduated from Morehouse College, Northwestern University Medical School and completed internal medicine training at Emory University School of Medicine before establishing an internal medicine practice in the St. Louis, Missouri area, becoming a “Top Doctor” Honorée several years running. Dr. Wethers was the medical staff president at SSM St. Mary’s Health Center in 2006-07 and chaired the facility’s Credentials committee 2007-11.
In 2011, Dr. Wethers began a career in administrative medicine, servings as a medical director with Coventry Health Care and Aetna, vice president of clinical operations at Blue Cross Blue Shield of Arizona and is now at Atrio Health Plans, where he serves as chief medical officer.
Dr. Wethers is a member of the American Association for Physician Leadership, Fellow of the American College of Physicians, member of Alpha Phi Alpha and Sigma Pi Phi fraternities; he is a board member and immediate past chairman for Gamma Mu Educational Services (GMES) and is a board member of Northwestern University Medical School Alumni Association, for which he serves as president-elect and co-chair of the Inclusion and Allyship committee. -
Jonique Dietzen
Payment Integrity DirectorCareOregonWith over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance. -
Helen Liu, Pharm.D.
VP of Pharmacy OperationsATRIO Health PlansDr. Liu is the Vice President of Pharmacy Operations for the ATRIO Health Plans, where she manages and oversees all Part D-related operations. Dr Liu has an extensive background in clinical pharmacy, medication safety, managed care, and data outcome analysis. Before this role, she developed and implemented the inpatient Drug Use Management program at Kaiser Permanente.
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Josh Miller
Director, Payment IntegrityProminence -
Michael Devine
Director Special Investigations UnitL.A Care -
Stephanie Sjogren
Director, Coding and Provider ReimbursementEmblemHealth/ConnecticareStephanie Sjogren is a director of coding and provider reimbursement, working with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining ConnectiCare/EmblemHealth, she performed provider audits and education at a women’s healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to stay in compliance with the Centers for Medicare & Medicaid Services’ rules and regulations. Her areas of specialty are payment integrity, auditing, and clinical documentation improvement.
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Eric Carter-Nadeau
Operations Manager, Provider NetworkCareOregon -
Eric Renteria
Senior Fraud InvestigatorL.A. Care Health Plan -
Deborah Welch
Sr. Business Integration ManagerBlue Cross Blue Shield of Massachusetts -
CJ Wolf
Professor and Asst. Program DirectorBrigham Young University-Idaho -
Brittany Biggett-Heeren
Compliance AnalystOrlando Health