Denyse brings passion to every working experience. She excels at creating and maintaining strong and enduring business relationships.
As CEO of Madena, Denyse directs the development and growth of Madena’s suite of healthcare solutions and tools. She has helped to revolutionize the industry with the proprietary Synchronicity™ Tool and the Independent Certification of Plan Enrollment & Payment Data for CMS Attestations.
From the inception of Madena, Denyse’s focus has been to bridge the gap between government agencies and plan sponsors, creating end-to-end compliance and success.
Prior to founding Madena in 2012, Denyse served as the Program Director for the CMS Retroactive Processing Contract (RPC) leading the design for the programs and operations still in practice today. During this time, Denyse worked directly with CMS leadership, coauthoring and developing a number of Medicare regulations and programs including the Enrollment Data Validation (EDV) program, the eRPT system, Enrollment Guidance and LIS/BAE Policy.
Denyse is a problem solver and enjoys creating partnerships between the varied organizations that serve the government-sponsored healthcare industry. She is a natural teacher and sought-after trainer, and enjoys sharing her knowledge.
For over 30 years Mike has been helping large and small businesses grow through expanded market penetration, development of strategic relationships and high-quality service delivery.
As Madena’s Chief Operating Officer (COO), Mike has implemented a team-oriented management style that helps drive Madena’s service offering while maintaining viable and effective communication with clients and partners. Mike is adept at quickly understanding complex customer issues and being able to implement solutions that are effective, measurable and provide significant business value.
Jennifer brings nearly 20 years’ experience in Medicare Advantage with a unique perspective from both the provider and payer organizations.
Jennifer’s experience includes reconciliation and revenue enhancement and solutions, system and process reviews, and new system implementation, operations, and management. She served WellPoint as National Director of Business Reconciliation/Revenue Enhancement, and Kaiser Foundation Health Plans as the National Medicare Finance and Reconciliation Manager.
Jennifer has an MBA in Healthcare Management from the University of Phoenix and a Bachelor of Arts in Organizational Psychology from Kent State University.
Seth is leading the growth of our Synchronicity™ SaaS tool with his 20 years of experience designing and developing enterprise scale software solutions.
- Docker & containerization of legacy enterprise applications
- Enterprise integration work using microservice, Docker and MuleSoft
- Implementation of an enterprise CI/CD platform to support multiple development teams working on heterogenous stacks
- Mobile application development for consumer and corporate business systems
- REST-based API development
- Enterprise API management deployment
- Enterprise single sign-on deployment for internal and cloud-based applications
Joseph manages the IT infrastructure at Madena, including information security, compliance, and bridging the gap between the development and business operations teams.
Julie contributes a wealth of experience in both executive office management and business administration to the Madena team.
As a business owner, executive assistant, and teacher, Julie’s problem-solving skills, patience, and ability to multitask are a match for the fluid, complex healthcare industry.
Julie graduated from Boston University with a Bachelor of Science in Business Administration.
Dee Dee brings over a decade of experience in the Healthcare Industry, including management of Medicare Enrollment and Reconciliation department, Commercial Customer Service, and Provider Inquiry areas for Anthem Health.
At Anthem, Dee Dee led a staff of fifty associates responsible for Medicare enrollment processing and reconciliation functions. She established departmental policies and procedures for increased efficiency and adherence to Medicare guidelines and compiled monthly reporting for the Medicare attestation used in the financial accrual for the Medicare line of business. She created effective inventory oversight for front end enrollment intake and processing from multiple sources including enrollment, disenrollment, reinstatement processes, and Medicare rejections, Medicare special programs including Low Income Subsidy (LIS), Best Available Evidence (BAE), Late Enrollment Penalty (LEP) COB/MSP and State Prescription Assistance Program (SPAP). Internal and external audit requests including monthly audits by Medicare (Enrollment Data Validation-EDV). Dee Dee increased associate engagement, implemented end-to-end process improvements, root cause analysis, increased inter-department communication and associate cross training to enhance department productivity, quality and flexibility. She oversaw a decrease of 68% in CATEGORY 3 retroactive submissions to Medicare third party vendor from 2011 to 2014.
Dee Dee is a graduate of the University of Kentucky where she graduated with a Bachelor of Marketing from the Gatton School of Business & Economics.
Sue has been supporting the health insurance industry and hospital systems for decades, including BCBS of Illinois for 6 years.
Elia brings over a decade of experience as a writer, copywriter, editor, and project manager to Madena.
Elia has worked as a writer, designer, and project manager her entire professional career: in the arts, non-profit management, as a freelance food writer, and content marketer. She graduated with a Masters of Science in Arts Administration and a Bachelor of Arts in English from the University of Oregon.
Dory Troutman, CPA, has more than 10 years of experience in tax, financial, and business consulting in her role as a Certified Public Accountant.
Dory works closely with Madena’s management team to improve the accounting systems and procedures. She has assisted in updating the presentation of data so that Madena can provide a more accurate view of the company’s financial health.
Annette has been active in Medicare Advantage Organizations (MAO) operations since 1997, specifically in Enrollment and Appeals & Grievances.
Annette received her B.A. in Business Administration from California State University, Fullerton and is fluent in Spanish.
Nicole contributes over a decade of experience working in Medicare management and operations to Madena’s Key Consultant team.
Karl has over 15 years of experience working in healthcare field. He has an in-depth knowledge of federal and state compliance regulatory policies for healthcare management and quality assurance.
Nirali's experience includes Medicare and Medicaid Regulatory Compliance, Product Implementation and Operational Process Improvements, as well as CMS and State Audit Assistance for operations and compliance.
Since 2004, Nirali has led compliance teams and programs, conducted face-to-face compliance program training for employees, sales agents, and board directors; conducted and reviewed audits and corrective action plans; and developed First tier, Downstream and Related Entity oversight programs and compliance audits.
Tom is an expert on CMS Retroactive Processing contracts and Managed Care Plans, and offers his considerable skills as a project/program manager to Madena’s Key Consultant team.
Brent Hiley, PharmD, MBA, has 20 years’ experience working in healthcare, and brings a deep level of expertise in Pharmacy Benefit Management to Madena’s team.
Brent received his Doctor of Pharmacy from the University of Iowa and his residency in pharmacy practice at UNMC. He earned board certification in pharmacotherapy (BCPS) and has an MBA in finance from Bellevue University.
Sara is a medical compliance, reconciliation, and enrollment specialist bringing a decade of varied industry experience to the Madena team.
Cathy brings over 25 years of health care industry experience working with Commercial insurance programs (including HIX), and Medicare Advantage, Medicaid, and TRICARE.
Cathy earned a Master of Health Administration degree and a Bachelor of Arts in Psychology from Governors State University. She is an alum of America’s Health Insurance Plans Leadership Development Program and current member of the Advisory Cloud Board Directory.
Mae is a results oriented, seasoned healthcare executive with over 20 years’ experience in health plan and MSO operations.
Caroline is a proven leader of operations and compliance, offering over 16 years of experience in the healthcare administration industry. She is passionate about maintaining compliance and keeping abreast of changing mandates with Medicare and Medicaid regulations.
Treva specializes in strategic and long-term planning and team leadership. Her skills in developing, training, and guiding teams contributes to the cohesion and productivity of Madena’s Colorado office.
Debra is the efficient, supportive glue of the Aurora office, providing administrative assistance to management and other staff. Her diverse skill set and ability to multi-task make her a crucial part of the everyday effectiveness of Madena’s Colorado team.
Shanna is one of the reconciliation experts on the Colorado team. She brings an impressive skill set of data and financial analysis, lead generation, sales, and management to Madena, as well as a solid base in customer care and communication.
Lay brings her 13 years of healthcare industry experience to the Madena BPO team. Her in-depth understanding of HIPAA regulations and CMS guidelines, and Medicare Parts A, B, C, and D is an invaluable asset in her role as Quality Assurance & Training Lead.
Lay graduated magna cum laude with a Bachelor of Science in Business Administration-Finance from Regis University.
Tara offers a diversity of experience in management, operations, and client and staff relations to Madena’s Colorado office. Her ability to multi-task, perform complex data analysis, and maintain accurate records and reporting are crucial for her position as a reconciliation analyst.
Erin contributes a decade of experience with commercial health plans to Madena’s BPO team. Her expertise includes billing, claims processing, authorizations, benefits, and appeals. She also has extensive experience in accounting, staff education and training, and business management.
Kally is an accomplished Senior Reconciliation Auditor with over 9 years of healthcare experience in commercial and Medicare Operations.
TeLee serves Madena through data management, reconciliation, and submission of corrections to CMS or its designees.
Sweta brings her skills as a certified AWS Solutions Architect associate and SAFe Agile practitioner to Madena’s Product Development team.
Sweta has extensive facility with additional technologies, including J2EE-Spring boot microservices with Angular UI, JSF, Struts, Oracle-PostgresSQL database migration, and Elasticsearch engine. She received her professional BTech Electronics & Telecommunications degree at Biju Patnaik University of Technology, India.
Artin contributes his experience with Spring framework, REST-based API, MySQL and Angular to Madena’s Product Development team.
Artin has a B.S. in Computer Science from George Mason University, and he is pursuing a Master’s degree in Software Engineering.