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
Dee Dee has over 10 years’ experience in the Health Care Industry including management of the Medicare Enrollment and Reconciliation departments as well as 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.
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.
Dick Warren is a versatile, seasoned, professional healthcare executive with proven experience in health plan finance, operations and IT.
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.
Mae is a results oriented, seasoned healthcare executive with over 20 years’ experience in health plan and MSO operations.
Cindy brings over 20 years of experience in the legal and compliance industry, including healthcare state and federal regulatory compliance, contractual compliance, corporate transactions and office management.
Nirali is an experienced, performance-driven Health Care Executive who excels in the implementation of effective compliance programs for Medicaid and MAPD organizations.
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.
Karl has over 15 years of experience working in healthcare field; 12 years of those years were directly dealing with Medicare management. He has an in-depth knowledge of federal and state compliance regulatory policies for healthcare management and quality assurance.
Sara is a problem solver who excels under pressure and with deadlines. She is highly goal oriented, and derives satisfaction from setting and achieving goals both individually and through staff leadership.
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.
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.