Nancy Eberhard BSN RN CMCN CHC, is an experienced leader in all aspects of medical management, including Utilization Review, Appeals and Grievances, Care Management, and Clinical Compliance. She has extensive expertise in designing and implementing new program initiatives in Appeals and Grievances, Quality Program Development, Quality Assurance, and Population Management. Nancy has provided over site of NCQA, HEDIS, HIPAA, STARS, DSNP, PCMH, Medicaid, Medicare, Health Policy, Healthcare Management program development, Data Analysis, Clinical Performance Improvement, Clinical Operations, Case Management, Process Improvement, Quality Improvement, Evidenced Based Care Delivery, Member and Provider Education.  Nancy is certified in Healthcare Compliance through HCCA, Certified as Managed Care Nurse through American Association of Managed Care Nurses.

Nancy supports Covalence Health clients with national and regional leadership in UR, A&G, and Quality operations, and national program and contract compliance