Monique Delgado has recently joined Wellvana as the regional Chief Executive Officer for the Arizona and New Mexico markets. With over 20 years of healthcare experience Monique will lead these markets in both strengthening their existing physician and payer relationships as well as building new ones.
Before joining Wellvana, Monique was the Chief Operating Officer for Equality Health’s national value-based platform service division. Where she was responsible for the overall operations, as well as the deployment and implementation of the service offerings (care management technology and practice performance field support) across multiple markets. During her tenure with Equality Monique served as the Senior Vice President of Network Operations for Q-Point, a division of Equality Health, and was responsible for building a high performing provider network and overseeing Q-Point’s managed care services including Network Development, Practice Performance, Provider Contracting and Credentialing and Quality and Risk Adjustment.
Prior to joining Equality Health, Ms. Delgado served as the Payer Relations Director for OrthoArizona, one of the largest Orthopedic groups in the Southwest. As the Payer Relations Director, she was responsible for the oversight of contract negotiations, the Bundle Payments for Care Improvement Initiatives (BPCI), the Credentialing Department and monitored payment reimbursement and physician performance to ensure quality and utilization requirements were met.
Prior to that, Ms. Delgado was the Manager of Provider Services for Arizona Care Network (ACN), the Dignity and Abrazo (now Tenet) Accountable Care Organization and Clinical Integration Network. During her tenure with ACN, Ms. Delgado managed the provider network, monitored physician quality and utilization performance, and reviewed ACO compliance including escalation and grievances. Ms. Delgado was also responsible for managing the Quality Performance Representative team that provided physician training and maintenance efforts.
With extensive experience in payer contracting, network development, network management, and practice administration, she has developed a keen sense of provider network operations and management, as well as expertise in developing physician engagement and performance models that optimize performance in value-based environments.