URAC
Health Care and Pharmacy
ACHC - Certified Consultants
NCQA
We offer choices that fit your needs.
From a Gap Analysis to A-Z
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URAC
Health Care and Pharmacy
ACHC - Certified Consultants
NCQA
We offer choices that fit your needs.
From a Gap Analysis to A-Z
100% Accreditation Success Rate!
For Over10 Years Our Process Has Worked~
We are deeply committed to helping organizations attain and maintain their accreditations.
All Accreditations
URAC - NCQA - ACHC
Health Plans • Pharmacy
• PBM’s • UM and WCUM Organizations
IRO's, • IME’s • Telehealth
Clinically Integrated Networks • Credentialing Organizations
Our clients range from national providers to small family-owned businesses.
Regardless of the size, the goal is the same!
Attain Accreditation!
Resources At Your Fingertips
Templates Ready For Customization
Policies & Procedures
Forms, Logs, Report Templates, Meeting Minute Templates.
Everything You Need is Built Into Your
*Accreditation Tool*
Secure Collaborative Platform
Easy - Effective Workflow
*Accreditation Tool*
Defined Timelines
Action List
Weekly Status Reports
Live Dashboard
You own the Accreditation Tool (not us)
Mock Survey
We Work With You To Close The Gaps
Provide Guidance & Education
Provide Policy Templates
Policy & Procedure Development
Operations Develop
Validation Review Preparation
Attain Accreditation
Maintain Compliance
We know that trust & partnership are crucial to a successful venture.
TRUST
PARTNERSHIP
Partner with us to attain your goals, achieve accreditation, and more!
Combined our team has over 150 years of experience working with healthcare organizations to meet and exceed the most rigorous accreditation standards.
Former URAC Reviewers
Pharmacy Accreditation Experts
NCQA Accreditation Experts
Health Plan - Managed Care - Medicare - Medicaid - Experience
Combined our team has conducted over 4500 accreditations as reviewers.
SENIOR PHARMACY ACCREDITATION CONSULTANT
URAC - ACHC - NABP
RPh, MBA, CHC – is a registered pharmacist with an extensive professional background spanning nearly four decades. He has accumulated diverse experience across various pharmacy sectors, including community, mail order, pharmacy benefit management (PBM), and accreditation. John has held key positions, including Associate Vice President of Compliance and Quality, Associate Vice President of Operations, and Vice President of Account Management and Business Development at PerformRx, a national PBM. Prior to that, John served as an accreditation surveyor at URAC.
John holds a Master of Business Administration from LaSalle University and a Bachelor of Science in Pharmacy from the Philadelphia College of Pharmacy. He previously served as the Vice-Chairman of URAC’s accreditation committee and holds certification in Healthcare Compliance from the Compliance Certification Board.
Outside of his professional commitments, John dedicates his leisure time to volunteering at Martha’s Choice Marketplace and Community Farm. John is a board member of Greener Partners, a non-profit dedicated to strengthening community health through urban farming, equitable fresh food access, and discovery-based learning, just to mention a few.
EXECUTIVE ACCREDITATION CONSULTANT
Jennifer Wester, RN, is the founder and CEO of Arete Healthcare Solutions. She has dedicated over 27 years as a healthcare professional.
As a former URAC reviewer, Jennifer is integral to each accreditation and client experience. She is hands-on and provides her team with the tools, technology, and project management support they need to do their job.
She worked with healthcare start-ups and companies such as the BlUES. She worked with teams that have developed quality management programs, risk management, credentialing, IRO programs, and UM programs.
As a trained URAC Reviewer, Jennifer conducted desktop reviews and onsite reviews. She has gained invaluable knowledge of the accreditation process and URAC as an organization. She focused on Health Plan accreditation, IROs, IMEs, Credentialing, Health Care Management, Telehealth, Digital, Health Content Providers, and Clinical Integration. Jennifer is an RN in good standing in Colorado.
In her free time, Jennifer enjoys riding her horses, playing with her dog, hiking, and spending time with her husband and family.
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SENIOR PHARMACY ACCREDITATION CONSULTANT
URAC - ACHC - NABP
Mei Tang, Pharm.D., MBA, has total retail, specialty, mail pharmacy, managed care, and PBM experience. She held various positions in fortune 500 and private and startup pharmacy companies.
Ms. Tang brings her experience in pharmacy consulting, where she was responsible for pharmacy companies' growth and true success. She helped in pharmacy accreditation, operational efficiency, policy and procedure development, pharmacy startup, project management, business development, infrastructure-assisted clients or build-out, system implementation, and staff training and development. Past successful roles include Director of Pharmacy at OptumRx, Vice President of Operations at ModernHealth, and many more. Read on here.
SENIOR ACCREDITATION CONSULTANT
URAC
Judy Kerr, RN, CCM, came directly from URAC and served 9 YEARS as a lead URAC reviewer and trainer.
She conducted approximately 2000 URAC Accreditations reviews.
Judy trained new URAC Reviewers in ALL URAC accreditation programs; health plan, case management, utilization management, IRO, and Telehealth, to name a few.
Judy joined ARETE after she retired from URAC in 2022.
She brings with her 25 + years of working in healthcare—Judy's first-hand knowledge of the healthcare industry. As a registered nurse and certified case manager, Judy spent over 25 years working within a Health Plan with experiences including Medical Review Specialist, Medicare Provider Education/Training, Medicare Clinical Outcomes Coordinator for Quality, Medical Claims Specialist, and Network Quality Management Consultant.
Judy is an RN in good standing in Pennsylvania.
ACCREDITATION CONSULTANT
URAC, NCQA, AAAHC
Accreditation Consultant
Experience with URAC, AAAHC, and NCQA HEDIS audits.
Debbie is currently a manager of Population Health for a health plan. Formerly a URAC Clinical Accreditation Reviewer for multiple programs, including CM (including TOC), UM, IME, IRO, Credentialing, and Population Health.
Debbie’s additional clinical experience includes positions as a Quality Management leader and Nurse Educator within a medical management organization. She assisted the organization in earning URAC accreditations in CM with TOC and UM. Initial nursing experiences in the medical intensive care unit, post-anesthesia, and community health formed the basis for incorporating quality and standards into all aspects of healthcare.
Debbie is certified in healthcare quality, earning her CPHQ in 2018, and has held an active certification in case of management since 2012.
SENIOR ACCREDITATION CONSULTANT
URAC
Ms. CC, RN, BS joined the ARETE Team after serving 12 years as a URAC reviewer.
She was the lead reviewer at URAC for health plan and other accreditation programs, including IRO, Health Utilization Management, Case Management, Specialty Pharmacy, and PBM.
Before joining URAC, CC served as a medical management specialist for United Healthcare, a clinical management specialist for Pacificare of California, a senior executive at the Mission Bay Medical Group, and a critical care nurse and staff nurse at two hospitals.
CC received her B.S. degree in Business and Management from the University of Redlands; She is an RN in good standing in California.
SENIOR ACCREDITATION CONSULTANT
URAC
Jessica Cox, RN, former URAC Reviewer, specializes in regulatory affairs and accreditation activities related to the healthcare industry and managed care activities. She has extensive leadership and consulting experience in corporate business, medical management organizations, managed care program development, and regulatory compliance activities. In addition, She has successfully coordinated and facilitated the accreditation of numerous organizations concerning their medical management programs.
Jessica was the Director of Regulatory Affairs and Accreditation for McKessonHBOC, overseeing the development of a centralized regulatory compliance program to coordinate all accreditation and regulatory compliance activities for utilization management, case management, disease management, and telephonic triage programs. She coordinated the interface with state and federal regulatory agencies and accreditation agencies, directed the successful URAC accreditation for the utilization management program, coordinated client audits, and conducted regulatory orientation and training programs for all staff and management team levels.
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URAC has overhauled its standards. There are new standard requirements and a completely new naming convention. BIG CHANGES!
Be in the know. If you are preparing for reaccreditation, your current policies will need to be evaluated and updated to meet the intent of the new standard requirements.
Want to know what changes are required?
We provide a gap analysis and findings and recommendations for policy revisions.
Don't have the time or resources to update the policies? We can do that too.
Ask about our New Client Discounts and Ongoing Compliance Program