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Accreditation experts

Former URAC Reviewers

Accreditation experts Former URAC Reviewers Accreditation experts Former URAC Reviewers Accreditation experts Former URAC Reviewers

URAC 

Health Care and Pharmacy

ACHC - Certified Consultants

NCQA


We offer choices that fit your needs.

SCHEDULE A COMPLIMENTARY INTRO CALL

Our Clients are Accredited!

100% Accreditation Success Rate!

For Over 12 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!


testimonials

100 % Accreditation Success Rate!

Policy & Procedure Templates

Policy & Procedure Templates

Policy & Procedure Templates


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*


Project management- Technology

Policy & Procedure Templates

Policy & Procedure Templates


Secure Collaborative Platform 


Easy - Effective Workflow 


*Accreditation Tool*


Defined Timelines


Action List


Weekly Status Reports


Live Dashboard


You own the Accreditation Tool (not us)


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Our Approach

Policy & Procedure Templates

Our Approach

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


Our Philosophy

We know that trust & partnership are crucial to a successful venture.


TRUST

  

  • We understand that no organization is perfect.
  • We understand project resources may be scarce.
  • We understand you might not have policies.
  • We understand we may identify some compliance issues.
  • We treat our clients with equality, respect, and dignity.

  

PARTNERSHIP
 

  • We develop a unique plan that fits the needs of your organization
  • We work one-on-one with you through each phase of the accreditation process.
  • We listen and are attentive to your needs.
  •  We strategize and develop solutions that work within the framework of your organization.
  • We provide formal training upfront and ongoing training every step of the way.
  • We work with you to ensure that your organization complies with accreditation requirements and has a plan for ongoing compliance.



Partner with us to attain your goals, achieve accreditation, and more!



Our Team Brings- Unparalleled Expertise

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.

Meet Our Team

John barrett, RPh, MBA, CHC

Jennifer Wester RN - FOUNDER - CEO

Jennifer Wester RN - FOUNDER - CEO

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.


Jennifer Wester RN - FOUNDER - CEO

Jennifer Wester RN - FOUNDER - CEO

Jennifer Wester RN - FOUNDER - CEO

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. 


.

Mei Tang PharmD, MBA

Jennifer Wester RN - FOUNDER - CEO

Mei Tang PharmD, MBA

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.



Judy Kerr RN, CCM

Debbie Hubbard, BSN, RN, CPHQ, CCM

Mei Tang PharmD, MBA

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.

Debbie Hubbard, BSN, RN, CPHQ, CCM

Debbie Hubbard, BSN, RN, CPHQ, CCM

Debbie Hubbard, BSN, RN, CPHQ, CCM

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. 

CC, RN, URAC REVIEWER

Debbie Hubbard, BSN, RN, CPHQ, CCM

Debbie Hubbard, BSN, RN, CPHQ, CCM

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.



Jessica Cox, RN

Jessica Cox, RN

Jessica Cox, RN

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.

Jessica Cox, RN

Jessica Cox, RN

Talk with Jennifer Wester, CEO

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