Diversified Healthcare Consulting
Subject Matter Experts
Our mission is to assist in solving healthcare administration challenges from a holistic perspective.
Health plan performance and program initiatives are enhanced by collaboration with field experts. We bring experience from every aspect of healthcare and add a value that is only gained through historical understanding and awareness of government program policies and regulations.
Healthcare Administration
Policy Analysis, Implementation, & Process Improvement
With years of experience, our consultants have the capabilities and expertise to take your business to the next level. At RoBailey Consulting, we combine our insights and skill to transform your processes and strategies and, in turn, your organizational environment. We’re proud to help shape and improve how our clients structure and manage their projects.
Claim System Analysis
Expert Guidance
Looking to maximize your claims administration or reconciliation process? Need help planning or executing your next claim audit? Let us guide you. Building for the future in today’s rapidly evolving healthcare environment means relying on experts accustomed to making insightful decisions from a holistic perspective of your organizational needs.
Quality Programs
&
Population Health Management
Value-Based Initiatives
We examine how organizations, hospitals, and provider offices are achieving success with their quality initiatives. Our consultants can amplify your performance and help your business maintain compliance with government program sectors and health plans. We help implement proven methods that are successful for value-based managed care models. Get in touch to learn more about how our services can help you reach your goals.
Consultation & Services
Backed by a team of experienced professionals, our diversified consultation services meet the needs of all types and sizes of clients - from office and hospital settings to large administrative organizations - and deliver lasting changes with measurable growth. Please get in touch with us today to learn how RoBailey Consulting can help your future success.
Subject Research
&
Education
Achieve Your Goals
With years of experience, our staff has the capabilities and expertise to research and interpret complex healthcare issues. At RoBailey Consulting, we combine our insights and skills to train administrators and staff from high-level discussions to step-by-step workflow. We’re proud to help analyze regulations and policies to ensure your organization maintains compliance.
Information Management
&
Technology
Subject Matter Expert Guidance
Looking to build benefit models and need assistance expressing policy requirements and necessary functionality? Need help bridging the understanding between operations and information system architectures? Let us guide you. Our subject matter experts can help break down silos and connect interdepartmental operations.
Network
&
Provider Analysis
Maintain Compliance
Are your patients able to access medically appropriate providers while seeking care? Need assistance auditing a current provider network to gauge compliance with state and federal regulations? We examine health plan, provider, and community needs in our comprehensive network analysis. RoBailey Consulting can assist in provider outreach and contracting to help you reach your goals.
Innovative Solutions
Holistic Perspectives
At RoBailey Consulting, we understand that change is not always easy. For over a decade our consultants have been helping managed care plans, hospitals, and provider offices of all sizes respond to policy transitions in the ever changing government program environment. Our years of experience have taught us enhancing the administrative and provider experience leads to better quality care for the members and patients in our community.
Our team of experts is ready to help you develop strategies for not only surviving, but thriving in future policy initiatives. Give us a call today to set up your first consultation.
Contact Us
Collaboration & Guidance at Your Service
Rochelle Bailey, MBA
Chief Executive Officer
Throughout the past decade, Rochelle Bailey has had an undeniable passion for the government health programs of Indiana. Rochelle specializes in evaluating health plan management and finding efficient solutions to workflow challenges. From policy interpretation to Readiness Review and fast-paced implementation projects, an overall holistic perspective of the client’s current organizational structure and responsibilities are taken into consideration when formulating recommendations. Rochelle embraces the multiple connections between various hospital systems and managed health plans in Indiana and looks forward to using her experience to enhance the overall government program environment.
Marc Baker BSW, MSM
VP of Operations
With almost 20 years of experience, Marc Baker has guided health plans and not-for-profit agencies on business development and quality program initiatives. His strong leadership and insightful consultation have driven organizations forward through implementation challenges and the ever-changing government healthcare system. Baker's collaboration with RoBailey Consulting offers a new perspective and adds value to our services while expanding our access to expert consultants and organizations.
Mary Kubley
VP of Project Management
Mary Kubley is a results-driven Senior Vice President of Project Management with over 20 years of experience leading cross-functional teams to achieve organizational goals. With a proven track record of success in various industries, including healthcare, technology, and manufacturing, Mary has become a trusted advisor to senior executives seeking to streamline operations, increase efficiency, and maximize ROI. Her project planning, risk management, and resource allocation skills enable her to deliver complex projects on time and within budget. With her experience in healthcare, Mary has been instrumental in developing and implementing innovative solutions for healthcare systems seeking to improve client outcomes while reducing costs. Mary oversees a team of project managers and consultants in her current role, ensuring success in delivering client solutions that exceed expectations. When she's not working, Mary enjoys attending live music events, exploring new destinations, and spending quality time with her family. Her passion for travel has taken her to numerous countries, where she has gained a deep appreciation for diverse cultures and perspectives.
Mike Alverson
VP of Technical Innovation
Mike Alverson joins RBC with over 25 years of professional experience across healthcare systems and operations. With background experience ranging from application programming for Indiana-based hospital systems to the payer side of healthcare as Senior Director of IT, Mike has led numerous technical teams integrating payer portals and payer systems for real-time claims submission and eligibility inquiry. Mike Alverson joins the RoBailey Consulting Team, highly skilled in architecting technical solutions as the senior consultant and co-owner of an Indiana-based consulting firm, facilitating operational improvements for claims operations and clinical applications for care management operations and documentation.
Nichole Young, RN
Director of Behavioral Health Innovation
With over 20 years of experience, Nichole has extensive and all-encompassing knowledge regarding healthcare facilities and managed care entities. Nichole is a Registered Nurse (RN) specializing in behavioral health and substance use disorders. Nichole’s unwavering passion for customers and clients guides her intuitiveness in analyzing unmet needs while implementing continuous quality improvement processes. Her approach encourages and supports a complete continuum of care. Whether it be configuration, contract strategy, negotiation, or in-depth analysis of policies and procedures, Nichole remains community focused while ensuring timeliness and improved quality of care.
Nathan Bailey MA, RD
Business Management &
Community Partner Liaison
Nathan Bailey, the Business Manager and Community Partner Liaison for RoBailey Consulting, has nearly 20 years of experience in public health service. A Ball State University graduate, Nathan holds a Bachelor of Science in Dietetics and a Master of Arts in Family and Consumer Sciences. As a Registered Dietitian (RD) in social services, Nathan gained ten years of experience counseling clients and ten years in leadership as Program Manager and Administrator for Women Infants and Children (WIC). Nathan's passion for serving the underserved community led to the successful development and implementation of numerous programs and resources for the WIC community. With expert experience in public health, social service, and leadership, Nathan provides trained guidance facilitating RBC's professional cohorts through project objectives and providing executive coaching and preparation. Nathan's wife and kids are his heart and soul. He enjoys spending time with his friends, family, and dog. When he isn't working, he loves the outdoors, sports, playing cards, and everything fireworks.
Sarah White, M.Ed.
Professional Proofreading
For nearly 20 years, Sarah White has gained extensive training with professional experience in writing development and literacy, coaching youth to adult levels. Sarah's certified experience providing enhanced attention to detail, adapting, transcribing, and proofreading print and braille text has produced a strong foundation in developing content control, ensuring visual consistency, typography, and a range of style guide implementation. She is a master educator and the founder of Sarah White Proofing, using her trained eye to transform writing with professional wordsmithing services. With a background in a broad scope of services from public and state education to state government programs, Sarah offers proofreading and copyediting proficiency, specializing in producing polished text results to meet a variety of writing needs.
Kris Craft
Director of Benefit Configuration
Kris Craft is the Director of Benefit Configuration with RoBailey Consulting. For over 35 years, Kris has been leading the way in benefit configuration and complex claim system implementation. From deep dive analysis and audit to policy interpretation and system conversions, Kris specializes in providing operational solutions to the most challenging configuration needs.
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Cheryl Hobbs-Ferguson
Director of Claims
Process & Analysis
With over 40 years dedicated to the healthcare industry, Cheryl Hobbs-Ferguson is the Director of Claims Process Analysis with RoBailey Consulting. Cheryl has successfully managed numerous diverse claim operations, including life, dental, disability, HMO/PPO, Medicaid, Medicare, Individual, Indemnity, and self-funded plans. Cheryl's experience overseeing system conversions and upgrades includes implementing all claim policies and procedures. With her extensive background and training in hospital systems, Cheryl ensures accuracy and efficiency when supervising the implementation of all processes and payment methodologies. When Cheryl is not working, she enjoys traveling and spending time with family and friends.
Jen Hale, Certified Associate in Project Management (CAPM)®
Administrative Process Management
Jen Hale, a highly skilled CAPM in the managed healthcare industry, has successfully managed projects of varying sizes and complexities while working with VPs and subject matter experts throughout the Request for Proposal (RFP) and Readiness Review process. Jen's strong leadership, collaboration, and communication skills allow her to manage cross-functional teams, implement best practices, and deliver results on time and within budget. In addition, she can assess operational readiness, enabling her to identify gaps and assist with developing strategies to mitigate risks and ensure successful implementation. With her understanding of the complex healthcare landscape, Jen has successfully helped manage numerous high-profile projects that have positively impacted patient care and organizational efficiency. Jen's navigation of complex regulatory and compliance requirements assists the compliance department with implementing continuous contract changes and federal requirements. Jen holds a Bachelor of Science in Organizational Leadership and Supervision from Purdue University and has earned her Certified Associate in Project Management (CAPM), having been formally evaluated in Project Management Fundamentals, Predictive Methodologies, Agile Principles and Business Analysis, all requirements of effective project management. In her spare time, Jen enjoys walking with her husband and dogs, working out, traveling with family and friends, and spending time with her niece and nephew at their many accomplished sporting events.
Ca'Non Jones
Administrative Project Management
Ca’Non Jones is a highly motivated Administrative Project Manager with RoBailey Consulting. Naturally competitive, Ca’Non has a strong background of 12 years in advertising and marketing. With eight years of diverse experience in insurance and the healthcare industry, Ca’Non has successfully managed multiple sizeable teams. Ca’Non is certified Six Sigma Black Belt, providing him with expert training and mastery in measuring the effectiveness and productivity of company processes, contributing to company success. Ca’Non finds joy in making a difference in the lives of others and sharing his story, working with HIV/AIDS nonprofit for the past ten years. In addition, Ca’Non feels the world is his backyard and has traveled to 38 states, nine countries, and counting.
Bernadette Mast
Administrative Program Management
Bernadette Mast is a customer-oriented Administrative Project Manager with RoBailey Consulting. Bernadette is a Purdue University graduate with comprehensive professional experience in customer service and management. Bernadette is a motivated and outgoing team player with proven skills in establishing client rapport, maintaining customer satisfaction, and cultivating partnerships. In addition, she is known for exemplary multi-tasking skills, effective task prioritization, and time management. Specializing in quality, speed, and process optimization, Bernadette creates and simplifies processes that promote proactive communication contributing to company success.
Heather Hobbs
Data Analysis & Provider Enrollment
Heather Hobbs has 17 years of experience in the healthcare industry. Her background in medical administration, years of success in the claims department, and skillful data entry guarantee her attention to detail and efficiency. Heather's role with provider enrollment special projects is essential to RBC, requiring unique project research and updating detailed reports. Heather studied Psychology and Medical Administration programs at Ball State University and Ivy Tech. Heather enjoys all animals, especially dogs, including her 12-year-old Chihuahua. Heather loves taking walks and spending time with her many family members. She has a passion for academics, history, medicine, health sciences, and current events.
Callie Nichols
Data Analysis & Provider Enrollment
Callie Nichols, a consultant with RBC, holds an essential role with provider enrollment special projects, requiring a sharp eye for detail and accuracy in unique project research and reports. Callie carries a degree in medical transcription and coding. With her prior training and experience working with RBC, she enjoys the daily challenges and continuous learning opportunities. Callie loves spending time with family and friends in her spare time, playing trivia, coaching softball, and enjoying the outdoors on nice days.
Garrett Walker
Data Platform Developer
Garrett Walker, a true data enthusiast, is a certified Microsoft Business Intelligence Professional and Data Platform Developer with over ten years of experience in the Medicare/Medicaid landscape. Leveraging experience and technical ability, Garrett transforms complex healthcare data into actionable insights that drive operational efficiency and improve patient outcomes for small and large organizations. Pursuing continuous improvement and delivery of value to organizations, Garrett seeks to optimize their data-driven strategies. "Data without a means to action is just overhead."
Resource Center
Helpful Reference Sites for Your Government Program Initiatives
