Maria Diana MSN

@m_diananavedo

Medical Policy Consultant

Puerto Rico

Spanish

About me

Medical Policy Analyst and Registered Nurse specialized in CMS regulations, Medicare Advantage, Utilization Management, and clinical policy development. Experienced in NCD/LCD review, Internal Coverage Criteria (ICC), prior authorization policies, regulatory compliance, and evidence-based clinical analysis. Skilled collaborating with Medical Directors and operational teams to develop audit-ready medical policies aligned with CMS guidelines and healthcare regulatory standards.... Read more

Skills