Sheila is a member of ACG’s Clinical Management team, specializing in managed Medicaid, Medicare and Duals programs, Special Needs Plans (SNP) clinical operations.  She has extensive expertise in federal and state regulations, risk management and CMS Stars, HEDIS and HOS measures and intervention design. She has worked with the California Department of Managed Care (DMHC), NCQA, and URAC. Her past roles include Executive Director of Clinical Services and Long Term Care Operations at Presbyterian Health Plan in Albuquerque, Director of UM, QM and Credentialing for CareMore Health Plan in CA, and Director of Accreditation and Credentialing at Blue Shield of California.