GPV CONSULTING, LLC · PALM SPRINGS, CALIFORNIA

Consulting Services

Specific to healthcare operations and the strategy around them. I help health plans run the detail work that keeps them compliant and competitive — and I lead the big moves when a plan is replacing or rebuilding the systems it runs on. Forty years inside managed care, brought to a single engagement.


What I do

Lead your system replacement and configuration

When a plan replaces or reconfigures a core system — customer relationship management (CRM), care management, utilization management, the platforms the operation runs on — I lead the plan’s own project. Scope, configuration decisions, vendor management, and keeping the build honest to how the operation actually works on the floor.

Business architect — requirements and overall guidance

As your business architect I author the Business Requirements Document (BRD) and the Functional Requirements Document (FRD), and provide the guidance that translates four decades of managed-care reality into a specification your engineers can actually build to — on Salesforce or your own stack.

The full operational surface

Compliance, member experience, provider networks, appeals and grievances, and utilization management — across every line of business: Dual-Eligible Special Needs Plans (D-SNP), Medi-Cal and Medicaid, Covered California and the Marketplace, commercial, large group, and small group.

SIGNATURE ENGAGEMENT

The Maturity Assessment

A targeted or general overview of a health plan’s operations, delivered as a structured assessment with a findings report. Engage it as a focused look at one area, or as a general review across the whole operation. It measures where a plan actually stands against four things that decide whether it thrives:

  • Compliance — regulatory readiness across lines of business
  • Employee satisfaction — the people who run the plan day to day
  • Member satisfaction — the experience the plan actually delivers
  • Provider satisfaction — the network the plan depends on

Availability

I am available for contract assignments, for the Maturity Assessment as a standalone engagement, and available for hire.

← Return to home

GPV Consulting, LLC d/b/a YFG Health Group · Palm Springs, California · © 2026 GPV Consulting, LLC.