With the launch of Segal Medicare Experts (SME), Shelley has brought together a strong and growing team of some of the sharpest minds in the healthcare industry. She works closely with her team to offer insight on integrated custom-tailored solutions to address challenges and deliver real-world solutions to Medicare Advantage Organizations (MAOs).  

Shelley Segal, Founder and CEO, is a seasoned executive with more than three decades of experience in the Medicare managed care industry. Shelley is an accomplished collaborator with the unique ability to listen and understand the dynamics of all industry aspects. Shelley’s extensive compliance, operational and financial expertise provides clients the insight necessary to achieve better bottom-line results. 

Segal is a nationally recognized compliance, regulation and training expert in the managed care industry, with expertise to include:

• MAOs and Part D day-to-day operational management
• Interpretation and implementation of Medicare regulations
• Creation and implementation of compliance and functional area training programs
• Implementation of operational best practices across multi-site organizations
• Guidance prior to, during and after the Center for Medicare and Medicaid Services (CMS) program audit
• Project management and facilitation of interdisciplinary project teams
• Providing subject matter experts for our client’s specific needs

As an industry recognized keynote speaker, Shelley regularly presents at key conferences to include, Industry Collaboration Effort (ICE), Health Care Compliance Association (HCCA) and Resource Initiative & Society for Education (RISE).