Vice President, HELIOS Solutions Group
As the Vice President, HELIOS Solutions Group, Tyann Alexander brings 28 years of healthcare and over 20 years of utilization management and care management experience. She has worked with and for multiple health insurance providers, MCO/ACOs, and TPAs. Her experience includes Medicare/Medicaid, Medicare Advantage, LTSS/D-SNP/I-SNP, and commercial health plans. Ms. Alexander is a registered nurse and certified case manager with a MBA as well as a BA in healthcare administration. She has experienced the difficulties and challenges at the end user level, from the payer and provider perspective. She has worked with multiple health plans, vendors and other partners to coordinate workflows and systems with the goal of meeting the member/patient needs. Tyann understands the prior authorization process from beginning to end, from intake to notifications, as well as medical claims review, appeals, and grievances. She understands the importance of meeting turnaround times and staying compliant with privacy and regulatory requirements. In her current role, she is focused on how technologies can improve the prior authorization process for all involved.