Glenda Stepchinski, RN, BSN, CPHQ
Glenda Stepchinski has more than 20 years of experience developing, managing and implementing fiscal agent and managed care contracts. Glenda knows Medicaid programs, policies and information systems and the challenges states face in today’s delivery of health care services and systems.
Glenda’s clinical expertise and background as a registered nurse supports her passion and focus on patient and health care access, delivery, technology, quality and appropriate utilization of services. Over the years, she has been instrumental in providing insight to the development and analysis of medical polices, case management, disease management, care coordination and quality of care for many state programs.
Her participation in a recent State Children’s Services initiative resulted in a successful procurement. She frequently leads research projects, develops and produces reports and evaluates proposals for clients.
Glenda is an expert in fiscal agent procurement, negotiation and contract management. She has extensive expertise in prior authorization, case management, managed care, disease management, quality and utilization review, and implementation of new programs and related system enhancements. Glenda also understands health care policy and programs from the provider perspective, having worked directly with physicians and hospitals during her clinical practice.
Glenda most recently served as the medical affairs officer for the Texas Medicaid fiscal agent contract administrator. She recommended and implemented enhancements to multiple state programs including Medicaid fee-for service, primary care case management (PCCM), children with special health care needs (CSHCN), long-term care, family planning, early periodic screening diagnosis and treatment (EPSDT), and personal care services.
Glenda is a licensed registered nurse (RN, BSN). She has a bachelor’s degree in nursing from the University of Texas Health Science Center. She is also a Certified Professional in Healthcare Quality (CPHQ).