Director of Compliance & Risk Adjustment, Scripps Health Plan Services
Linda Pantovic is the Director of Compliance and Risk Adjustment for Scripps Health Plan Services. Linda began her career with Scripps Health in 1995 as a Licensed Vocational Nurse on 3 West. Linda then transitioned to an administrative role with Scripps Health Plan Services in March of 2000.
At Scripps Health Plan Services, Linda has managed all departments within managed care operations including: Utilization Management, EDI, Systems and Reporting, Claims, PDR, Recoveries, Enrollment, Fee For Service Pre-Certification Team, Customer Service, Appeals and Grievances , Quality (including HEDIS, P4P and Risk Program), Credentialing, Delegation Oversight, Anti-Fraud Waste Abuse, Document Control and Risk Adjustment.