Ms. Silvia Gramada earned her bachelor’s degree in health services administration and a minor in psychology from University of Detroit Mercy in Detroit, MI. She has over 10 years of experience working in healthcare having worked in both the hospital and commercial health insurance settings.
Ms. Gramada has been with Blue Cross and Blue Shield of Michigan for almost 5 years. In her current role, she is responsible for project management and funding oversight of initiatives within the behavioral health workstream, development of internal communications, as well as supporting local expansion efforts of the Collaborative Care model and the Blue Distinction Specialty Care Substance Use Treatment and Recovery program. Ms. Gramada collaborates with internal and external partners to implement solutions, and act as a liaison between program owners, customer business units and contracting to support creation of reimbursement strategies and operational changes.
If you don’t feel this is sufficient here’s some additional background that you can pull from and incorporate.
- Worked at an inpatient acute care psychiatric hospital for almost 5 years prior to working at Blue Cross. In this role I was responsible for safeguarding patients’ rights guaranteed by the Michigan Mental Health Code through investigation of all grievances. Monitored and analyzed trends in complaints and developed mitigation strategies for quality assurance and appropriate service recovery. Collaborated with executive leadership and clinical staff to implement solutions, and to develop and update policies, procedures, and training that comply with CMS and regulatory body guidelines
- In my previous role at Blue Cross I was responsible for product and program management, and ongoing administration of the Alternative Network Solutions portfolio suite covering over 600K members. Collaborated with established internal and external partners to review issues and facilitate resolution, evaluate network adequacy for any changes, implement solutions, discuss enhancements to design and processes for ongoing improvement and management of solutions. One of the products I managed was the Blue Distinction Specialty Care Benefit Design and I supported development of Local Plan Criteria for Cardiac Care, Knee/Hip Replacement, and Spine Surgery.
- Enrolled in MBA program at Wayne State University in Detroit, MI