Health Insurance & Compliance Consulting
Executive-level guidance for risk management, regulatory compliance, plan selection, and governance—delivered, clearly, and on your timeline.
Flexible hourly or project pricing • Starts quickly • Clear deliverables
Experience with
Services
Clear, outcome-focused engagements aligned to your priorities.
Insurance Navigation
Plan comparisons, provider continuity, Rx cost control, transition support.
Compliance & Risk Management
ERM frameworks, audit readiness, policy controls, issue remediation.
Executive Leadership & Governance
Board/C-suite advisory, transformation steering, KPI & oversight models.
Regulatory Readiness
Medicare/Medicaid documentation, mock audits, CAPs, evidence files.
Training & Workshops
Custom sessions for compliance teams and leadership with templates provided.
Health Insurance Strategy
Benefit design evaluation, payer/provider alignment, market positioning.
Expected Outcomes
- Faster, clearer plan decisions with documented rationale.
- Lower risk exposure and audit-ready controls.
- Continuity of care, minimized Rx surprises, reduced churn.
- Clear governance, measurable KPIs, and executive alignment.
How We Work
1) Clarify
20-min intro to confirm goals, scope, and best fit.
2) Scope
Define deliverables, timeline, and pricing option.
3) Execute
Work in agile sprints with weekly touchpoints.
4) Measure
Review outcomes, handoff assets, plan next steps.
Rates & Options
Choose the model that fits your needs; switch anytime.
Hourly
Advisory or hands-on work billed per hour.
$275–$500/hr
- Flexible, fast start
- Ideal for targeted asks
- Down-payment reserves time
Project
Fixed scope with milestones & deliverables.
$5k–$35k
- Clear outcomes & timeline
- Audit-ready artifacts
- Great for transformations
Retainer
Ongoing advisory access each month.
$4k–$10k/mo
- 10–25 hours included
- Priority scheduling
- Roll-over by agreement
Payment via ACH or secure card link. Public-sector discounts available.
About Kay Mesia
Former executive with BCBS, UHC, WellCare, and AARP. Specializes in federal and state regulatory compliance, risk management, plan navigation, and executive governance. Practical, outcomes-driven, and easy to work with.
- • Enterprise risk & compliance frameworks
- • Medicare/Medicaid regulatory readiness
- • Plan selection & transition support
- • Board and C-suite advisory
Recent Results
- • Reduced audit findings by 40% via control redesign.
- • Completed plan transition for retiree group in 3 weeks.
- • Implemented ERM dashboard used in board meetings.
Ready to talk?
Pick a time for a 20-minute virtual intro. We’ll clarify goals, scope, and the best pricing model for you.
FAQ
Do you work hourly or by project?
Both. You can change models as needs evolve; we’ll keep a clear scope and cadence.
How quickly can we start?
Discovery can start immediately after a brief intro and deposit to reserve time.
Can you help individuals choose plans?
Yes—especially during forced transitions or complex Rx/provider needs.
Do you offer training?
Custom workshops for compliance teams and leadership with templates provided.