Alycia Sepe, RN, BSN
SVP Business Development
Bachelor of Science in Nursing
University of Pittsburgh
Expertise in utilization and care management delivery models
With 20+ years of healthcare experience as a thought leader, patient advocate and trusted advisor, Alycia is known as much for her strategic approach to healthcare management as she is for her analytical problem-solving skills.
As an advisor and subject matter expert for clients, Alycia specializes in Integrated Care, Disease and Utilization Management, and Health & Wellness within payer, provider, employer and ACO systems. Her experience includes a wide array of Executive and Senior Level engagements.
Alycia’s personal philosophy is rooted in service. Her expertise spans commercial, Medicare, Medicaid and D-SNP markets where she has focused on appropriate patient care, whether through her direct patient contact as a Clinical Care Nurse or as business development lead for care management organizations.
Alycia has been the lead Strategic Clinical Operations Expert for a complex portfolio of Care Management and Health & Wellness service delivery. She has led applications for the CMS Duals Demonstration and D-SNP for large health plans, acting as a Care Management Expert during CMS Readiness Reviews, and developed a new Medicaid/Medicare service delivery model for a large plan. Prior to Toney HealthCare, Alycia led health plan core operating system and clinical system implementations.