Nancy Helms

Nancy is a Clinical Subject Matter Expert (SME) with extensive experience in managed care organizations, particularly in care and utilization management. She brings a wealth of expertise to her clients from over two decades in clinical practice as an audiologist and over eleven years in the managed care field.

After leaving clinical practice, Nancy spent seven years at Colorado Access, a non-profit health plan, where she served first as Care Manager, then Manager of the Care Management department, and then Clinical Project Manager. She built on this experience by joining Altruista Health as a Clinical SME where she successfully led several implementations of their care management platform, GuidingCare, for Medicare, Medicaid, Dual and Special Needs Plans across the United States. A mentor to new Clinical SMEs, Nancy has also been involved in healthcare policy development, regulatory accreditation preparation, provider / patient engagement, staff training, denied claims management and quality standards support (NCQA, URAC, HEDIS, STARS, CAHPS, CMS, PCMH).

Nancy has a master’s degree in Audiology and Speech Pathology from Auburn University. She lives in Colorado with her husband and enjoys spending time with their two grandchildren, sewing, watching Auburn football and basketball, playing bridge, and traveling when possible.