Velisiwe Nkomo, RN, BSN, MBA

by Jasmine Batchelor

August 18, 2020

Divisional Vice President, Government Programs and Clinical Operations,
Health Care Service Corporation

Ms. Nkomo brings more than 15 years of managed care experience, including clinical program development, medical management operations, government programs startups and implementations. As the Divisional Vice President Clinical Operations, she oversees Case management/Care Coordination, utilization management activities for IL, TX and NM government programs. Vee Nkomo is an industry thought leader in LTSS, Dual Eligible, Complex Care, and Population health management. She has experience in large payer organizations with extensive experience with interpretation, development and implementation of Medicaid policies, Medicaid contracts, Models of Care (MOC), CMS regulations and guidelines for HCBS populations. Vee serves as the clinical and government programs subject matter expert for medical management operations, clinical platform implementations, regulatory and compliance requirements, RFIs and RFP development.

" "