Melissa Halgas, Mha, Pmp
About Melissa Halgas, Mha, Pmp
Melissa Halgas is the Sr. Director of SHPS Service Operations at Scripps Health, overseeing various operational teams and partnerships.
Company
Melissa Halgas currently holds the position of Sr. Director, SHPS Service Operations at Scripps Health. Scripps Health is a nonprofit health care provider based in San Diego, California, with a focus on various medical services and community health initiatives. Melissa has been a significant part of Scripps Health in various roles, contributing to the company's strategic goals and operational efficiency.
Title
As Sr. Director, SHPS Service Operations at Scripps Health, Melissa Halgas oversees the operations related to utilization management, customer service, and enrollment teams. Her role supports around 150,000 members, ensuring efficient and effective service delivery. She also has direct operations oversight of seven plan-to-plan MSO partnerships within Scripps Health Plan Services.
Education and Expertise
Melissa Halgas holds a Master of Health Administration (MHA) from the University of Pittsburgh, where she studied Health Policy and Management from 2001 to 2003. She also earned a Bachelor of Science (B.S.) in Biological Sciences from the University of Pittsburgh, completed in 1999. Her educational background provides a strong foundation for her roles in health administration and management.
Professional Background
Melissa Halgas has an extensive background in health care management and operations. Prior to her current role, she served as Director of Health Plan Services at Scripps Health from 2016 to 2021, and as IS Project Manager from 2015 to 2016. She also held the position of Director of Managed Care Account Management and Contracting at MedVantx from 2013 to 2015. Her experience includes various roles at UPMC Health Plan, where she served from 2003 to 2013 in multiple capacities including Director, Program Development and Support in Medical Management, and as Business Analyst for the Children's Health Insurance Program.
Key Responsibilities
In her role at Scripps Health, Melissa Halgas is responsible for overseeing the operations of utilization management, customer service, and enrollment teams, supporting approximately 150,000 members. She manages the operations of seven plan-to-plan MSO partnerships within Scripps Health Plan Services. Additionally, Melissa serves as the product owner for the Scripps Health Plan HMO product, which is a full Knox Keene license health plan.