In this role, Denise is responsible for medical, behavioral-health, and pharmacy programs across all lines of business. She also leads the strategic development of all provider network relationships for HPP and maintains HPP’s provider satisfaction ratings as she works to improve contracting processes. Croce focuses on care management and utilization across all lines of business, including Medicare (Health Partners Medicare), Medicaid (Health Partners), and CHIP (KidzPartners).
Prior to this role, Denise had more than 20 years of experience in diversified healthcare programs. At her positions, she successfully implemented transformative clinical and provider strategies that increased membership growth, improved quality of care, and drove positive outcomes.
Before returning to HPP in 2016, Ms. Croce had served as senior vice president of healthcare management operations at Health Partners Plans from 2004 to 2006. In that role, she oversaw utilization, case and disease management, accreditation, and a variety of other clinical quality functions. After that time, she held leadership and executive-level positions at a number of managed care organizations, including Coventry, AmeriGroup, and AETNA Medicaid.
Ms. Croce received her bachelor of science degree in nursing from Widener University and her master of health administration degree from St. Joseph’s University. She is a registered nurse in Pennsylvania and New Jersey.