Dr. Mullen-Clayton is a Doctor of Osteopathic Medicine licensed to practice medicine in the United States. She has more than 20 years of practice experience and 12 years of experience performing audit and payment integrity reviews for Medicare, Medicaid, and managed care. Dr. Mullen-Clayton serves as a contract medical director for Performant supporting the CMS Region 1 RAC contract. She is a subject matter expert in health care quality, Medicare reimbursement and compliance, inpatient care management, interactions, and public relations with hospitals, commercial payers, and government agencies. Dr. Mullen-Clayton’s background and relevant experience includes contributing and developing strategic initiatives; coordinating, overseeing, and executing high-level client and interdepartmental interactions and presentations; and ongoing quality, policy, and process refinement, as well as client support, through audit activity and retrospective medical review.
Prior to joining the Performant team, Dr. Mullen-Clayton served as Optum’s Executive Medical Director of the Strategic and Tactical Advocacy Team, coordinating ongoing quality, policy, and process refinement and client hospital support through audit activity and OIG investigations. She led large team of healthcare professionals performing case reviews; and through leadership and direct action, increased number of cases reviewed and improved appeal success rate. She also has expertise providing second level medical necessity review for client hospitals.