Executive Vice President of Clinical and Provider Management
Denise Croce is the executive vice president of clinical and provider management at Health Partners Plans (HPP). In this role, Ms. Croce 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 and maintains our high provider satisfaction ratings while improving contracting processes.
Ms. Croce joins HPP with more than 20 years of experience in diversified health care programs. She’s successfully implemented transformative clinical and provider strategies that have increased membership growth, improved quality of care and driven positive outcomes.
Ms. Croce 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. Since then, she has served in leadership positions with a number of managed care organizations.
Ms. Croce received her Bachelor of Science in Nursing from Widener University and her Master of Health Administration from St. Joseph’s University. She’s also a registered nurse in Pennsylvania and New Jersey.