Industry Expert to Lead Payer Government Programs Compliance & Operations Practice Area
Ankura Consulting Group LLC ("Ankura") is thrilled to announce the addition of Charles Baker to its Healthcare and Life Sciences team as a Senior Managing Director in New York. Charles will lead the Payer Government Programs Compliance & Operations practice area, bringing a wealth of expertise, leadership, and energy to the firm.
Charles is a widely respected expert in government programs, including Medicare Advantage, Medicare Part D, Medicaid, the Affordable Care Act (ACA), and programs for dually eligible members. He brings more than 15 years of experience leading, advising, and operating compliance, clinical, and administrative functions across health plans, provider organizations, and integrated delivery systems. His background includes roles as a consultant, health plan compliance officer, and medical center practice administrator.
Charles has extensive experience leading compliance assessments and program implementation for both regional and national health plans. He has developed compliance review methodologies, built monitoring and corrective action frameworks, and guided organizations through audits, expansions, new product launches, and regulatory transitions. His expertise also includes designing tools to improve accountability and advising on oversight for vendors, clinical partners, and delegated entities.
In addition, he has supported operational and regulatory transformations by developing business requirements for major regulatory changes, creating integrated operating models, and implementing performance measurement frameworks that connect regulatory expectations to operational quality and risk management.
In leadership roles across health systems and community organizations, Charles has improved neurorehabilitation and behavioral health operations, launched new clinical programs including tele-neurology, and managed federally qualified health centers, consistently enhancing documentation, compliance, and operational efficiency.
Dorothy DeAngelis, Ankura Healthcare and Life Sciences Industry Leader, noted, "We are particularly excited about Charles' vision for integrating payer compliance, population health, and risk adjustment to drive both organizational growth and improved clinical outcomes. His ability to translate complex regulatory requirements into practical, operational models will further enhance our compliance, performance, member experience, and quality outcomes."
Charles commented, "I am honored to join the Ankura team. My passion is helping organizations navigate the complexities of government programs and regulatory requirements while building practical frameworks that improve compliance, operational quality, and outcomes for members. I look forward to collaborating with our clients and colleagues to drive innovative solutions that enhance accountability, efficiency, and clinical performance in a rapidly evolving healthcare landscape."