Responsible for leading client facing engagements on the ClaimXten product, a payment solutions software for healthcare payorsAnalytical projects include presale opportunity analysis, product implementation, and ongoing software optimization Work closely with healthcare payors to quantify software decisions and make product recommendations based on each customer's business needsAdvise clients on managing various lines of business within the product, such as Commerical, Medicare, and Medicaid claimsCreate custom financial benchmarks and monthly tracking of ROICommunicate findings to all levels of customer management, from business users to executive teams

• Provided consultative expertise to clients and internal resources regarding health insurance claims adjudication software• Served as a main point of contact during software implementations and upgrades for health insurance claim auditing systems• Subject matter expert regarding development of payment and claim rules • Created customized payment rules and logic based on customer business requirements• Deep understanding of insurance environment, claims adjudication, and business systems architecture• Worked through entirety of software development life cycle (SDLC) for custom code changes• Provided post go-live support addressing ongoing customizations and issues

• Facilitated software implementations and enhancements within the healthcare industry• Served as a primary contact for client and project/technical teams• Interviewed clients to capture business needs • Designed customized software solutions

• Conducted quantitative and qualitative financial analysis for the Decision Support department such as profitability forecasts, budgeting, and pro formas• Calculated and communicated incentive compensation for 175 specialist physicians within 40 clinics• Designed an Excel-based compensation system when the newly implemented program failed, with no delay of business operations• Analyzed the compensation repercussions of proposed policies and contracts, provided recommendations and alternatives• Created monthly P&L commentary presentation for executive leadership which identified and explained financial trends and anomalies • Trained co-workers on billing practices, reimbursement, and physician compensation