Katherine Smith Email and Phone Number

Own P&L and GTM strategy for specialized health centers, including long-term vision, outcomes, and economics. Driving product and UX strategy, refining pipeline, and identifying major new growth vectors for the business.

Responsible for the handling of 16 million claims per month, translating payer knowledge, network performance, and client input into rules engine solutions and product enhancements to eliminate friction in the claim submission and adjudication process.

Responsible for standardizing processes for prioritizing new service innovation, assessing competitive landscapes, and building strategic partnerships. Defined and instituted capacity and forecasting models, service level agreements, and key performance indicators to evaluate customer satisfaction, performance, and downstream revenue.

Own complex client markets including anesthesia, Ambulatory Surgical Centers (ASC), Rural Health Centers (RHC), Federally Qualified Health Centers (FQHC), Provider Based Billing (PBB), and other unique UB04 Billing Requirements and Custom Workflows (i.e. Urgent Care, Article 28 billing, etc.). Responsible maintaining a wide range of subject matter expertise regarding advanced institutional billing, 3rd party or internal interface integration, billing and enrollment configuration, and state and grant funding reporting requirements (i.e. UDS, Title X, Ryan White, 340B Pharmacy Programs, etc.). Strong background in system interoperability including bidirectional ADT, DFT, SIU, and other HL7 messages.

Responsible for scoping and monitoring CMS regulation to support complex clients (including anesthesia, Ambulatory Surgery Center (ASC), Rural Health Centers (RHC), Federally Qualified Health Centers (FQHC), Provider Based Billing (PBB)) as key point of contact and reliable resource to conduct remote and on-site client training, provide table-building expertise, streamline multi-platform integration, and execute compliant claim submission.

Spearheaded growing athenaCommunicator product team, optimizing patient outreach via portal adoption, automated appointment reminders, and provider messaging tools. Created scalable process documentation and training modules leading to more aggressive implementation timelines and higher quality deliverables as our implementation model expanded to a full service offering.

A leading $1.3B global bio/pharmaceutical contract research organization helping clients to expedite time-to-market through clinical trial, regulatory affairs, and commercialization consulting.Responsible for consistent and targeted project management beginning from early phase drug development through medical marketing and publishing for top international pharmaceutical companies leading to production of multiple ground breaking New Drug Application submissions to the FDA.

Healthcare consulting/software technology firm specializing in the creation and administration of HIPAA compliant patient reported health risk assessment technologies intended to measure the ROI of employer sponsored disease management programs.* Processed health risk appraisal survey data within web-based wellness management technology to measure employee health by utilizing customized versions of the SF-12v2 (TM).