Katie Lepsevich Email & Phone Number

Waltham, Massachusetts

Operations

Washington D.C. Metro Area

Gorman Health Group, LLC is a leading consulting and software solutions firm specializing in federal health programs, Medicare managed care, and Affordable Care Act opportunities. Provide consulting, technology, knowledge solutions, and staffing to health plans, pharmaceutical companies, and private sector industry stakeholders across a full spectrum of business needs:Strategic business planning, Operations and process improvement, Revenue and enrollment management, Compliance and audit preparation, and Federal and state regulatory analysis.

Greater Boston Area

Provide leadership and monitor day-to-day compliance activities to foster a culture of ethical and compliant behavior.Monitor and maintain regulatory expertise on Federal and State guidance, standards and regulations to determine relevant impact on the organization and clients. Interpret and determine regulatory impact for Medicare and Medicaid software solutions for Enrollment, Claim, Premium Billing and Member Reconciliation.

Greater Minneapolis-St. Paul Area

Visante, Inc. is a healthcare consulting firm that brings together the creative energy and new vision of more than 50 executive and senior level consultants working alongside our clients to take healthcare to ever improving levels of patients care outcomes, safety, and compliance. The word “Visante” is a reflection of our philosophy to provide a vision of health and support for our clients by listening carefully and crafting solutions that are practical, efficient, and compliant to provide lasting results.

Washington D.C. Metro Area

Support clients with continual integration of regulatory requirements for Medicare Part C and Part D into operational work processes on the critical interactions between functional areas: Enrollment, Member Services, Claims, Grievance & Appeals, Billing, and Enrollment and Revenue Reconciliation. Conduct in-depth policy and process assessments, determine system optimization and enhancements, re-engineer and customize department processes, interim management including oversight of professional outsourced operations staff.

Atlanta, Georgia

Responsible for the Medicare Operations of ten (10) plans offered in Florida, Texas, California, Maryland and New Jersey.Managed the ten (10) Operations Managers responsible for local oversight of Enrollment, Customer Service, Claim, Grievance, Appeal, Billing and Member Outreach functions.Collaborated with centralization of the Enrollment, Customer Service and Claims functions to a National Service Center in Jacksonville, Florida.

Waltham, Ma

Support Enrollment, Customer Service and Member Outreach functions.Track, maintain and develop operational and regulatory reporting.