Delivering clearinghouse and cost transparency analytics, as well as interoperability, data, and digital automation (AI) solutions to payers, third party administrators, and integration partners for revenue and business process optimization.

Delivering analytic solutions, RCM services, and digital business process automation (AI) for revenue optimization to health systems, hospitals, large providers, vendors, and payers.

As part of the executive leadership team, I managed a sales and account management team of six associates covering the provider, channel partner, and payer customer base and prospects. I lead the team through transition due to company acquisition, integration, and re-branding efforts, while exceeding revenue goals and maintaining expenses under budget.

Continuing to build on my success in driving efficiencies and profitability in the healthcare information and insurance services, I joined TriZetto as an accomplished relationship manager. I have a solid history of leading process improvement and cost containment projects while also optimizing revenue, partner relations, and sales operations. In addition to being recognized for consistently meeting deadlines and exceeding goals, I am a team player and leader skilled in project management and strategic planning. In my current role, I am responsible for establishing strategic vendor partnerships and cultivating relationships with our payer customers at an enterprise level and across TriZetto business units.

My role was designed to optimize multi-directional trading partner relationships to maximize back end revenue while minimizing costs, and to identify opportunities for strategic partnerships for product integration and automation. Designed mutually beneficial contract terms to encourage utilization and enhance payer connectivity available with Revenue Cycle Management service offering. Developed and launched custom offerings by client. Responsible for multiple clearinghouse relationships representing millions in annual revenue.

Managed relationships with large regional payers and channel partners. Aligned with payers customers to grow transaction volume by increasing EDI to paper ratios, and reduce rejections by increasing communications of requirements and resolving payer processing issues. Worked closely with vendor, PMS customers, and channel partners to fill the grid for EDI connectivity and increase utilization of electronic transactions.

Position consisted of redesigning work flows from the ground up. Developing new processes from conception to implementation. Position required a working knowledge of creating flow charts and technical writing to document new procedures. Processes were designed for areas related to customer service, policy maintenance and issuance, claims processing and payment, and research. Primary person responsible for training customer service and finance personnel on systems and procedures.

Project manager focused on process improvements and automation of manual tasks. Areas of work and expertise included finance (A/R processes), customer service (policy administration and reduction of mailing costs and paper administration) as well as other operational efficiencies. Designed an ACH marketing brochure and mailing campaign to increase adoption of electronic policy payments to reduce manual billing costs. Also designed process flow of navigation, and developed content for the division's first website with the goal of reducing incoming calls for common customer support information.