Open to opportunities

Indy Seymour

@indyseymour

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Healthcare compliance and prior authorization analyst who improves workflows through QA, KPIs, and hands-on leadership.

United States

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What I'm looking for

I’m looking for a healthcare role where I can own compliance and utilization workflows, drive KPI improvements, and coach teams hands-on—while partnering cross-functionally to reduce denials, increase accuracy, and maintain audit-ready documentation.

I’m a healthcare operations and compliance professional with 10+ years of experience across behavioral health, dental operations, healthcare staffing, and pharmaceutical utilization review. I’m known for improving workflows, maintaining compliance, and supporting high-performing teams with practical, day-to-day leadership.

In my current role as a Lead Prior Authorization & Quality Assurance Analyst, I run daily prior authorization operations to ensure timely, accurate processing aligned to payer guidelines and clinical criteria. I perform quality assurance audits, monitor KPIs like turnaround times and approval rates, and translate denial and QA trends into concrete workflow improvements that improve first-pass accuracy.

Previously, as a Recruiter & Compliance Specialist, I owned full-cycle recruiting while strengthening audit readiness through credentialing, license verification, and background checks. I tracked recruitment KPIs, partnered with internal teams to forecast staffing needs, and trained new hires on onboarding, compliance requirements, and system usage to reduce onboarding delays.

Earlier, I led high-volume dental operations and behavioral health front-office administration, overseeing staff schedules, revenue cycle activities, and HIPAA-aligned documentation. Across every environment, I balance patient care priorities with revenue and operational goals, and I bring a consistent focus on coaching, process improvement, and compliance that keeps teams confident and service levels strong.

Experience

Work history, roles, and key accomplishments

Lead Prior Authorization Analyst

McKesson Pharmaceuticals

Oct 2024 - Apr 2026 (1 year 6 months)

Led daily prior authorization operations by analyzing clinical documentation, payer guidelines, and medical necessity requirements to ensure timely, accurate medication approvals. Performed QA audits, monitored KPIs (turnaround times, approval rates, error trends), coached team members, and improved workflows to reduce rework and delays in patient care.

Prior Authorizations KPIs Regulatory Compliance Clinical Documentation Review Data Reporting Team Coaching

Recruiter & Compliance Specialist

Gale Healthcare

Sep 2022 - Oct 2024 (2 years 1 month)

Managed full-cycle recruitment, including sourcing, interviewing, onboarding, and placement of healthcare professionals. Oversaw compliance requirements (credentialing, license verification, background checks), conducted compliance audits, and tracked recruiting KPIs to improve hiring timelines and readiness.

Full Cycle Recruiting Healthcare Credentialing License Verification Background Checks Compliance Audits KPI Reporting Onboarding Talent Acquisition Stakeholder Management

Dental Operations Manager

Thayer Dental

Feb 2016 - Sep 2022 (6 years 7 months)

Oversaw daily operations for a high-volume dental practice, including staff scheduling, coverage, and team coaching through regular 1:1s. Managed revenue cycle functions (insurance verification, billing, claims follow-up, collections), performed compliance audits, and implemented workflow improvements to increase scheduling efficiency and reduce patient wait gaps.

Dental Practice Operations Staff Scheduling Revenue Cycle Management Insurance Verification Billing Claim Forms Workflow Development

Clinic Administrative Office Manager

Whitney M. Young Health Center

Jan 2014 - Feb 2016 (2 years 1 month)

Managed behavioral health administrative operations, coordinating patient intake, scheduling, and insurance verification while maintaining efficient front-office workflows. Maintained HIPAA-compliant records, supported documentation audits, monitored operational KPIs to reduce wait times, and collaborated with providers on care coordination to improve patient experience.

Patient Intake Coordination Scheduling Insurance Verification HIPAA compliance KPIs Care Coordination