Jessica Tuggle

I've supported CMS- and state-regulated managed care and hospital operations through appeals, grievances, audit readiness, HIPAA-compliant documentation, and regulatory reporting. At Molina Healthcare, I investigated and resolved member complaints, tracked regulatory timelines, and used root cause analysis to recommend corrective actions.

I've also strengthened compliant billing, prior authorization, and revenue-cycle processes at UT Health and Science Center, TIRR Memorial Hermann, and Tangible Difference Learning Center. I translate complex requirements into clear resolutions while partnering with clinical, pharmacy, operations, providers, and leadership.