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@lilianmwongeli
Healthcare professional (RN, BScN) driving health systems strengthening and insurance operations improvements.
I am a registered nurse with a BScN and over five years' experience strengthening health systems, leading health insurance operations, and managing projects that improve access to care. I bridge clinical, corporate, and systems perspectives to design scalable solutions that improve governance, efficiency, and patient outcomes.
At Britam Insurance I led system development for corporate health, coordinated complex claims and high-risk patient access, and drove cross-functional projects with IT, audit, and regulatory teams. I have been recognized for innovation and outstanding customer experience, including awards and culture-change leadership roles.
I am skilled in regulatory compliance (ICH-GCP), fraud detection, data-driven decision support, capacity building, and stakeholder engagement. I seek roles where I can continue to strengthen health financing and delivery systems, mentor teams, and deliver measurable improvements in access and efficiency.
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Work history, roles, and key accomplishments
Britam Insurance
Mar 2024 - Present (1 year 8 months)
Lead system development to strengthen governance, financing, workforce, and service delivery in corporate health, guiding strategic planning, M&E, and resource mobilization to improve health system resilience.
Britam Insurance
Mar 2023 - Feb 2024 (11 months)
Coordinated patient access for high-risk and chronic cases, supported regulatory compliance and adverse event reporting, and optimized treatment access and cost efficiency through fee negotiation and claims oversight.
Britam Insurance
Dec 2020 - Mar 2023 (2 years 3 months)
Managed insurance navigation for members, intermediaries, and providers and led sensitization and training on fraud detection and early red-flag recognition to protect access to services.
Machakos County Hospital
Jan 2018 - Dec 2019 (1 year 11 months)
Delivered inpatient and outpatient care across multiple units and strengthened patient safety by implementing incident reporting and root cause audit processes.
Degrees, certifications, and relevant coursework
Certificate, Clinical Research Compliance
2025 - 2025
Completed ICH-GCP E6 (R2) training on Good Clinical Practice for clinical research compliance.
Certificate, Clinical Research
2025 - 2025
Completed an Introduction to Clinical Research course covering fundamentals of clinical research methodology.
Certificate, English Language Proficiency
2025 - 2025
Achieved EF SET English Certificate demonstrating English language proficiency.
Certificate, Data Protection in Health
2024 - 2024
Completed training in Data Protection in Health aligned with Kenya HMIS III standards.
Certificate, Mental Health in Emergencies
2023 - 2023
Completed a Mental Health in Emergencies course addressing mental health care in crisis settings.
Certificate, Oncology Nursing
2021 - 2021
Completed an Oncology Nursing course focused on cancer care principles and nursing practices.
Certificate, Project Management in Global Health
2020 - 2020
Completed a Project Management in Global Health course focused on planning and managing global health programs.
Certificate, Leadership and Management in Health
2019 - 2019
Completed a Leadership and Management in Health course emphasizing health leadership and managerial skills.
Bachelor of Science, Nursing
Completed a Bachelor of Science in Nursing, providing foundational clinical training and patient care competencies.
Software and tools used professionally
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