At Jefferson Health Plans, I lead an organization of 15 Business Analysts and Senior Business Analysts responsible for enterprise claims configuration, payment integrity, and strategic claims initiatives. I identified and led remediation efforts for a $33 million enterprise claims underpayment issue through configuration analysis and claims reprocessing.
I previously served as Principal Business Analyst, Claims Resolution at Jefferson Health Plans, where I led HealthRules Payor and payment integrity implementations. At Health Partners Plans, I led implementations of CCMS, HRCM, ClaimsXten, and 3M, and developed business requirements and testing strategies for enterprise claims operations.
