Open to opportunities

Veronica Smith

@veronicasmith

Message

Results-driven claims and payment integrity leader focused on operational efficiency and measurable savings.

United States

Message

What I'm looking for

I am seeking a leadership role in claims or payment integrity where I can drive process improvements, mentor teams, manage vendor relationships, and deliver measurable cost savings while supporting a collaborative, data-driven culture.

I am an experienced leader in claims operations, payment integrity, appeals, and compliance with a proven record of driving operational efficiency, improving data integrity, and mentoring teams to deliver measurable savings. I led remediation after a major healthcare cyber incident, recapturing 85% of forecasted vendor savings and reducing appeal overturn rates from 51% to 4% in two years.

I specialize in process improvement, vendor and stakeholder management, and translating analytics into actionable program design, including building internal audit capabilities and machine-learning–informed contract compliance. I strive to create sustainable solutions, coach teams for growth, and align operational work to strategic corporate goals to enhance customer satisfaction and reduce cost.

Experience

Work history, roles, and key accomplishments

Current

Manager, Payment Integrity

Current

Blue Cross of Idaho

Apr 2021 - Present (4 years 5 months)

Led payment integrity and claims auditing operations, recapturing 85% of forecasted vendor savings after a 2024 cyber incident and reducing appeal overturn rate from 51% to 4% in two years through workflow and reporting redesign.