Senior AI PM | Medicare Advantage payment integrity |
9 yrs payer ops → built ClaimGuard Pattern Pulse to catch
what rules engines miss | healthtech
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claimguard-pattern-pulse
claimguard-pattern-pulse PublicExplainable AI anomaly detection for Medicare Advantage claims. Pre-submission behavioral pattern detection with SIU workflow integration.
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encounter-submission-quality
encounter-submission-quality PublicPower BI dashboards tracking Medicaid encounter submission quality (95% first-pass acceptance) and HEDIS measure performance. Operational origin story of EncounterIQ.
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member-portal-modernization
member-portal-modernization PublicHIPAA-compliant member portal migration delivered in 8 months. Features Universal Person ID enabling multi-plan self-service across Medicare, Medicaid & Commercial lines.
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If the problem persists, check the GitHub status page or contact support.
If the problem persists, check the GitHub status page or contact support.