Kristin Greeley - Compliance Strategies

How does she contribute to the team?

Kristin has over 30 years experience in the managed care operations, project management, training and systems implementation.

When do we call on her?

Health Plan operational expertise in:
Claims
Enrollment
Member Services
Systems Configuration and Benefit Coding
Project Management

What’s her story?

As a Provider Relations Representative with Partners Health Plan and later as a Senior Project Manager with Flextech implementing health care software solutions, Kristin is adept in collaborating with operational and technical teams to successfully launch managed care systems. Her areas of expertise include eligibility, benefits, contracting, configuration, and claims. During her tenure as Regional Claims Quality Director for Heritage Provider Network’s Arizona group she managed the daily operations of the claims department as well as creating and operationalizing workflow improvements in provider disputes, EFT/ERA, pre and post payment auditing, claim development and documentation tools.

She brings an impressive track record of continuous compliance with MTR, ODAG, and Part C reporting measures and successfully passing pre-delegation and health plan audits as a result of her pursuit of continuous quality improvements.