Personal Information
Organization / Workplace
Cincinnati Area, KY United States
Occupation
Triple Threat Subject Matter Expert (Pharmacy/PBM, Payor, Health System/Hospitals, IT)
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About
Brief Bio
I have over 25 years in the health care field, including Hospital, Physician Practices, Pharmacy, IT, and Insurance experience -- across a wide and varied spectrum of service/performance areas.
Developed healthcare data management platforms, including Cleopatra, CleoPharm, and Cleo Suite product lines.
Developed Audit Applications or all payor audits (RAC, MIPS, ADR, ETC)
Developed Pharmacy Business Side Management Systems (including Big Data)
Developed Specialty Pharmacy Data Aggregation and Analytics Platform
Developed a number of Portals for Physicians, Pharmacy, Payors, etc. for more collaboration amoung trading partners.
Developed EDI Parsers, 270/271, 278, etc.
Proje...
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Tags
healthcare
cleopatra
revenue cycle
software development
denials
audits
cleo
rac
denial management
physician portal
biotechnology
software
framework
cleo suite
specialty pharmacy
pharmacy
cleo pharm
custom software
insurance plans
portal
framework mi
pbm
pharmacy workflow
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